Interim and Final Performance Reports and Cover Sheets

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
IMLS Perf Forms OMB Part A 2019-01-30.docx	Supporting Statement A	Uploaded 2019-01-30	Available
Burden Estimate FY19 Performance Forms.xlsx	Supplementary Document	Uploaded 2019-01-30	Available
sf425_ffr_instructions.pdf	Supplementary Document	Uploaded 2016-06-17	Available
sf-425.pdf	Supplementary Document	Uploaded 2016-06-17	Repair queued
sf270.pdf	Supplementary Document	Uploaded 2016-06-17	Available
glossary.pdf	Supplementary Document	Uploaded 2016-06-17	Available
Administration _ Manage_Award-Forms.pdf	Supplementary Document	Uploaded 2016-06-17	Available
NOA_3137-0071_PerformanceReportsChange.pdf	Supplementary Document	Uploaded 2016-06-17	Available
NOA_3137-0071 - July 2015.pdf	Supplementary Document	Uploaded 2016-06-17	Available
Burden Estimate Interim & Final Perf reports and cover sheet.xlsx	Supplementary Document	Uploaded 2016-06-17	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
234790	IMLS Performance Report Forms and Instructions	Instruction	New

ICR Details

OMB Control No: 3137-0100	ICR Reference No: 201901-3137-002
Status: Active	Previous ICR Reference No: 201606-3137-015
Agency/Subagency: IMLS	Agency Tracking No:
Title: Interim and Final Performance Reports and Cover Sheets
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: 03/14/2019
	Date Received in OIRA: 02/01/2019
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2022	36 Months From Approved	03/31/2019
Responses	976	0	976
Time Burden (Hours)	6,235	0	6,235
Cost Burden (Dollars)	174,186	0	174,186

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Abstract: IMLS requests clearance for forms it requires for all of the IMLS grant program applications for interim and final post-award reporting.. The forms are being updated for new requirements and the current IMLS strategic plan.

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Authorizing Statute(s): None

Citations for New Statutory Requirements: None

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

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	83 FR 23491	05/21/2018
30-day Notice:	Federal Register Citation:	Citation Date:
	84 FR 1238	02/01/2019
Did the Agency receive public comments on this ICR? No

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

table that charts list of burden

IC Title	Form No.	Form Name
IMLS Performance Report Forms and Instructions	FY19 Performance Report 1, FY19 Interim Performance Report 1	FY19 Final Grant Performance Form ,   FY 19 Interim Performance Report

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ICR Summary of Burden

table that charts list 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	976	976	0	0	0	0
Annual Time Burden (Hours)	6,235	6,235	0	0	0	0
Annual Cost Burden (Dollars)	174,186	174,186	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:

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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

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Common Form ICR:  No

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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: 02/01/2019

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