Application for Indemnification

Forms and Documents

Document Name	Status
Form 3135-0094 Application for Indemnification Form and Instruction	Modified
Federal Register OBM 30 Day Notice, Correction Published 5-16-17.pdf Supplementary Document	2017-05-16
Federal Register OMB 30 Day Review Correction Notice Published.htm Supplementary Document	2017-05-16
International Indemnity-Recent Indemnified Exhibitions - 2017.pdf Supplementary Document	2017-05-05
International Indemnity Advisory Panel-May 2017.pdf Supplementary Document	2017-05-05
Federal Council on the Arts and the Humanities Member List-in order of appointment.pdf Supplementary Document	2017-05-05
Federal Register OBM 30 Day Notice Submitted 5-4-17.pdf Supplementary Document	2017-05-05
Federal Register 60 Day Notice Publication 3-6-2017.pdf Supplementary Document	2017-05-05
Art Indemnity Limititations H.R. 83-319 Jan 3, 2014.pdf Supplementary Document	2017-05-05
Indemnities Under the Arts and Artifacts Indemnity Act August 16 1995.pdf Supplementary Document	2017-05-05
Indemnities Under the Arts and Artifacts Indemnity Act October 2, 1991.pdf Supplementary Document	2017-05-05
Arts and Artifacts Indemnity Act, P.L. 94-158.pdf Supplementary Document	2017-05-05
International Indemnity Supporting Statement A 2017.pdf Supporting Statement A	2017-05-05

IC Document Collections

IC ID	Document Title	Status
32834	Application for Indemnification Form and Instruction	Modified

ICR Details

OMB Control No: 3135-0094	ICR Reference No: 201705-3135-002
Status: Historical Active	Previous ICR Reference No: 201312-3135-003
Agency/Subagency: NEA	Agency Tracking No: 3135NEA-Indemnity
Title: Application for Indemnification
Type of Information Collection: Reinstatement without change of a previously approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 06/09/2017
	Date Received in OIRA: 05/09/2017
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	06/30/2020	36 Months From Approved
Responses	40	0	0
Time Burden (Hours)	1,786	0	0
Cost Burden (Dollars)	72,000	0	0

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Abstract: Applicants for federal indemnity under the Arts & Artifacts Indemnity Act (P.L. 94-158) are required to submit indemnity applications. Respondents include non-profit, tax-exempt organizations (primarily museums).

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Authorizing Statute(s): PL: Pub.L. 94 - 158 1, 89 Stat. 844 Name of Law: Arts and Artifacts Indemnity Act
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	82 FR 12639	03/06/2017
30-day Notice:	Federal Register Citation:	Citation Date:
	82 FR 22564	05/16/2017
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Application for Indemnification	3135-0094	Arts and Artifacts Indemnity Program International Indemnity

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ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	40	0	0	-10	0	50
Annual Time Burden (Hours)	1,786	0	0	-447	0	2,233
Annual Cost Burden (Dollars)	72,000	0	0	-18,000	0	90,000

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: Reduction in Annual Number of Responses based on applications received during the past three FYs.

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Annual Cost to Federal Government: $213,234

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 05/09/2017

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