IMLS Interim Performance Report and Cover Sheet

IMLS Interim Performance Report Line Item Instructions
No.
1

3a

Item
Federal agency and organization element
to which report is submitted
Federal award or other identifying number
assigned by federal agency
DUNS number

3b

EIN/TIN

4

Recipient organization

5

Recipient identifying or account number

6a

Award period of performance start date
(mo/day/yr)

6b

Award period of performance end date
(mo/day/yr)

7
8

Reporting period end date (mo/day/yr)
Project URLs, if any

9
10

Report frequency
Other attachments

11a

Name and title of Project Director

11b

Telephone

11c

Email address

12
13a

Certification
Signature of Authorized Certifying Official

13b

Date report submitted (mo/day/yr)

13c

Typed or printed name and title of
Authorized Certifying Official

2

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

Instructions
Institute of Museum and Library Services has been filled
out for you.
Enter the grant log number identified in the Grant Award
Notification or as instructed by IMLS.
Enter the recipient organization’s Data Universal
Numbering System (D-U-N-S®) number.
Enter the recipient organization’s Employer or Taxpayer
Identification Number (EIN or TIN) assigned by the
Internal Revenue Service.
Enter the legal name and complete address of the
recipient organization including ZIP+4/postal code.
Enter an account number or any other identifying number
assigned by the recipient to the award. This number is for
the recipient’s use only and is not required by IMLS.
Indicate the start date established in the Official Award
Notification; this date is the beginning of the period when
the non-Federal entity may incur new obligations to carry
out the authorized work.
Indicate the end date established in the Official Award
Notification; this date is the end of the period when the
non-Federal entity may incur new obligations to carry out
the authorized work.
Enter the end date of the current reporting period.
List the URLs of any web-based content created as part of
the award-funded project.
Mark the appropriate box.
Mark the appropriate box. Contact the IMLS program
office to receive instructions for transmitting additional
attachments.
Enter the name and title of the current approved Project
Director. If the person in this role has changed since the
time the Official Award Notification was issued and you
have not secured approval from IMLS, contact your
program officer before completing this form.
Enter the telephone number (area code, number,
extension) of the current approved Project Director.
Enter the email address of the current approved Project
Director.
N/A
Provide the signature of the current approved Authorized
Certifying Official.
Enter the date on which this interim performance report
is being submitted to IMLS.
Enter the name and title of the current approved
Authorized Certifying Official. If the person in this role has
changed since the time the Official Award Notification
was issued and you have not secured approval from IMLS,
contact your program officer before completing this form.

IMLS-CLR-D-0027

13d

Telephone

13e

Email address

14
15
16

Agency use only
Recipient Organization
Project Title

17

Project Summary

18

Activities

19

Changes

20

Lessons Learned

Submitting Your Interim Report Package

Enter the telephone number (area code, number,
extension) of the current approved Authorized Certifying
Official.
Enter the email address of the current approved
Authorized Certifying Official.
Leave this blank.
Enter the legal name of the recipient organization.
Enter the brief descriptive title provided on your
application’s SF-424S form.
Provide a brief overview (no more than 300 words)
describing the need, problem, or challenge addressed by
your project; who or what is benefitting from it; your
project design, referencing partners involved in your
work; your intended results; the extent to which you are
achieving your intended results; and how you are
measuring your success.
In the first column, list the activities proposed in your
application’s work plan, and in the second column, list the
activities completed during this reporting period. In the
third column, explain any variance, such as activities not
completed as originally planned, new activities not in the
original plan, and significant deviations in your schedule
of completion.
In the first column, list any changes in your project by
type: key personnel (including consultants and
contractors); project budget allocations; grant period end
date; and/or project scope. In the second column, briefly
describe what changed, and in the third column, provide
the date on which IMLS approved the change, if
applicable.
Describe observations, insights, and new understandings
acquired during this reporting period, focusing on
information that could be of use to others doing similar
work.
Depending on its overall file size, you must submit your
report package in one of two ways:
• If it is less than 20MB in size, you must send it
electronically in PDF format
to [email protected]. Be sure to include
your award number in the subject line of your
email.
• If it is more than 20MB in size, you must send it
in hard copy with the original signed cover sheet
to:
Grants Administration
Institute of Museum and Library Services
955 L'Enfant Plaza North, SW, Suite 4000
Washington, DC 20024-2135
IMLS does not accept faxed reports.
IMPORTANT: Please remember that records must be

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

IMLS-CLR-D-0027

maintained for three years following the date of
submission of the final expenditure report, or as
otherwise required by law. (see 2 CFR part 200).

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

IMLS-CLR-D-0027