IMLS Community Salute Town Hall Evaluation

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⚠️ Notice: This information collection may be referencing outdated material.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 Vets Town Hall Sur IMLS Community Salute Town Hall Evaluation Form and Instruction
Vets Town Hall Sur Vets Town Hall Survey Final VetsTownHallSurvey.docx Form and Instruction
Vets Feedback - Final.docx Burden Estimate IC Document
Final VETS Generic Clearance Document.doc Clearance Document: IMLS Community Salute Town Hall Evaluation IC Document
Vets Feedback - Final.docx Vets Feedback IC Document

Information Collection (IC) Details

IC Title:	IMLS Community Salute Town Hall Evaluation	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	Vets Town Hall Survey form 1	Vets Town Hall Survey	Final VetsTownHallSurvey.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: 40	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	40	40
Annual IC Time Burden (Hours)	6	6
Annual IC Cost Burden (Dollars)	170	170

Documents for IC

Title	Document	Date Uploaded
Burden Estimate	Vets Feedback - Final.docx	11/10/2016
Clearance Document: IMLS Community Salute Town Hall Evaluation	Final VETS Generic Clearance Document.doc	11/10/2016
Vets Feedback	Vets Feedback - Final.docx	11/10/2016

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