Heritage Health Index 2014 Survey (HHI)

Forms and Documents

Document Name	Status
Form HHI 2014 Form 1 2014 Heritage Health Index survey questionnaire Form and Instruction	New
IMLS HHI 2014 NonRespBias Questionnaire Web 2014-09-05.docx Supplementary Document	2014-09-08
IMLS HHI 2014 NonRespBias Questionnaire Paper 2014-09-05.docx Supplementary Document	2014-09-08
IMLS HHI 2014 Collection Questionnaire Web 2014-09-05.docx Supplementary Document	2014-09-08
IMLS HHI 2014 Appendices A to O 2014-09-05.docx Supplementary Document	2014-09-08
Appendices A-H 3-28-14.docx Supplementary Document	2014-04-14
HHI 2014 Contact Verification Script.docx Supplementary Document	2014-04-14
HHI 2014 NonResp BiasQuestionnaire.docx Supplementary Document	2014-04-14
IMLS HHI 2014 Supporting Statement Part B 2014-09-05.docx Supporting Statement B	2014-09-08
IMLS HHI 2014 Supporting Statement Part A 2014-09-05.docx Supporting Statement A	2014-09-08

IC Document Collections

IC ID	Document Title	Status
211214	2014 Heritage Health Index survey questionnaire Form and Instruction	New

ICR Details

OMB Control No: 3137-0088	ICR Reference No: 201404-3137-001
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: IMLS	Agency Tracking No:
Title: Heritage Health Index 2014 Survey (HHI)
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 09/08/2014
	Date Received in OIRA: 04/14/2014
Terms of Clearance: Revised and updated during review.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/2017	36 Months From Approved
Responses	4,979	0	0
Time Burden (Hours)	5,507	0	0
Cost Burden (Dollars)	137,620	0	0

---

Abstract: Because collections items are at the heart of all cultural heritage and collecting practices, IMLS will collect the Heritage Health Index to measure the extent and effectiveness of preservation activities and initiatives, and to identify areas for capacity building and professional development for collections stewards, from the nation's nonprofit museums, libraries, archives, historical societies/sites, and archaeological repositories.

---

Authorizing Statute(s): None

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	78 FR 237	12/10/2013
30-day Notice:	Federal Register Citation:	Citation Date:
	79 FR 69	04/10/2014
Did the Agency receive public comments on this ICR? Yes

---

Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
2014 Heritage Health Index survey questionnaire	HHI 2014 Form 1	HHI 2014 Collection Questoinnaire

---

ICR Summary 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	4,979	0	0	4,979	0	0
Annual Time Burden (Hours)	5,507	0	0	5,507	0	0
Annual Cost Burden (Dollars)	137,620	0	0	137,620	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

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

Burden Reduction Due to:

Short Statement: There is no burden increase.

---

Annual Cost to Federal Government: $379,542

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

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

---

Common Form ICR:  No

---

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: 04/14/2014

---