Application for Indemnity

Application for Domestic Indemnification

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

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

Information Collection (IC) Details

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:

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 %

	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

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.