Information Collection

National Medal for Museum/Library Services Nomination Form

IC 203433 under ICR 201207-3137-004 · 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⚠️ Notice: This information collection may be referencing outdated material.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

Document Name Document Type
Form Application Form 8 National Medal for Museum/Library Services Nomination Form Form
National Medal for Museum and Library Services - Instructions.pdf www.imls.gov/assets/1/AssetManager/13_Instructions.pdf Instruction
Application Form 8 National Award for Library and Museum Services Nominatio Cover sheet - National Medal for Museum and Library Service - form.pdf www.imls.gov/assets/1/AssetManager/13_Nomination.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	National Medal for Museum/Library Services Nomination Form	Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	Application Form 8b	National Award for Library and Museum Services Nomination Form	Cover sheet - National Medal for Museum and Library Service - form.pdf	http://www.imls.gov/assets/1/AssetManager/13_Nomination.pdf	Yes	No	Printable Only
Instruction			National Medal for Museum and Library Services - Instructions.pdf	http://www.imls.gov/assets/1/AssetManager/13_Instructions.pdf	Yes	No	Printable Only

Line of Business: Education

Subfunction: Cultural and Historic Preservation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 89	Number of Respondents for Small Entity: 45

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	89	89
Annual IC Time Burden (Hours)	7	7
Annual IC Cost Burden (Dollars)	195	195

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.