Our Town Program Proposed Collection

ICR 201810-3135-001

OMB: 3135-0141

Federal Form Document

Forms and Documents
Document
Name
Status
Form and Instruction
New
Supplementary Document
2019-03-26
Supplementary Document
2018-10-15
Supplementary Document
2019-03-26
Supporting Statement B
2019-03-26
Supporting Statement A
2019-03-26
IC Document Collections
IC ID
Document
Title
Status
233534 New
ICR Details
3135-0141 201810-3135-001
Active
NEA
Our Town Program Proposed Collection
New collection (Request for a new OMB Control Number)   No
Regular
Approved with change 04/01/2019
Retrieve Notice of Action (NOA) 10/19/2018
  Inventory as of this Action Requested Previously Approved
04/30/2022 36 Months From Approved
381 0 0
191 0 0
0 0 0

This study is a new information collection request, and the data to be collected are not available elsewhere unless obtained through this information collection. A web-based survey of the National Endowment for the Arts’ (NEA) Our Town program grantees is planned for late January 2019 through mid-April 2019. Knowledge gained through this study will enable the NEA to validate or modify the Our Town program theory of change (TOC), logic model (LM), and measurement model (MM) in order to adjust grant program guidelines and grantee reporting requirements and to prepare for a future outcome evaluation study.

US Code: 20 USC 954 Name of Law: National Foundation on the Arts and the Humanities Act of 1965
  
None

Not associated with rulemaking

  83 FR 16402 04/16/2018
83 FR 52851 10/18/2018
Yes

1
IC Title Form No. Form Name
Web Survey Instrument 1 Our Town Evaluation Web Survey

  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 381 0 0 381 0 0
Annual Time Burden (Hours) 191 0 0 191 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
The information collected does not represent any program change.

$55,000
Yes Part B of Supporting Statement
    No
    No
No
No
No
Uncollected
Bushra Akbar 202 682-5013 [email protected]

  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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
10/19/2018


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