Digital Inclusion Corps Pilot Project Evaluation

ICR 201707-3137-001

OMB: 3137-0109

Federal Form Document

IC Document Collections
ICR Details
3137-0109 201707-3137-001
Historical Active
IMLS
Digital Inclusion Corps Pilot Project Evaluation
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 11/14/2017
Retrieve Notice of Action (NOA) 07/03/2017
  Inventory as of this Action Requested Previously Approved
11/30/2020 36 Months From Approved
30 0 0
18 0 0
509 0 0

An information collection to help evaluate the Digital Inclusion Corps Pilot project in meeting its project goals through the use of four performance measures. The survey instrument will be administered pre-and post-project implementation. Total impact per respondent is not more than 1 hour total (30 mins for not-for-profit respondents; 55 mins for state library agency or museum organization respondents).

None
None

Not associated with rulemaking

  82 FR 2 01/04/2017
82 FR 126 07/03/2017
No

1
IC Title Form No. Form Name
Digital Inclusion PrePost End of Project Surveys Digital Inclusion Pilot Project Form 1 Digital Inclusion Pilot Project Survey

  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 30 0 0 30 0 0
Annual Time Burden (Hours) 18 0 0 18 0 0
Annual Cost Burden (Dollars) 509 0 0 509 0 0
Yes
Miscellaneous Actions
No
No burden increase. New collection.

$32,798
No
    No
    No
No
No
No
Uncollected
Stephanie Burwell 202 653-4684 [email protected]

  No

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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
07/03/2017


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