Program Information Sheet Form

Generic Clearance for IMLS Grant Forms: Budget Form, Program Information Sheet, and Digital Product Form and instruction

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3137-0092 can be found here:

Documents and Forms

Document Name Document Type
Form Program Informatio Program Information Sheet Form Form and Instruction
Program Informatio Program Information Sheet FY18 PIS Final 2017-06-21.docx www.imls.gov/grants/apply-grant/notices-funding-opportunities/application-forms Form and Instruction
2017 Program Information Sheet 3137-0092 v2.pdf FY2017 Program Information Sheet IC Document

Information Collection (IC) Details

IC Title:	Program Information Sheet Form	Agency IC Tracking Number:

IC Status: Modified

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 and Instruction	Program Information Sheet 1	Program Information Sheet	FY18 PIS Final 2017-06-21.docx	https://www.imls.gov/grants/apply-grant/notices-funding-opportunities/application-forms	Yes	Yes	Fillable Fileable

Line of Business: Education

Subfunction: Cultural and Historic Preservation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,377	Number of Respondents for Small Entity: 300

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Previously Approved
Annual Number of Responses for this IC	1,377	1,377
Annual IC Time Burden (Hours)	344	344
Annual IC Cost Burden (Dollars)	9,618	9,618

Documents for IC

Title	Document	Date Uploaded
FY2017 Program Information Sheet	2017 Program Information Sheet 3137-0092 v2.pdf	06/21/2017

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.