Information Collection

Program Information Sheet

IC 193814 under ICR 201109-3137-003 · OMB 3137-0071.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3137-0071 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form Application Form 1 Program Information Sheet	Form and Instruction
Application Form 1 Program Information Sheet Program Info Sheet - requested changes for LB21.docx	Form and Instruction
Justification for Change - Program Iinformation Sheet - OMB Clearance 3137-0071 LB21.docx Justification for LB21 information change on Program Information Sheet	IC Document

IC Title:

Program Information Sheet

Agency IC Tracking Number:

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

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	Application Form 1	Program Information Sheet	Program Info Sheet - requested changes for LB21.docx		Yes	No	Fillable Printable

Line of Business: Education

Subfunction: Cultural and Historic Preservation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,378

Number of Respondents for Small Entity: 300

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 99 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	1,378	1,378
Annual IC Time Burden (Hours)	345	345
Annual IC Cost Burden (Dollars)	9,060	9,060

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Justification for LB21 information change on Program Information Sheet	Justification for Change - Program Iinformation Sheet - OMB Clearance 3137-0071 LB21.docx	09/19/2011

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