Information Collection

IMLS Interim Performance Report and Cover Sheet

IC 222032 under ICR 201606-3137-015 · OMB 3137-0100.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3137-0100 can be found here:

Documents and Forms

Document Name Document Type
Form IMLS Interim Perfo IMLS Interim Performance Report and Cover Sheet Form
imls_interim_performance_report_instructions_2016.pdf www.imls.gov/grants/grant-recipients/administration-info Instruction
rptinstructions_interim_2015.pdf www.imls.gov/grants/grant-recipients/administration-info Instruction
IMLS Interim Perfo IMLS Interim Performance Report 2016 Form imls_interim_performance_report_2016.pdf www.imls.gov/grants/grant-recipients/administration-info Form
IMLS Interim Perfo IMLS Interim Performance Report 2015 Form imls_interim_performance_report_2015.pdf www.imls.gov/grants/grant-recipients/administration-info Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	IMLS Interim Performance Report and Cover Sheet	Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	IMLS Interim Performance Report 2016 Form 1	IMLS Interim Performance Report 2016 Form	imls_interim_performance_report_2016.pdf	https://www.imls.gov/grants/grant-recipients/administration-info	Yes	No	Printable Only
Form	IMLS Interim Performance Report 2015 Form 1	IMLS Interim Performance Report 2015 Form	imls_interim_performance_report_2015.pdf	https://www.imls.gov/grants/grant-recipients/administration-info	Yes	Yes	Fillable Fileable Signable
Instruction			imls_interim_performance_report_instructions_2016.pdf	https://www.imls.gov/grants/grant-recipients/administration-info	Yes	No	Printable Only
Instruction			rptinstructions_interim_2015.pdf	https://www.imls.gov/grants/grant-recipients/administration-info	Yes	No	Printable Only

Line of Business: Education

Subfunction: Cultural and Historic Preservation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 629	Number of Respondents for Small Entity: 148

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	629	629
Annual IC Time Burden (Hours)	1,994	1,994
Annual IC Cost Burden (Dollars)	55,710	55,710

Documents for IC

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.