Information Collection

IMLS Performance Report Forms and Instructions

IC 234790 under ICR 201901-3137-002 · OMB 3137-0100.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3137-0100 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
IMLS Interim Performance Report Instructions 2019-01-30.docx	Instruction
IMLS Final Performance Report Instructions 2019-01-31.docx	Instruction
FY19 Performance R FY19 Final Grant Performance Form IMLS FY19 Performance Report Form Final 2019-01-31.docx	Form and Instruction
FY19 Interim Perfo FY 19 Interim Performance Report IMLS FY19 Interim Performance Report Form Final 2019-01-30.docx	Form

IC Title:

IMLS Performance Report Forms and Instructions

Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction			IMLS Interim Performance Report Instructions 2019-01-30.docx	Yes	No	Paper Only
Form and Instruction	FY19 Performance Report 1	FY19 Final Grant Performance Form	IMLS FY19 Performance Report Form Final 2019-01-31.docx	Yes	Yes	Fillable Fileable
Instruction			IMLS Final Performance Report Instructions 2019-01-31.docx	Yes	No	Printable Only
Form	FY19 Interim Performance Report 1	FY 19 Interim Performance Report	IMLS FY19 Interim Performance Report Form Final 2019-01-30.docx	Yes	Yes	Fillable Fileable

Line of Business: Education

Subfunction: Cultural and Historic Preservation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 500

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	500	500
Annual IC Time Burden (Hours)	3,750	3,750
Annual IC Cost Burden (Dollars)	13,970	13,970

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.