Information Collection Request

Collection of Qualitative Feedback on Agency Service Delivery

ICR 201710-3137-003 · OMB 3137-0081 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form Grants to States A Grants to States All States Conference Eval 2020 Form and Instruction New Available
Form SDC Pre-Conference SDC Pre-Conference Planning Instrument Form and Instruction New Available
Form SDC Event Evaluati SDC Event Evaluation Form and Instruction New Available
Form SDC Orientatoin As SDC Orientatoin Assessment Survey Form and Instruction New Available
Form Customer Service S Customer Service Survey for IMLS Regional Grants Workshop Form and Instruction New Available
Form CC Town Hall Surve CC Town Hall Survey Listening Sessions 2019 Form and Instruction New Available
Form Tribal Convening E Tribal Convening Evaluation Form June 2019 Form and Instruction New Available
Form Form Number One Event Evaluation IMLS Grants to States All States Conference Form and Instruction New Available
Form Chiefs Survey 1 Chiefs Survey Form and Instruction New Available
CQFASD_burden2017 for OMB Final 2017-10-13.xlsx Supplementary Document Uploaded 2017-10-16 Available
GC Qual Feedback Part B Final 2017-1013.docx Supporting Statement B Uploaded 2017-10-16 Available
GC Qual Feedback Part A Final 2017-10-13.docx Supporting Statement A Uploaded 2017-10-16 Available
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery -Justification B.docx Supplementary Document Uploaded 2017-10-16 Available
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery -Justification A.docx Supplementary Document Uploaded 2017-10-16 Available
Draft Generic Clearance 30 day FRN template.docx Supplementary Document Uploaded 2014-05-27 Available
Generic Clearance Submission Template.doc Supplementary Document Uploaded 2011-06-21 Available
Draft Generic Clearance Submission Template.docx Supplementary Document Uploaded 2011-05-26 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
241686 Grants to States All States Conference Evaluation 2020 Form and Instruction NewGrants to States All States Conference Eval 2020
238465 SDC Annual Meeting Planning and Evaluation Surveys Form and Instruction NewSDC Pre-Conference Planning Instrument
238465 SDC Annual Meeting Planning and Evaluation Surveys Form and Instruction NewSDC Event Evaluation
238465 SDC Annual Meeting Planning and Evaluation Surveys Form and Instruction NewSDC Orientatoin Assessment Survey
237255 Customer Service Survey for IMLS Regional Grants Workshop Form and Instruction NewCustomer Service Survey for IMLS Regional Grants Workshop
237040 Event Evaluation: IMLS Community Catalyst Listening Sessions Form and Instruction NewCC Town Hall Survey Listening Sessions 2019
236442 Evebt Evaluation: IMLS Tribal Libraries Convening Form and Instruction NewTribal Convening Evaluation Form June 2019
235654 Grants to States All States Conference Evaluation Form and Instruction NewEvent Evaluation IMLS Grants to States All States Conference
233904 Survey of Library Chiefs' Utilization of Public Libraries Survey Data Form and Instruction NewChiefs Survey

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
12/31/2020 36 Months From Approved 09/30/2020
9,854 0 4,900
1,578 0 1,418
43,985 0 38,102





Reginfo record details
7
table that charts list of burden
IC Title Form No. Form Name
Customer Service Survey for IMLS Regional Grants Workshop Customer Service Survey for IMLS Regional Grants 1
Evebt Evaluation: IMLS Tribal Libraries Convening Tribal Convening Evaluation Form June 2019 No 1
Event Evaluation: IMLS Community Catalyst Listening Sessions CC Town Hall Survey Listening Sessions 2019 - 1
Grants to States All States Conference Evaluation Form Number One
Grants to States All States Conference Evaluation 2020 Grants to States All States Conference Eval 2020 1
SDC Annual Meeting Planning and Evaluation Surveys SDC Orientatoin Assessment Survey 1, SDC Pre-Conference Planning 1, SDC Event Evaluation 1 ,   ,  
Survey of Library Chiefs' Utilization of Public Libraries Survey Data Chiefs Survey 1

table that charts list of burden
  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 9,854 4,900 0 4,954 0 0
Annual Time Burden (Hours) 1,578 1,418 0 160 0 0
Annual Cost Burden (Dollars) 43,985 38,102 0 5,883 0 0


Reginfo record details
  No