Information Collection

Evebt Evaluation: IMLS Tribal Libraries Convening

IC 236442 under ICR 201710-3137-003 · OMB 3137-0081.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3137-0081 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form Tribal Convening E Evebt Evaluation: IMLS Tribal Libraries Convening	Form and Instruction
Tribal Convening E Tribal Convening Evaluation Form June 2019 Attachment A_Tribal Convening Eval Form June 2019.docx	Form and Instruction
IMLS_Tribal_Convening_Eval_Fast-track_2019-06-12.doc IMLS Tribal Convening Evaluation June 2019 Fast Track	IC Document

IC Title:

Evebt Evaluation: IMLS Tribal Libraries Convening

Agency IC Tracking Number:

IC Status: New

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	Tribal Convening Evaluation Form June 2019 No 1	Tribal Convening Evaluation Form June 2019	Attachment A_Tribal Convening Eval Form June 2019.docx		No		Paper Only

Line of Business: Education

Subfunction: Cultural and Historic Preservation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 60

Number of Respondents for Small Entity: 30

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	60	60
Annual IC Time Burden (Hours)	5	5
Annual IC Cost Burden (Dollars)	500	500

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
IMLS Tribal Convening Evaluation June 2019 Fast Track	IMLS_Tribal_Convening_Eval_Fast-track_2019-06-12.doc	06/12/2019

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