Information Collection

Collections Assessment for Preservation - Participant Feedback Form 2016

IC 224146 under ICR 201610-3137-001 · OMB 3137-0103.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3137-0103 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form CAP Participant Fe Collections Assessment for Preservation - Participant Feedback Form 2016	Form and Instructi
CAP Participant Fe CAP Participant Feedback CAP Participant Feedback Form 2016.docx www.conservation-us.org/grants/CAPprogram#.WA9MKo1TGUk	Form and Instruction

IC Title:

Collections Assessment for Preservation - Participant Feedback Form 2016

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	CAP Participant Feedback Form - 1	CAP Participant Feedback	CAP Participant Feedback Form 2016.docx	http://www.conservation-us.org/grants/CAPprogram#.WA9MKo1TGUk	Yes	Yes	Fillable Fileable

Line of Business: Education

Subfunction: Cultural and Historic Preservation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 75

Number of Respondents for Small Entity: 60

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	75	75
Annual IC Time Burden (Hours)	19	19
Annual IC Cost Burden (Dollars)	514	514

Documents for IC

table that charts IC Documents
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.