Information Collection

Public Libraries Survey

IC 209111 under ICR 201908-3137-002 · OMB 3137-0074.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3137-0074 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form PLS 2016 Form 1 Public Libraries Survey	Form and Instruction
PLS 2016 Form 1 PLS 2016 FY 2016 PLS Questionnaire_9.15.16.pdf	Form and Instruction
2019 PLS Survey 1 2019 PLS Survey Guide and Questionnaire FY 2019 PLS Users Guide & Questionnaire DRAFT.docx	Form and Instruction
FY 2019_Data Element Definitions.docx PLS Data Element Definitions	IC Document
FY 2019 PLS Emails_7.16.19.docx PLS Email contacts	IC Document
FY 2019 PLS CO IMLS Director letter attachment _ draft.docx PLS Directors Letter 1	IC Document
FY 2019 PLS SDC IMLS Director letter attachment _ Draft.docx PLS Directors Letter 2	IC Document

IC Title:

Public Libraries Survey

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	PLS 2016 Form 1	PLS 2016	FY 2016 PLS Questionnaire_9.15.16.pdf	www.plswebportal.org	Yes	Yes	Fillable Fileable
Form and Instruction	2019 PLS Survey 1	2019 PLS Survey Guide and Questionnaire	FY 2019 PLS Users Guide & Questionnaire DRAFT.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: 56

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	56	0	56
Annual IC Time Burden (Hours)	4,754	-1,125	5,879
Annual IC Cost Burden (Dollars)	134,977	-29,279	164,256

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
PLS Data Element Definitions	FY 2019_Data Element Definitions.docx	08/16/2019
PLS Email contacts	FY 2019 PLS Emails_7.16.19.docx	08/16/2019
PLS Directors Letter 1	FY 2019 PLS CO IMLS Director letter attachment _ draft.docx	08/16/2019
PLS Directors Letter 2	FY 2019 PLS SDC IMLS Director letter attachment _ Draft.docx	08/16/2019

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