IMLS Grant Program Application and Post-Award Report Forms

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form Application Form 1 Program Information Sheet	Form and Instruction	Unchanged	Available
Form Application Form 3 Specifications for Projects that Develop Digital Projects	Form and Instruction	Unchanged	Available
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	Available
Form Report Form 3b Discretionary Grant Final Performance Report - Part 2 Quantitative Information	Form and Instruction	Unchanged	Available
Form Report Form 3a Discretionary Grant Final Performance Report - Part 1 Narrative	Form and Instruction	Unchanged	Available
Form Report Form 2 Discretionary Grant Interim Performance Report	Form and Instruction	Unchanged	Available
Form Report Form 1 Discretionary Grant Performance Report Cover Page	Form and Instruction	Unchanged	Available
Form Application Form 8 National Award for Library and Museum Services Nomination Form	Form and Instruction	Unchanged	Repair queued
Form Application Form 7 Grant Reviewer Application Form: Museum Professionals	Form and Instruction	Unchanged	Repair queued
Form Application Form 6 Grant Reviewer Application Form: Library Professionals	Form and Instruction	Unchanged	Available
Form Application Form 5 Project Budget for Education/Assessment Option - Part B	Form and Instruction	Unchanged	Available
Form Application Form 5 Project Budget for Native American Basic Grant - Form A	Form and Instruction	Unchanged	Repair queued
Form Application Form 4 Partnership Statement	Form and Instruction	Unchanged	Available
Form Application Form 2 Budget: Summary	Form and Instruction	Unchanged	Available
Form Application Form 2 Budget: Detailed	Form and Instruction	Unchanged	Repair queued
Form Application Form 1 Program Information Sheet	Form and Instruction	Modified	Available
Form State Grants 3 SPR Add a Project Form	Form and Instruction	Unchanged	Available
Form State Grants 2 State Grants Financial Status Report - IMLS Pacific Competative Grant	Form	Unchanged	Available
Form State Grants 1 State Grants Financial Status Report - IMLS State Programs	Form	Unchanged	Available
Justification for Change - Grant Reviewer Application Form Museum Professionals.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2013-10-18	Available
Justification for Change - Grant Reviewer Application Form Library Professionals.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2013-10-18	Repair queued
Justification for Change - Program Iinformation Sheet - OMB Clearance 3137-0071 - final.pdf	Supplementary Document	Uploaded 2011-07-14	Available
Justification for Change - Learning Labs Guidelines _ final.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2011-06-06	Available
Burden estimates 2010 - 3137-0071.xls	Supplementary Document	Uploaded 2010-08-04	Available
Forms justification statement A 0071.docx	Supporting Statement A	Uploaded 2010-08-02	Repair queued
Glossary to Support Grant Reporting.pdf	Supplementary Document	Uploaded 2010-07-27	Available
IMLS_Museums_for_America_Webinar.pdf	Supplementary Document	Uploaded 2010-07-27	Available
GTC_NAG.pdf	Supplementary Document	Uploaded 2010-07-27	Available
GTC_0410.pdf	Supplementary Document	Uploaded 2010-07-27	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
198013	IMLS Grant Program Application and Post-Award Report Forms	Form and Instruction	Unchanged	Program Information Sheet
194144	Specifications for Projects that Develop Digital Projects	Form and Instruction	Unchanged	Specifications for Projects that Develop Digital Projects
194070	Native American Library Services Basic Grant and Basic Grant with Education/Assessment Option Final Financial and Performance Report	Form and Instruction	Unchanged	Native American Library Services Basic Grant and Basic Grant with Education/Assessment Option Final Financial and Performance Report
193947	Discretionary Grant Final Performance	Form and Instruction	Unchanged	Discretionary Grant Final Performance Report - Part 2 Quantitative Information
193947	Discretionary Grant Final Performance	Form and Instruction	Unchanged	Discretionary Grant Final Performance Report - Part 1 Narrative
193946	Discretionary Grant Interim Performance	Form and Instruction	Unchanged	Discretionary Grant Interim Performance Report
193944	Discretionary Grant Performance Report	Form and Instruction	Unchanged	Discretionary Grant Performance Report Cover Page
193941	National Medal for Museum/Library Services Nomination Form	Form and Instruction	Unchanged	National Award for Library and Museum Services Nomination Form
193936	Grant Reviewer Application Form: Museum Professionals	Form and Instruction	Unchanged	Grant Reviewer Application Form: Museum Professionals
193935	Grant Reviewer Application Form: Library Professionals	Form and Instruction	Unchanged	Grant Reviewer Application Form: Library Professionals
193934	Native American Library Services Basic Grant Project Budget	Form and Instruction	Unchanged	Project Budget for Education/Assessment Option - Part B
193934	Native American Library Services Basic Grant Project Budget	Form and Instruction	Unchanged	Project Budget for Native American Basic Grant - Form A
193818	Partnership Statement	Form and Instruction	Unchanged	Partnership Statement
193815	Budget Form -detailed + summary	Form and Instruction	Unchanged	Budget: Summary
193815	Budget Form -detailed + summary	Form and Instruction	Unchanged	Budget: Detailed
193814	Program Information Sheet	Form and Instruction	Modified	Program Information Sheet
193804	Grants to State Library Administrative Agencies Project Form (SPR)	Form and Instruction	Unchanged	SPR Add a Project Form
193784	Grants to States Library Administrative Agencies Final Year Report (SPR)	Instruction	Unchanged
193784	Grants to States Library Administrative Agencies Final Year Report (SPR)	Form	Unchanged	State Grants Financial Status Report - IMLS Pacific Competative Grant
193784	Grants to States Library Administrative Agencies Final Year Report (SPR)	Form	Unchanged	State Grants Financial Status Report - IMLS State Programs

ICR Details

OMB Control No: 3137-0071	ICR Reference No: 201109-3137-003
Status: Historical Active	Previous ICR Reference No: 201107-3137-001
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: 09/28/2011
Retrieve Notice of Action (NOA)	Date Received in OIRA: 09/19/2011
Terms of Clearance:

table that charts list comparision

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

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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

table that charts list of burden

IC Title	Form No.	Form Name
Budget Form -detailed + summary	Application Form 2a, Application Form 2b	Budget: Detailed ,   Budget: Summary
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
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
Grant Reviewer Application Form: Library Professionals	Application Form 6	Grant Reviewer Application Form: Library Professionals
Grant Reviewer Application Form: Museum Professionals	Application Form 7	Grant Reviewer Application Form: Museum Professionals
Grants to State Library Administrative Agencies Project Form (SPR)	State Grants 3	SPR Add a Project Form
Grants to States Library Administrative Agencies Final Year Report (SPR)	State Grants 2, State Grants 1	State Grants Financial Status Report - IMLS State Programs ,   State Grants Financial Status Report - IMLS Pacific Competative Grant
IMLS Grant Program Application and Post-Award Report Forms	Application Form 1 (adding Learning Labs)	Program Information Sheet
National Medal for Museum/Library Services Nomination Form	Application Form 8	National Award for Library and Museum Services Nomination Form
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
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
Program Information Sheet	Application Form 1	Program Information Sheet
Specifications for Projects that Develop Digital Projects	Application Form 3	Specifications for Projects that Develop Digital Projects

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ICR Summary of Burden

table that charts list 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	5,207	0	0	0	0
Annual Time Burden (Hours)	21,398	21,398	0	0	0	0
Annual Cost Burden (Dollars)	700,746	700,746	0	0	0	0

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

Burden Increase Due to:

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: 09/19/2011

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