IMLS Grant Program Application and Post-Award Report Forms

Forms and Documents

Document Name	Status
Form Application Form 1 IMLS Grant Program Application and Post-Award Report Forms Form and Instruction	New
Form Application Form 3 Specifications for Projects that Develop Digital Projects Form and Instruction	Unchanged
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	Unchanged
Form Report Form 3a Discretionary Grant Final Performance Form and Instruction	Unchanged
Form Report Form 2 Discretionary Grant Interim Performance Form and Instruction	Unchanged
Form Report Form 1 Discretionary Grant Performance Report Form and Instruction	Unchanged
Form Application Form 8 National Medal for Museum/Library Services Nomination Form Form and Instruction	Unchanged
Form Application Form 7 Grant Reviewer Application Form: Museum Professionals Form and Instruction	Unchanged
Form Application Form 6 Grant Reviewer Application Form: Library Professionals Form and Instruction	Unchanged
Form Application Form 5 Native American Library Services Basic Grant Project Budget Form and Instruction	Unchanged
Form Application Form 4 Partnership Statement Form and Instruction	Unchanged
Form Application Form 2 Budget Form -detailed + summary Form and Instruction	Unchanged
Form Application Form 1 Program Information Sheet Form and Instruction	Unchanged
Form State Grants 3 Grants to State Library Administrative Agencies Project Form (SPR) Form and Instruction	Unchanged
Justification for Change - Learning Labs Guidelines _ final.docx Justification for No Material/Nonsubstantive Change	2011-06-06
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
198013	IMLS Grant Program Application and Post-Award Report Forms Form and Instruction	New
194144	Specifications for Projects that Develop Digital Projects Form and Instruction	Unchanged
194070	Native American Library Services Basic Grant and Basic Grant with Education/Assessment Option Final Financial and Performance Report Form and Instruction	Unchanged
193947	Discretionary Grant Final Performance Form and Instruction	Unchanged
193946	Discretionary Grant Interim Performance Form and Instruction	Unchanged
193944	Discretionary Grant Performance Report Form and Instruction	Unchanged
193941	National Medal for Museum/Library Services Nomination Form Form and Instruction	Unchanged
193936	Grant Reviewer Application Form: Museum Professionals Form and Instruction	Unchanged
193935	Grant Reviewer Application Form: Library Professionals Form and Instruction	Unchanged
193934	Native American Library Services Basic Grant Project Budget Form and Instruction	Unchanged
193818	Partnership Statement Form and Instruction	Unchanged
193815	Budget Form -detailed + summary Form and Instruction	Unchanged
193814	Program Information Sheet Form and Instruction	Unchanged
193804	Grants to State Library Administrative Agencies Project Form (SPR) Form and Instruction	Unchanged
193784	Grants to States Library Administrative Agencies Final Year Report (SPR) Instruction	Unchanged

ICR Details

OMB Control No: 3137-0071	ICR Reference No: 201106-3137-005
Status: Historical Active	Previous ICR Reference No: 201007-3137-005
Agency/Subagency: IMLS	Agency Tracking No:
Title: IMLS Grant Program Application and Post-Award Report Forms
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 06/06/2011
	Date Received in OIRA: 06/06/2011
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	08/31/2013	08/31/2013	08/31/2013
Responses	5,207	0	4,641
Time Burden (Hours)	21,398	0	20,049
Cost Burden (Dollars)	700,746	0	527,284

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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: 15

IC Title	Form No.	Form Name
Budget Form -detailed + summary	Application Form 2a, Application Form 2b	Budget: Detailed ,   Budget: Summary
Discretionary Grant Interim Performance	Report Form 2	Discretionary Grant Interim Performance Report
IMLS Grant Program Application and Post-Award Report Forms	Application Form 1 (adding Learning Labs)	Program Information Sheet
Grants to State Library Administrative Agencies Project Form (SPR)	State Grants 3	SPR Add a Project Form
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
National Medal for Museum/Library Services Nomination Form	Application Form 8	National Award for Library and Museum Services Nomination Form
Partnership Statement	Application Form 4	Partnership Statement
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
Grants to States Library Administrative Agencies Final Year Report (SPR)	State Grants 1, State Grants 2	State Grants Financial Status Report - IMLS State Programs ,   State Grants Financial Status Report - IMLS Pacific Competative Grant
Grant Reviewer Application Form: Library Professionals	Application Form 6	Grant Reviewer Application Form: Library Professionals
Discretionary Grant Performance Report	Report Form 1	Discretionary Grant Performance Report Cover Page
Discretionary Grant Final Performance	Report Form 3b, Report Form 3a	Discretionary Grant Final Performance Report - Part 1 Narrative ,   Discretionary Grant Final Performance Report - Part 2 Quantitative Information
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
Program Information Sheet	Application Form 1	Program Information Sheet

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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	5,207	4,641	0	566	0	0
Annual Time Burden (Hours)	21,398	20,049	0	1,349	0	0
Annual Cost Burden (Dollars)	700,746	527,284	0	173,462	0	0

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: IMLS will have a few new grant programs in the next few years. Some grant programs may no longer be funded. IMLS budget may decrease over the next few years. Burden will be estimates will be affected.

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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]? No

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: 06/06/2011

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