National Medals for Museum and Library Service form and cover sheet

Forms and Documents

Document Name	Status
Form NMMLS 2019 Nominat National Medal for Museum and Library Service Nomination Form Form and Instruction	New
Grant App justification A - NMMLS - FY 2017_final.docx Supplementary Document	2018-04-24
Part A Justification Natl Medals 2018-04-04.docx Supporting Statement A	2018-04-24
Final Justification for Change FY18 NMML 2017-07-05.docx Justification for No Material/Nonsubstantive Change	2017-07-05
National Medal for Museum and Library Service _ Information.pdf Supplementary Document	2016-06-16
NOA__0071_NMMLS_April2016.pdf Supplementary Document	2016-06-16
NOA__0029_NMMLS_April2016.pdf Supplementary Document	2016-06-16

IC Document Collections

IC ID	Document Title	Status
231184	National Medal for Museum and Library Service Nomination Form Form and Instruction	New

ICR Details

OMB Control No: 3137-0097	ICR Reference No: 201804-3137-002
Status: Historical Active	Previous ICR Reference No: 201707-3137-002
Agency/Subagency: IMLS	Agency Tracking No:
Title: National Medals for Museum and Library Service form and cover sheet
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: 06/11/2018
	Date Received in OIRA: 04/24/2018
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	06/30/2021	36 Months From Approved	07/31/2018
Responses	159	0	159
Time Burden (Hours)	1,444	0	1,444
Cost Burden (Dollars)	40,338	0	40,338

---

Abstract: The National Medals are designed to recognize outstanding libraries and museums that have made significant contributions in service to improve the wellbeing of their communities. These institutions exceed expected levels of community outreach beyond a single program or exhibit by building community cohesion and serving as catalysts for positive community change. Nominees should review the IMLS strategic plan and highlight how their work aligns (e.g., promoting lifelong learning, building institutional capacity, increasing community access).

---

Authorizing Statute(s): None

Citations for New Statutory Requirements: None

---

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

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	82 FR 226	11/27/2017
30-day Notice:	Federal Register Citation:	Citation Date:
	83 FR 78	04/23/2018
Did the Agency receive public comments on this ICR? Yes

---

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

IC Title	Form No.	Form Name
National Medal for Museum and Library Service Nomination Form	NMMLS 2019 Nomination Form 1	NMMLS 2019 Nomination Form

---

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	159	159	0	0	0	0
Annual Time Burden (Hours)	1,444	1,444	0	0	0	0
Annual Cost Burden (Dollars)	40,338	40,338	0	0	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: No

Burden Reduction Due to:

Short Statement:

---

Annual Cost to Federal Government:

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.     No

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.     No

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

---

Common Form ICR:  No

---

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: 04/24/2018

---