Information Collection

Checklist

IC 214350 under ICR 201412-1084-001 · OMB 1084-0034.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1084-0034 can be found here:

Documents and Forms

Document Name Document Type
Checklist Form and Instruction
FACILITY CHECKLIST FOR SPACES HOUSING DOI MUSEUM PROPERT DOI Museum Checklist for Non-DOI Facilities - REVISED 5-18-2015.docx Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Checklist	Agency IC Tracking Number:

Is this a Common Form? No		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	None	FACILITY CHECKLIST FOR SPACES HOUSING DOI MUSEUM PROPERTY (NON-DOI FACILITIES)	DOI Museum Checklist for Non-DOI Facilities - REVISED 5-18-2015.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: 100	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 75 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	100	100
Annual IC Time Burden (Hours)	200	200
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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.