Museum Assessment Program (MAP) Impact Survey

Museum Assessment Program Evaluation

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3137-0106 can be found here:

Documents and Forms

Document Name Document Type
Form Online Survey 1 Museum Assessment Program (MAP) Impact Survey Form and Instruction
Online Survey 1 Museum Assessment Program (MAP) Impact Survey AppendixA_OnlineSurvey v4.pdf Form and Instruction
Paper Survey 1 Museum Assessment Program (MAP) Impact Survey AppendixB_PaperSurvey v4.docx Form and Instruction
AppendixE_SurveyInvite v4.docx Appendix E Survey Invite IC Document

Information Collection (IC) Details

IC Title:	Museum Assessment Program (MAP) Impact Survey	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	Online Survey 1	Museum Assessment Program (MAP) Impact Survey	AppendixA_OnlineSurvey v4.pdf		Yes	Yes	Fillable Fileable
Form and Instruction	Paper Survey 1	Museum Assessment Program (MAP) Impact Survey	AppendixB_PaperSurvey v4.docx		No		Paper Only

Line of Business: Education

Subfunction: Higher Education

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 300	Number of Respondents for Small Entity: 255

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 90 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	300	300
Annual IC Time Burden (Hours)	150	150
Annual IC Cost Burden (Dollars)	3,197	3,197

Documents for IC

Title	Document	Date Uploaded
Appendix E Survey Invite	AppendixE_SurveyInvite v4.docx	01/04/2017

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