IMLS Community Catalyst Town Hall Evaluation Survey

Collection of Qualitative Feedback on Agency Service Delivery

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3137-0081 can be found here:

Documents and Forms

Document Name Document Type
Form Community Catalyst IMLS Community Catalyst Town Hall Evaluation Survey Form and Instruction
Community Catalyst Community Catalyst Survey CCTownHallSurvey FINAL 9-26-16.docx Form and Instruction
CC Generic Clearance Document FINAL 9-26-16.doc CC Generic Clearance Document FINAL IC Document
CC Feedback - Email FINAL 9-26-16.docx CC Feedback - Email FINAL IC Document
CC Burden estimate 2016.xlsx Community Catalyst Burden Estimate IC Document

Information Collection (IC) Details

IC Title:	IMLS Community Catalyst Town Hall Evaluation Survey	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 and Instruction	Community Catalyst 1	Community Catalyst Survey	CCTownHallSurvey FINAL 9-26-16.docx		Yes	Yes	Fillable Fileable

Line of Business: Education

Subfunction: Cultural and Historic Preservation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 65	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	65	65
Annual IC Time Burden (Hours)	10	10
Annual IC Cost Burden (Dollars)	277	277

Documents for IC

Title	Document	Date Uploaded
CC Generic Clearance Document FINAL	CC Generic Clearance Document FINAL 9-26-16.doc	09/27/2016
CC Feedback - Email FINAL	CC Feedback - Email FINAL 9-26-16.docx	09/27/2016
Community Catalyst Burden Estimate	CC Burden estimate 2016.xlsx	09/27/2016

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