Program Information Sheet Form

Generic Clearance for IMLS Grant Forms: Budget Form, Program Information Sheet, and Digital Product Form, EGMS PIS Supplementary Sheet, eGMS Abstract form

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3137-0092 can be found here:

Documents and Forms

Document Name Document Type
Form Program Informatio Program Information Sheet Form Form and Instruction
Program Informatio Program Information Sheet PIS Final 2018-06-28.pdf www.imls.gov/grants/apply-grant/notices-funding-opportunities/application-forms Form and Instruction
2017 Program Information Sheet 3137-0092 v2.pdf FY2017 Program Information Sheet IC Document
Final Justification for Change 3137-0092 GC IMLS Grant Forms - PIS 2017-07-20.docx Justification for Change Request IC Document
FY18 PIS Final 2017-06-21.docx Program Information Sheet 1 IC Document
FY2018 Program Information Sheet 071917-v2.pdf FY2018 Program Information Sheet IC Document

Information Collection (IC) Details

IC Title:	Program Information Sheet Form	Agency IC Tracking Number:

IC Status: Modified

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	Program Information Sheet 1	Program Information Sheet	PIS Final 2018-06-28.pdf	https://www.imls.gov/grants/apply-grant/notices-funding-opportunities/application-forms	Yes	Yes	Fillable Fileable

Line of Business: Education

Subfunction: Cultural and Historic Preservation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 5	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	5	-1,645	1,650
Annual IC Time Burden (Hours)	1	-412	413
Annual IC Cost Burden (Dollars)	32	-10,371	10,403

Documents for IC

Title	Document	Date Uploaded
FY2017 Program Information Sheet	2017 Program Information Sheet 3137-0092 v2.pdf	06/21/2017
Justification for Change Request	Final Justification for Change 3137-0092 GC IMLS Grant Forms - PIS 2017-07-20.docx	07/20/2017
Program Information Sheet 1	FY18 PIS Final 2017-06-21.docx	07/20/2017
FY2018 Program Information Sheet	FY2018 Program Information Sheet 071917-v2.pdf	06/28/2018

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