Museums for All Program

Forms and Documents

Document Name	Status
Form M4A 1 Museum for All Form and Instruction	Modified
Museums for All Section A Final.docx Supporting Statement A	2015-04-02

IC Document Collections

IC ID	Document Title	Status
215938	Museum for All Form and Instruction	Modified

ICR Details

OMB Control No: 3137-0089	ICR Reference No: 201710-3137-005
Status: Active	Previous ICR Reference No: 201504-3137-003
Agency/Subagency: IMLS	Agency Tracking No:
Title: Museums for All Program
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 12/04/2017
	Date Received in OIRA: 10/20/2017
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	12/31/2020	36 Months From Approved	06/30/2018
Responses	138	0	500
Time Burden (Hours)	26	0	125
Cost Burden (Dollars)	2,978	0	2,664

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Abstract: The purpose of this collection is to support Museums for All, a voluntary program to increase access to museums for underserved audiences. Through Museums for All, museums allow Electronic Benefit Transfer (EBT) card holders to receive reduced-price admission to their facilities. This information collection will obtain data from participating museums necessary to administer the program, such as institution contact information and a staff person to administer the program.

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Authorizing Statute(s): None

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	82 FR 5608	01/18/2017
30-day Notice:	Federal Register Citation:	Citation Date:
	82 FR 48853	10/20/2017
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Museum for All	M4A 2, M4A 1, M4All 3, M4All 4, M4All 5	M4A Museum Institutional Survey 2017 ,   M4A Museum Institutional Telephone Interviews 2017 ,   M4All Participant Feedback Form 2015 ,   M4All Participant Registration Form 2015 ,   M4All Participant Reporting Form 2015

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ICR Summary 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	138	500	0	-362	0	0
Annual Time Burden (Hours)	26	125	0	-99	0	0
Annual Cost Burden (Dollars)	2,978	2,664	0	314	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: Yes

Burden Reduction Due to: Changing Forms

Short Statement: The Museums for All Program is being evaluated using the actual institutions participating in the program, an online survey, and a sample of institutional personnel using telephone interviews. The number of participants has been reduced from 500 to 138.

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Annual Cost to Federal Government: $20,561

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     Yes

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 10/20/2017

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