Information Collection

Library Reviewer form

IC 222029 under ICR 201710-3137-002 · OMB 3137-0099.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3137-0099 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form OLS Peer Review 1 Library Reviewer form	Form and Instruction
OLS Peer Review 1 OLS Peer Review Form 2017 IMLS library-reviewers-form 2017-10-05.pdf	Form and Instruction
Grant Reviewers form for Libraries20150520.pdf Library Reviewer Form FY2016 May 2015	IC Document
Justification for Change OLS Peer Reviewer Form 2017-10-05.docx Justification for Change Request	IC Document

IC Title:

Library Reviewer 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 and Instruction	OLS Peer Review 1	OLS Peer Review Form 2017	IMLS library-reviewers-form 2017-10-05.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: 350

Number of Respondents for Small Entity: 70

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	350	350
Annual IC Time Burden (Hours)	175	175
Annual IC Cost Burden (Dollars)	4,890	4,890

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Library Reviewer Form FY2016 May 2015	Grant Reviewers form for Libraries20150520.pdf	06/17/2016
Justification for Change Request	Justification for Change OLS Peer Reviewer Form 2017-10-05.docx	10/05/2017

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