Information Collection

Collections Assessment for Preservation - Participant Follow-up Survey Form

IC 224145 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⚠️ Notice: This information collection may be referencing outdated material.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 Participant Fo CAP Participant Follow-up Survey Form Collections Assessment for Preservation - Participant Follow-up Survey Form	Form and Instruction
CAP Participant Fo CAP Participant Follow-up Survey Form CAP Participant Follow-Up Survey - FINAL.docx	Form and Instruction

IC Title:

Collections Assessment for Preservation - Participant Follow-up Survey 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 Participant Follow-up Survey Form 1	CAP Participant Follow-up Survey Form	CAP Participant Follow-Up Survey - FINAL.docx		Yes	Yes	Fillable Printable

Line of Business: Education

Subfunction: Cultural and Historic Preservation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 75

Number of Respondents for Small Entity: 60

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	75	75
Annual IC Time Burden (Hours)	19	19
Annual IC Cost Burden (Dollars)	514	514

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.