Information Collection

Museum Assessment Program Follow Up Materials

IC 236908 under ICR 201907-3137-009 · OMB 3137-0101.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3137-0101 can be found here:

Documents and Forms

Document Name Document Type
Form Form 1 - Site visi Museum Assessment Program Follow Up Materials Form and Instruction
Form 1 - Site visi MAP Follow Up Visit Request Form 2019 Form 1 - Museum Assessment Program Follow Up Visit Request Form 2019.docx Form and Instruction
Form 2 - Workbook MAP Workbook for Sites Form 2 - MAP Evaluation MAP Workbook.pdf Form and Instruction
Form 3 - End of Pr MAP End of Program Form 3 - MAP Evaluation End of Program.pdf Form and Instruction
Form 4 - Site Visi MAP Site Visit Form 4- MAP Evaluation Site Visit.pdf Form and Instruction
Form 5 - Site Visi Site Visit for Peer Reviewers Form 5 - MAP Evaluation Site Visit for Peer Reviewer.pdf Form and Instruction
Form 6 - Year Afte MAP Year After Program Conclusion Form 6 - MAP Evaluation Year After Program.pdf Form and Instruction
Form 7 - Follow Up MAP Program Follow Up Visit Peer Reviewers Form 7 - Museum Assessment Program Follow Up Visit Peer Reviewers.pdf Form and Instruction
Form 8 - Follow Up MAP Museum Follow Up Visit Form 8 - Museum Assessment Program Follow Up Visits Museum.pdf Form and Instruction
MAP Burden Estimate Follow Up Materials.xlsx Burden EStimate for MAP Follow Up Materials IC Document
MAP OMB Part A Revised Justification 2019-07-16.docx Justification for Change 2019-07-16 IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Museum Assessment Program Follow Up Materials	Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	Form 1 - Site visit request form	MAP Follow Up Visit Request Form 2019	Form 1 - Museum Assessment Program Follow Up Visit Request Form 2019.docx	Yes	Yes	Fillable Fileable
Form and Instruction	Form 2 - Workbook	MAP Workbook for Sites	Form 2 - MAP Evaluation MAP Workbook.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	Form 3 - End of Program	MAP End of Program	Form 3 - MAP Evaluation End of Program.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	Form 4 - Site Visit	MAP Site Visit	Form 4- MAP Evaluation Site Visit.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	Form 5 - Site Visit Peer Reviewers	Site Visit for Peer Reviewers	Form 5 - MAP Evaluation Site Visit for Peer Reviewer.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	Form 6 - Year After	MAP Year After Program Conclusion	Form 6 - MAP Evaluation Year After Program.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	Form 7 - Follow Up Peer Reviewers	MAP Program Follow Up Visit Peer Reviewers	Form 7 - Museum Assessment Program Follow Up Visit Peer Reviewers.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	Form 8 - Follow Up Visit Museum	MAP Museum Follow Up Visit	Form 8 - Museum Assessment Program Follow Up Visits Museum.pdf	Yes	Yes	Fillable Fileable

Line of Business: Education

Subfunction: Cultural and Historic Preservation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 660	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	660	660
Annual IC Time Burden (Hours)	124	124
Annual IC Cost Burden (Dollars)	26,730	26,730

Documents for IC

Title	Document	Date Uploaded
Burden EStimate for MAP Follow Up Materials	MAP Burden Estimate Follow Up Materials.xlsx	07/16/2019
Justification for Change 2019-07-16	MAP OMB Part A Revised Justification 2019-07-16.docx	07/16/2019

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