Information Collection

Application for International Indemnification

IC 32834 under ICR 202003-3135-002 · OMB 3135-0094.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3135-0094 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
International Indemnity Application Instructions 2020.pdf Application for Indemnification	IC Document

IC Title:

Application for International Indemnification

Agency IC Tracking Number:

3135NEA-Indemnnity

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 45 CFR 201

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

Line of Business: Education

Subfunction: Cultural and Historic Exhibition

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 40

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	40	40
Annual IC Time Burden (Hours)	1,786	1,786
Annual IC Cost Burden (Dollars)	72,000	72,000

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Application for Indemnification	International Indemnity Application Instructions 2020.pdf	03/12/2020

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