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Program Information Sheet Form
Generic Clearance for IMLS Grant Forms: Budget Form, Program Information Sheet, and Digital Product Form and instruction
OMB: 3137-0092
IC ID: 221794
OMB.report
IMLS
OMB 3137-0092
ICR 201707-3137-003
IC 221794
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3137-0092 can be found here:
2024-10-03 - No material or nonsubstantive change to a currently approved collection
2024-06-14 - No material or nonsubstantive change to a currently approved collection
Documents and Forms
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
Information Collection (IC) Details
View Information Collection (IC)
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
3137-0092
FY18 Program Information Sheet
FY2018 Program Information Sheet 071917-v2.pdf
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
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
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
1,377
0
0
0
0
1,377
Annual IC Time Burden (Hours)
344
0
0
0
0
344
Annual IC Cost Burden (Dollars)
9,618
0
0
0
0
9,618
Documents for IC
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.