Form IMLS Final Perform IMLS Final Perform IMLS Final Performance Report 2016 Form

FINAL PERFORMANCE REPORT
Please consult attached instructions when filling out this form.
1.

Federal agency and organization element
to which report is submitted:
Institute of Museum and
Library Services

2. Federal award or other identifying
number assigned by federal agency:

Page

of
Pages

3a. DUNS number:
3b. EIN/TIN:

4.

Recipient organization (name and complete address, including ZIP+4/postal code):

6a. Award period of performance
start date (mo/day/yr):

6b. Award period of performance
end
date (mo/day/yr):

7. Reporting period end date
(mo/day/yr):

8. Project URLs, if any:

10.

5. Recipient identifying or
account number:

9. Report frequency:
annual
semiannual
quarterly
other
If other, describe:

Other attachments?
Yes
No
Contact the IMLS program office to receive instructions for transmitting additional attachments.

11a. Name and title of Project Director:

11b. Telephone (area code, number, extension):
11c. Email address:

12.

Certification: By submitting this report I certify to the best of my knowledge and belief that this information is
correct and complete for performance of activities for the purposes set forth in the award documents.

13a. Signature of Authorized Certifying Official:

13c. Name and title of Authorized Certifying Official:

13b. Date report submitted (mo/day/yr):

13d. Telephone (area code, number,
extension):
13e. Email address:
14. Agency use only

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The purpose of the final performance report is to provide a record of grant-funded project
accomplishments at the conclusion of the grant. IMLS uses these narratives to report to Congress and
the Office of Management and Budget about the agency’s progress on addressing its strategic goals. If
you have questions concerning the final performance reporting requirements, you may address them to
the Program Officer who is assigned to your grant and whose name and contact information appear in
your Official Award Notification. IMLS may share final performance reports with grantees, potential
grantees, and the general public to further the mission of the agency and the development of museum
and library services. Reports may be disseminated in a variety of ways and formats, including online.
15.

Recipient Organization:

16.

Project Title:

17.

Project Summary:

18.

Activities
Activities Proposed in Your
Application

19.

Explanation of Any Variance

Changes
Type of Change

20.

Activities Completed
during the Award Period of
Performance

Description

Date of Approval
(if applicable)

Results
a.
Agency-Level Goals and Performance Goals
o Learning
□ Train and develop museum and library professionals
□ Support communities of practice
□ Develop and provide inclusive and accessible learning opportunities

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o

o

Community
□ Strengthen museums and libraries as essential partners in addressing the
needs of their communities
Content and Collections
□ Broaden access and expand use of the Nation’s content and collections
□ Improve management of the Nation’s content and collections
□ Improve preservation, conservation, and care of the Nation’s content and
collections

For Learning and Community projects
Performance
Measure
Statement

Survey
Respondent

No. of
Participants

No. Total
Responses

No. Responses Per Answer Option
Strongly
Disagree

Disagree

Agree

Strongly
Agree

For Content and Collections projects, proceed directly to Question 20b.
b.

Program and Project-Level Results
Intended Result(s)

21.

Lessons Learned

22.

Next Steps

23.

Appendices

Actual Result(s)

Explanation of Any Variance

Burden Estimate and Request for Public Comments: Public reporting burden for this collection of information is estimated to average 12.22
hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed,
and completing and reviewing the collection of information. Send comment regarding this burden estimate or any other aspect of this
collection of information, including suggestions for reducing this burden, to the Institute of Museum and Library Services, Chief Information
Officer, 955 L'Enfant Plaza North, SW, Suite 4000, Washington, DC 20024-2135, and to the Office of Management and Budget, Paperwork
Reduction Project 3137-0029, Washington, DC 20503.

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No. Non
Responses