Information Collection

Native American Library Services Basic Grants Performance Reporting Form

IC 234796 under ICR 201909-3137-002 · OMB 3137-0098.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3137-0098 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form NA Basic Performan Native American Library Services Basic Grants Performance Reporting Form	Form and Instruction
NA Basic Performan FY19 Native American Basic Grant Performance Form Native American Basic Performance Reporting Form 2019-01-31.doc	Form and Instruction
NA Basic 1 Native American Basic Performance Form FY20 Revised NA Basic Form 2019-09-13.doc	Form and Instruction
Justification for Change - NA Basic 2019-09-16.docx Justification for Nonsubstantive Change 2019-09-16	IC Document

IC Title:

Native American Library Services Basic Grants Performance Reporting Form

Agency IC Tracking Number:

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	NA Basic Performance Form 1	FY19 Native American Basic Grant Performance Form	Native American Basic Performance Reporting Form 2019-01-31.doc		Yes	Yes	Fillable Fileable
Form and Instruction	NA Basic 1	Native American Basic Performance Form FY20	Revised NA Basic Form 2019-09-13.doc		Yes	Yes	Fillable Fileable

Line of Business: Education

Subfunction: Cultural and Historic Preservation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 220

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
	Requested	Previously Approved
Annual Number of Responses for this IC	220	220
Annual IC Time Burden (Hours)	440	440
Annual IC Cost Burden (Dollars)	6,131	6,131

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Justification for Nonsubstantive Change 2019-09-16	Justification for Change - NA Basic 2019-09-16.docx	09/16/2019

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