IMLS Grant Program Application and Post-Award Report Forms

Forms and Documents

Document Name	Status
Form Application Form 3 Specifications for Projects that Develop Digital Projects Form and Instruction	New
Form Report Form 4 Native American Library Services Basic Grant and Basic Grant with Education/Assessment Option Final Financial and Performance Report Form and Instruction	New
Form Report Form 3a Discretionary Grant Final Performance Form and Instruction	New
Form Report Form 2 Discretionary Grant Interim Performance Form and Instruction	New
Form Report Form 1 Discretionary Grant Performance Report Form and Instruction	New
Form Application Form 8 National Medal for Museum/Library Services Nomination Form Form and Instruction	New
Form Application Form 7 Grant Reviewer Application Form: Museum Professionals Form and Instruction	New
Form Application Form 6 Grant Reviewer Application Form: Library Professionals Form and Instruction	New
Form Application Form 5 Native American Library Services Basic Grant Project Budget Form and Instruction	New
Form Application Form 4 Partnership Statement Form and Instruction	New
Form Application Form 2 Budget Form -detailed + summary Form and Instruction	New
Form Application Form 1 Program Information Sheet Form and Instruction	New
Form State Grants 3 Grants to State Library Administrative Agencies Project Form (SPR) Form and Instruction	New
Form State Grants 2 Grants to States Library Administrative Agencies Final Year Report (SPR) Form	New
Burden estimates 2010 - 3137-0071.xls Supplementary Document	2010-08-04
Forms justification statement A 0071.docx Supporting Statement A	2010-08-02
Glossary to Support Grant Reporting.pdf Supplementary Document	2010-07-27
IMLS_Museums_for_America_Webinar.pdf Supplementary Document	2010-07-27
GTC_NAG.pdf Supplementary Document	2010-07-27
GTC_0410.pdf Supplementary Document	2010-07-27

IC Document Collections

IC ID	Document Title	Status
194144	Specifications for Projects that Develop Digital Projects Form and Instruction	New
194070	Native American Library Services Basic Grant and Basic Grant with Education/Assessment Option Final Financial and Performance Report Form and Instruction	New
193947	Discretionary Grant Final Performance Form and Instruction	New
193946	Discretionary Grant Interim Performance Form and Instruction	New
193944	Discretionary Grant Performance Report Form and Instruction	New
193941	National Medal for Museum/Library Services Nomination Form Form and Instruction	New
193936	Grant Reviewer Application Form: Museum Professionals Form and Instruction	New
193935	Grant Reviewer Application Form: Library Professionals Form and Instruction	New
193934	Native American Library Services Basic Grant Project Budget Form and Instruction	New
193818	Partnership Statement Form and Instruction	New
193815	Budget Form -detailed + summary Form and Instruction	New
193814	Program Information Sheet Form and Instruction	New
193804	Grants to State Library Administrative Agencies Project Form (SPR) Form and Instruction	New
193784	Grants to States Library Administrative Agencies Final Year Report (SPR) Form	New

ICR Details

OMB Control No: 3137-0071	ICR Reference No: 201007-3137-005
Status: Historical Active	Previous ICR Reference No: 200705-3137-002
Agency/Subagency: IMLS	Agency Tracking No:
Title: IMLS Grant Program Application and Post-Award Report Forms
Type of Information Collection: Reinstatement with change of a previously approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 08/13/2010
	Date Received in OIRA: 08/06/2010
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	08/31/2013	36 Months From Approved
Responses	4,641	0	0
Time Burden (Hours)	20,049	0	0
Cost Burden (Dollars)	527,284	0	0

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Abstract: IMLS requests clearance for the forms it uses for all of the grant program applications, post-award reporting, and peer reviewer applications. These forms are directly related to the generic clearance for IMLS grant application and award processes (3137-0029) for which a three-year extension was recently submitted.

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Authorizing Statute(s): None

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	75 FR 82	04/29/2010
30-day Notice:	Federal Register Citation:	Citation Date:
	75 FR 131	07/09/2010
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 14

IC Title	Form No.	Form Name
Budget Form -detailed + summary	Application Form 2a, Application Form 2b	Budget: Detailed ,   Budget: Summary
Native American Library Services Basic Grant and Basic Grant with Education/Assessment Option Final Financial and Performance Report	Report Form 4	Native American Library Services Basic Grant and Basic Grant with Education/Assessment Option Final Financial and Performance Report
Grant Reviewer Application Form: Library Professionals	Application Form 6	Grant Reviewer Application Form: Library Professionals
National Medal for Museum/Library Services Nomination Form	Application Form 8	National Award for Library and Museum Services Nomination Form
Program Information Sheet	Application Form 1	Program Information Sheet
Grants to State Library Administrative Agencies Project Form (SPR)	State Grants 3	SPR Add a Project Form
Native American Library Services Basic Grant Project Budget	Application Form 5b, Application Form 5a	Project Budget for Native American Basic Grant - Form A ,   Project Budget for Education/Assessment Option - Part B
Partnership Statement	Application Form 4	Partnership Statement
Grants to States Library Administrative Agencies Final Year Report (SPR)	State Grants 1, State Grants 2	State Grants Financial Status Report - IMLS Pacific Competative Grant ,   State Grants Financial Status Report - IMLS State Programs
Specifications for Projects that Develop Digital Projects	Application Form 3	Specifications for Projects that Develop Digital Projects
Grant Reviewer Application Form: Museum Professionals	Application Form 7	Grant Reviewer Application Form: Museum Professionals
Discretionary Grant Interim Performance	Report Form 2	Discretionary Grant Interim Performance Report
Discretionary Grant Performance Report	Report Form 1	Discretionary Grant Performance Report Cover Page
Discretionary Grant Final Performance	Report Form 3a, Report Form 3b	Discretionary Grant Final Performance Report - Part 1 Narrative ,   Discretionary Grant Final Performance Report - Part 2 Quantitative Information

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ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	4,641	0	0	-2,176	0	6,817
Annual Time Burden (Hours)	20,049	0	0	5,333	0	14,716
Annual Cost Burden (Dollars)	527,284	0	0	179,400	0	347,884

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: The number of grants awarded has decreased over the last 3 year period. The burden estimate has increased for the grant program applications, post-award reporting, and peer reviewer applications raising the estimated time to complete complex reporting forms and increased emphasis on accountablility from OMB. A portion of the increase is due to a recalculated average hourly wage from $23.64 to $26.30.

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Annual Cost to Federal Government: $0

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 08/06/2010

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