National Medal for Museum and Library Service Nomination Form

National Medals for Museum and Library Service form and cover sheet

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3137-0097 can be found here:

Documents and Forms

Document Name Document Type
Form NMMLS 2019 Nominat National Medal for Museum and Library Service Nomination Form Form and Instruction
NMMLS 2019 Nominat NMMLS 2019 Nomination Form 2019 National Medal Form Final 2018-04-17.docx www.imls.gov/grants/available/national-medal-museum-and-library-service Form and Instruction
PRA Burden Estimate Natl Medals 2018.xlsx NMMLS Burden Estimate IC Document

Information Collection (IC) Details

IC Title:	National Medal for Museum and Library Service Nomination Form	Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	NMMLS 2019 Nomination Form 1	NMMLS 2019 Nomination Form	2019 National Medal Form Final 2018-04-17.docx	https://www.imls.gov/grants/available/national-medal-museum-and-library-service	Yes	No	Fillable Printable

Line of Business: Education

Subfunction: Cultural and Historic Preservation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 160	Number of Respondents for Small Entity: 40

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	160	160
Annual IC Time Burden (Hours)	1,440	1,440
Annual IC Cost Burden (Dollars)	40,219	40,219

Documents for IC

Title	Document	Date Uploaded
NMMLS Burden Estimate	PRA Burden Estimate Natl Medals 2018.xlsx	04/24/2018

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