Information Collection

Program Information Sheet Form

IC 221794 under ICR 201707-3137-003 · OMB 3137-0092.

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 3137-0092 Program Information Sheet Form	Form
3137-0092 FY18 Program Information Sheet FY2018 Program Information Sheet 071917-v2.pdf	Form
2017 Program Information Sheet 3137-0092 v2.pdf FY2017 Program Information Sheet	IC Document
Final Justification for Change 3137-0092 GC IMLS Grant Forms - PIS 2017-07-20.docx Justification for Change Request	IC Document
FY18 PIS Final 2017-06-21.docx Program Information Sheet 1	IC Document

IC Title:

Program Information Sheet Form

Agency IC Tracking Number:

IC Status: Modified

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	3137-0092	FY18 Program Information Sheet	FY2018 Program Information Sheet 071917-v2.pdf		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 %

table that charts list of burden
	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

table that charts IC Documents
Title	Document	Date Uploaded
FY2017 Program Information Sheet	2017 Program Information Sheet 3137-0092 v2.pdf	06/21/2017
Justification for Change Request	Final Justification for Change 3137-0092 GC IMLS Grant Forms - PIS 2017-07-20.docx	07/20/2017
Program Information Sheet 1	FY18 PIS Final 2017-06-21.docx	07/20/2017

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