Information Collection

FY16 National Medal for Museum and Library Service cover sheet

IC 216832 under ICR 201606-3137-005 · 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⚠️ Notice: This information collection may be referencing outdated material.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 FY17 National Meda FY16 National Medal for Museum and Library Service cover sheet	Form and Instruction
FY17 National Meda FY17 National Medal cover sheet form Final - 2017 National Medal Form for OMB Clearance 20160509.docx www.imls.gov/grants/available/national-medal-museum-and-library-service	Form and Instruction

IC Title:

FY16 National Medal for Museum and Library Service cover sheet

Agency IC Tracking Number:

IC Status: Unchanged

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	FY17 National Medal cover sheet form 1	FY17 National Medal cover sheet form	Final - 2017 National Medal Form for OMB Clearance 20160509.docx	https://www.imls.gov/grants/available/national-medal-museum-and-library-service	Yes	No	Fillable Printable

Line of Business: Education

Subfunction: Cultural and Historic Preservation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 159

Number of Respondents for Small Entity: 40

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	159	159
Annual IC Time Burden (Hours)	13	13
Annual IC Cost Burden (Dollars)	352	352

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.