Information Collection

Museum for All

IC 215938 under ICR 201710-3137-005 · OMB 3137-0089.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3137-0089 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form M4A 1 Museum for All	Form and Instruction
M4A 1 M4A Museum Institutional Survey 2017 Appendix A-Participating Museum Survey.docx	Form and Instruction
M4A 2 M4A Museum Institutional Telephone Interviews 2017 Appendix B-Museum Telephone Interview.docx	Form and Instruction
M4All 3 M4All Participant Feedback Form 2015 M4All Feedback page mockup Final.docx	Form and Instruction
M4All 4 M4All Participant Registration Form 2015 M4All Registration page mockup Final.docx	Form and Instruction
M4All 5 M4All Participant Reporting Form 2015 M4All Reporting page mockup Final.docx	Form and Instruction
Burden Museums for All 2015.xlsx M4All Burden Estimate	IC Document
M4A Part A Final 2017-10-17.docx Justification for Change Request - Part A	IC Document
M4A Part B Final 2017-10-17.docx Justification for Change Request - Part B	IC Document
Burden Table.xlsx M4A Burden Estimate 2017	IC Document
Appendix D-Museum Online Survey Invitation.docx M4A Institutional Survey Invitation 2017	IC Document
Appendix E-Museum Telephone Interview Invitation.docx M4A Telephone Survey Invitation 2017	IC Document
Appendix C-Museum Validation Email.docx M4A Validation Email 2017	IC Document

IC Title:

Museum for All

Agency IC Tracking Number:

Is this a Common Form? No

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	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	M4A 1	M4A Museum Institutional Survey 2017	Appendix A-Participating Museum Survey.docx	Yes	Yes	Fillable Fileable
Form and Instruction	M4A 2	M4A Museum Institutional Telephone Interviews 2017	Appendix B-Museum Telephone Interview.docx	No		Fillable Printable
Form and Instruction	M4All 3	M4All Participant Feedback Form 2015	M4All Feedback page mockup Final.docx	Yes	Yes	Fillable Fileable
Form and Instruction	M4All 4	M4All Participant Registration Form 2015	M4All Registration page mockup Final.docx	Yes	Yes	Fillable Fileable
Form and Instruction	M4All 5	M4All Participant Reporting Form 2015	M4All Reporting page mockup Final.docx	Yes	Yes	Fillable Fileable

Line of Business: Education

Subfunction: Cultural and Historic Preservation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 138

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	138	-362	500
Annual IC Time Burden (Hours)	26	-99	125
Annual IC Cost Burden (Dollars)	2,978	314	2,664

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
M4All Burden Estimate	Burden Museums for All 2015.xlsx	04/02/2015
Justification for Change Request - Part A	M4A Part A Final 2017-10-17.docx	10/17/2017
Justification for Change Request - Part B	M4A Part B Final 2017-10-17.docx	10/17/2017
M4A Burden Estimate 2017	Burden Table.xlsx	10/17/2017
M4A Institutional Survey Invitation 2017	Appendix D-Museum Online Survey Invitation.docx	10/17/2017
M4A Telephone Survey Invitation 2017	Appendix E-Museum Telephone Interview Invitation.docx	10/17/2017
M4A Validation Email 2017	Appendix C-Museum Validation Email.docx	10/17/2017

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