IMLS Program Information Form and instructions

Forms and Documents

Document	Type	Status	Availability
Form IMLS CARES Act 202 IMLS CARES Act Program Information Form and instructions	Form and Instruction	New	Repair queued
PRA Burden Estimate Program Information Form-cb.xlsx	Supplementary Document	Uploaded 2020-05-01	Repair queued
Justification for Program information Form-cb.pdf	Supplementary Document	Uploaded 2020-05-01	Available
Forms justification statement A Program Information Form-cb.pdf	Supporting Statement A	Uploaded 2020-05-01	Available

IC Document Collections

IC ID	Collection	Type	Status	Form
241663	IMLS CARES Act Program Information Form and instructions	Form and Instruction	New

ICR Details

OMB Control No: 3137-0119	ICR Reference No: 202005-3137-002
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: IMLS	Agency Tracking No:
Title: IMLS Program Information Form and instructions
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Emergency	Approval Requested By: 05/01/2020
OIRA Conclusion Action: Approved without change	Conclusion Date: 05/07/2020
	Date Received in OIRA: 05/01/2020
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	11/30/2020	6 Months From Approved
Responses	360	0	0
Time Burden (Hours)	90	0	0
Cost Burden (Dollars)	2,515	0	0

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Abstract: The Institute of Museum and Library Services (IMLS) requests extension of the generic clearance for all the agency’s information collection requests (excluding surveys, evaluations, and data calls used for policy-making purposes) for its grant program processes under the Paperwork Reduction Act. The information collections in this package includes the IMLS Program Information Form and instructions. IMLS is requesting an emergency clearance necessary to apply for IMLS support as part of the agency’s CARES Act Grants for Museums and Libraries and for Native American/Native Hawaiian Museum and Library Services.

Emergency Justfication: In this emergency clearance submission (3137-XXXX) justification, IMLS is requesting approval of an abbreviated Program Information Form. IMLS created an abbreviated Program Information Form that will be used by all applicants to both new initiatives. Its content is greatly reduced from the current OMB-cleared, Grants.gov form, IMLS Museum Program Information Form (OMB Control #: 3137-0092). Because there is not enough time to create another more generic Grants.gov Program Information Form, we will create a fillable PDF that applicants will download from our website as they do our IMLS Budget Form and our Digital Product Form.

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Authorizing Statute(s): None

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments

Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
IMLS CARES Act Program Information Form and instructions	IMLS CARES Act 2020 Program Information Form 1	IMLS CARES Act 2020 Program Information Form

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ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	360	0	0	360	0	0
Annual Time Burden (Hours)	90	0	0	90	0	0
Annual Cost Burden (Dollars)	2,515	0	0	2,515	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: No change in burden.

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Annual Cost to Federal Government: $4,056

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 05/01/2020

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