IMLS Grant Program Application and Post-Award Report Forms

Forms and Documents

Document Name	Status
Form Report Form 4 Final Report - Native American Grant Form and Instruction	Unchanged
Form Report Form 3a Discretionary Grant Final Performance Form and Instruction	Unchanged
Form Report Form 2 Discretionary Grant Interim Performance Report Form	Unchanged
Form Report Form 1 Discretionary Grant Performance Report Form	Unchanged
Form State Programs For Grants to States - SPR - Online Reporting System Form and Instruction	Unchanged
Form State Grants Form State Grants - Financial Status Report - States Form	Unchanged
Form Application Form 8 National Medal for Museum/Library Services Nomination Form Form	Unchanged
Form Application Form 7 Grant Reviewer Application Form: Museum Professionals Form and Instruction	Modified
Form Application Form 6 Grant Reviewer Application Form: Library Professionals Form and Instruction	Modified
Form Application Form 4 Partnership Statement Form and Instruction	Unchanged
Form Application Form 5 Native American Grant - Budget - Basic A & Education B Form and Instruction	Unchanged
Form Application Form 3 Specifications for Projects that Develop Digital Products Form and Instruction	Unchanged
Form Application Form 1 Program Information Sheet Form and Instruction	Unchanged
Form Application Form 2 Budget Detailed Form - detailed + summary Form and Instruction	Unchanged
Justification for Change - Grant Reviewer Application Form Museum Professionals.docx Justification for No Material/Nonsubstantive Change	2013-10-18
Justification for Change - Grant Reviewer Application Form Library Professionals.docx Justification for No Material/Nonsubstantive Change	2013-10-18
SF425_FFR_Instructions.pdf Supplementary Document	2012-09-19
SF-425.pdf Supplementary Document	2012-09-19
Burden estimates 2012_9-19-12_2.xlsx Supplementary Document	2012-09-19
Forms justification statement A 0071 revised 9-19-12.docx Supporting Statement A	2012-09-19
Abstract to be loaded thru Grants dot Gov - instructions.pdf Supplementary Document	2012-07-24
State Programs - Reporting Subawards Executive Comp.pdf Supplementary Document	2012-07-24
State Programs - Part B FY2010 allotment Pacific Grants.pdf Supplementary Document	2012-07-24
State Programs - Part A FY 2010 allotment Pacific Grants.pdf Supplementary Document	2012-07-24
State Programs - Non-Cons Assurances Form (SF-424B).pdf Supplementary Document	2012-07-24
State Programs - Legal Officers Certification form.pdf Supplementary Document	2012-07-24
State Programs - Internet Safety Certification form.pdf Supplementary Document	2012-07-24
State Programs - Information Update form.pdf Supplementary Document	2012-07-24
State Programs - Debarment Certification form.pdf Supplementary Document	2012-07-24
State Programs - AppAWorksheet FY2013 MOE Waiver Request.pdf Supplementary Document	2012-07-23
State Programs - 2013 Program Assurances - form.pdf Supplementary Document	2012-07-23
Schedule of Completion - instructions.pdf Supplementary Document	2012-07-23
Proof of NonProfit Status - instructions.pdf Supplementary Document	2012-07-23
Project Staff and Consultant Documents - instructions.pdf Supplementary Document	2012-07-23
Organizational Profile - instructions.pdf Supplementary Document	2012-07-23
SF3881 - ACH.pdf Supplementary Document	2012-09-19
sf270.pdf Supplementary Document	2012-09-19

IC Document Collections

IC ID	Document Title	Status
203441	Final Report - Native American Grant Form and Instruction	Unchanged
203440	Discretionary Grant Final Performance Form and Instruction	Unchanged
203439	Discretionary Grant Interim Performance Report Form	Unchanged
203438	Discretionary Grant Performance Report Form	Unchanged
203437	Grants to States - SPR - Online Reporting System Form and Instruction	Unchanged
203436	State Programs - Financial Status Report - Pacific Grants Instruction	Unchanged
203435	State Grants - Financial Status Report - States Form	Unchanged
203433	National Medal for Museum/Library Services Nomination Form Form	Unchanged
203432	Grant Reviewer Application Form: Museum Professionals Form and Instruction	Modified
203431	Grant Reviewer Application Form: Library Professionals Form and Instruction	Modified
203430	Partnership Statement Form and Instruction	Unchanged
203429	Native American Grant - Budget - Basic A & Education B Form and Instruction	Unchanged
203428	Specifications for Projects that Develop Digital Products Form and Instruction	Unchanged
203427	Program Information Sheet Form and Instruction	Unchanged
203426	Budget Detailed Form - detailed + summary Form and Instruction	Unchanged

ICR Details

OMB Control No: 3137-0071	ICR Reference No: 201310-3137-002
Status: Historical Inactive	Previous ICR Reference No: 201207-3137-004
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: Improperly submitted and continue	Conclusion Date: 06/01/2015
	Date Received in OIRA: 10/18/2013
Terms of Clearance: Re-submit these proposed changes through the full ICR revision process.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/2015	09/30/2015	09/30/2015
Responses	10,015	0	10,015
Time Burden (Hours)	19,097	0	19,097
Cost Burden (Dollars)	523,442	0	523,442

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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 is being submitted at this time.

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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:
	77 FR 91	05/10/2012
30-day Notice:	Federal Register Citation:	Citation Date:
	77 FR 135	07/13/2012
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
Program Information Sheet	Application Form 1	Program Information Sheet
Grant Reviewer Application Form: Library Professionals	Application Form 6	Grant Reviewer Application Form: Library Reviewer
State Programs - Financial Status Report - Pacific Grants	State Programs Form 2	State Programs- Financial Status Report - Pacific Grants
Discretionary Grant Interim Performance Report	Report Form 2	Discretionary Grant Interim Performance Report
Grants to States - SPR - Online Reporting System	State Programs Form 3	SPR Online reporting system for IMLS
Discretionary Grant Final Performance	Report Form 3a, Report Form 3b	Final Performance Report: Part 1, Narrative ,   Final Performance Report: Part 2, Quantitative Information
Native American Grant - Budget - Basic A & Education B	Application Form 5a, Application Form 5b	Part A - Project Budget for Native American Basic Grant ,   Part B—Project Budget for Education/Assessment Op tion
Budget Detailed Form - detailed + summary	Application Form 2a, Application Form 2b	Budget: Detailed ,   Budget: Summary
State Grants - Financial Status Report - States	State Grants Form 1	State Grants Financial Status Report - States
Partnership Statement	Application Form 4	Partnership Statement
Discretionary Grant Performance Report	Report Form 1	Discretionary Grant Performance Report - Cover Sheet
Specifications for Projects that Develop Digital Products	Application Form 3	Specifications for Projects that Develop Digital Products
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 8b	National Award for Library and Museum Services Nomination Form
Final Report - Native American Grant	Report Form 4	Native American Library Services Basic Grant and Basic Grant with Education/Assessment Option Final Financial and Performance Report

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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: recalculation of most recent applicants and forms

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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? Yes

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: 10/18/2013

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