Information Collection

State Library Agency Survey

IC 180939 under ICR 201309-3137-001 · OMB 3137-0072.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3137-0072 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form SLAA Form 1 State Library Agency Survey	Form
FY 2012 SLAA Collection Instructions.pdf	Instruction
SLAA Form 1 State Library Administrative Agencies Survey Instrument FY 2012 SLAA Survey.pdf	Form

IC Title:

State Library Agency Survey

Agency IC Tracking Number:

Is this a Common Form? No

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	SLAA Form 1	State Library Administrative Agencies Survey Instrument	FY 2012 SLAA Survey.pdf		Yes	Yes	Fillable Fileable
Instruction			FY 2012 SLAA Collection Instructions.pdf		No		Paper Only

Line of Business: Education

Subfunction: Cultural and Historic Preservation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 51

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	51	0	51
Annual IC Time Burden (Hours)	1,248	-78	1,326
Annual IC Cost Burden (Dollars)	34,307	-567	34,874

Documents for IC

table that charts IC Documents
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.