Information Collection

Program Information Form

IC 216822 under ICR 201506-3137-002 · OMB 3137-0071.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3137-0071 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form Program Informatio Program Information Form	Form and Instruction
Program Informatio Program Information Sheet ProgramInfo 2016 20150505.pdf www.imls.gov/applicants/forms.aspx	Form and Instruction

IC Title:

Program Information Form

Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	Program Information Sheet 1	Program Information Sheet	ProgramInfo 2016 20150505.pdf	http://www.imls.gov/applicants/forms.aspx	Yes	Yes	Fillable Fileable

Line of Business: Education

Subfunction: Cultural and Historic Preservation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,378

Number of Respondents for Small Entity: 300

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,378	1,378
Annual IC Time Burden (Hours)	345	345
Annual IC Cost Burden (Dollars)	9,532	9,532

Documents for IC

table that charts IC Documents
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.