Information Collection

National Medal for Museum and Library Service form and cover sheet

IC 222016 under ICR 201606-3137-012 · OMB 3137-0097.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3137-0097 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form NMMLS form and cov National Medal for Museum and Library Service form and cover sheet	Form and Instruction
NMMLS form and cov NMMLS form 2017_medalsnominationform_approved.pdf www.imls.gov/node/7488/	Form and Instruction
Burden Estimate NMMLS form 2017 - New OMB Number.xlsx Burden Estimate	IC Document

IC Title:

National Medal for Museum and Library Service form and cover sheet

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	NMMLS form and cover sheet	NMMLS form	2017_medalsnominationform_approved.pdf	https://www.imls.gov/node/7488/	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: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	159	159
Annual IC Time Burden (Hours)	1,444	1,444
Annual IC Cost Burden (Dollars)	40,338	40,338

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Burden Estimate	Burden Estimate NMMLS form 2017 - New OMB Number.xlsx	06/16/2016

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