Information Collection

Application for Indemnity

IC 198284 under ICR 201103-3135-005 · OMB 3135-0123.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3135-0123 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 3135-0123 Application for Indemnity	Form and Instruction
3135-0123 Application for Indemnity DomesticG'lines July 2011 deadline.pdf www.nea.gov/grants/apply/Indemnity/Domestic-Indemnity.html	Form and Instruction

IC Title:

Application for Indemnity

Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 45 CFR 1160

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	3135-0123	Application for Indemnity	DomesticG'lines July 2011 deadline.pdf	http://www.nea.gov/grants/apply/Indemnity/Domestic-Indemnity.html	Yes	Yes	Fillable Fileable

Line of Business: Education

Subfunction: Cultural and Historic Exhibition

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 50

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	50	50
Annual IC Time Burden (Hours)	2,000	2,000
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.