Information Collection

Evaluation of the African American History and Culture Grantmaking Program

IC 239787 under ICR 202002-3137-001 · OMB 3137-0120.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form AAHC 1 Evaluation of the African American History and Culture Grantmaking Program	Form and Instruction
AAHC 1 AAHC OMB PRA Appendices REVISED (04.17.20).pdf	Form and Instruction
Appendix F - Time and Cost Burden Estimates Final 2020.02.05.xlsx Appendix F - Time and Cost Burden Estimates	IC Document

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

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	AAHC 1	AAHC	OMB PRA Appendices REVISED (04.17.20).pdf		Yes	Yes	Fillable Fileable

Line of Business: Education

Subfunction: Cultural and Historic Preservation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 256

Number of Respondents for Small Entity: 75

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
Annual Number of Responses for this IC	256	256
Annual IC Time Burden (Hours)	90	90
Annual IC Cost Burden (Dollars)	2,578	2,578

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Appendix F - Time and Cost Burden Estimates	Appendix F - Time and Cost Burden Estimates Final 2020.02.05.xlsx	02/05/2020

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