IMLS Interim Perfo IMLS Interim Performance Report 2015 Form

Interim and Final Performance Reports and Cover Sheets

imls_interim_performance_report_2015

IMLS Interim Performance Report and Cover Sheet

OMB: 3137-0100

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INTERIM 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.  D‐U‐N‐S® 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):

9. Report frequency:
annual
 semi‐
 
        annual 
quarterly   other
If other, describe: 

8. Project URLs, if any:

10.

5. Recipient identifying or
account number: 

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

1 

OMB Number 3137‐0071, Expiration date: 07/31/2018

IMLS-CLR-F-0026A


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