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⚠️ Notice: This information collection may be referencing outdated material.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

Documents and forms in this information collection
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

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:

table that charts list of 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 %

table that charts list of burden
	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

table that charts IC Documents
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.