Information Collection

Collections Assessment for Preservation - Assessor Feedback Form

IC 224144 under ICR 201803-3137-001 · OMB 3137-0103.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3137-0103 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form CAP Assessor Feedb CAP Assessor Feedback Form Collections Assessment for Preservation - Assessor Feedback Form	Form and Instruction
CAP Assessor Feedb CAP Assessor Feedback Form CAP Assessor Feedback Form - FINAL.docx	Form and Instruction

IC Title:

Collections Assessment for Preservation - Assessor Feedback 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	CAP Assessor Feedback Form 1				Yes	Yes	Fillable Printable

Line of Business: Education

Subfunction: Cultural and Historic Preservation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 150

Number of Respondents for Small Entity: 120

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	150	150
Annual IC Time Burden (Hours)	38	38
Annual IC Cost Burden (Dollars)	1,028	1,028

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

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

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