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Native American Library Services Basic Grants Performance Reporting Form
Native American Basic Library Grant Final Performance Report Form
OMB: 3137-0098
IC ID: 234796
OMB.report
IMLS
OMB 3137-0098
ICR 201909-3137-002
IC 234796
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3137-0098 can be found here:
2022-01-31 - Revision of a currently approved collection
Documents and Forms
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
Information Collection (IC) Details
View Information Collection (IC)
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:
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
Federal Enterprise Architecture Business Reference Module
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 %
Requested
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
220
0
0
0
0
220
Annual IC Time Burden (Hours)
440
0
0
0
0
440
Annual IC Cost Burden (Dollars)
6,131
0
0
0
0
6,131
Documents for IC
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.