Information Collection

State Library Agency Survey

IC 180939 under ICR 201911-3137-001 · OMB 3137-0072.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3137-0072 can be found here:

Documents and Forms

Document Name Document Type
SLAA 2016 Survey Instructions.pdf Instruction
FY2020 SLAA Survey FY2020 SLAA Survey FY20 SLAA Survey Instrument_DRAFT.docx Form
FY20 SLAA Users Guide.pdf FY20 SLAA Users Guide IC Document
FY20 SLAA Edit Validation Reference Guide.pdf FY20 SLAA Edit Validation Reference Guide IC Document
FY20 SLAA Communications Plan.docx FY20 SLAA Communications Plan IC Document
SLAA_Fy2018_statehoursEstimates.xlsx SLAA_Fy2018_state hours Estimates IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	State Library Agency Survey	Agency IC Tracking Number:

Is this a Common Form? No		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
Instruction			SLAA 2016 Survey Instructions.pdf		Yes	Yes	Fillable Fileable
Form	FY2020 SLAA Survey Form 1	FY2020 SLAA Survey	FY20 SLAA Survey Instrument_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: 51	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	51	0	51
Annual IC Time Burden (Hours)	1,275	0	1,275
Annual IC Cost Burden (Dollars)	36,197	573	35,624

Documents for IC

Title	Document	Date Uploaded
FY20 SLAA Users Guide	FY20 SLAA Users Guide.pdf	11/20/2019
FY20 SLAA Edit Validation Reference Guide	FY20 SLAA Edit Validation Reference Guide.pdf	11/20/2019
FY20 SLAA Communications Plan	FY20 SLAA Communications Plan.docx	11/20/2019
SLAA_Fy2018_state hours Estimates	SLAA_Fy2018_statehoursEstimates.xlsx	11/20/2019

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