Form Library PIF 1 Library PIF 1 Library PIF

Generic Clearance for IMLS Grant Forms: Budget Form, Program Information Sheet, and Digital Product Form, EGMS PIS Supplementary Sheet, eGMS Abstract form

OLS PIF 20200514

IMLS Library Program Information Form

OMB: 3137-0092

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IMLS LIBRARY – DISCRETIONARY PROGRAM INFORMATION FORM

PLEASE NOTE: Information contained within this form may be published online or otherwise
shared by IMLS. Therefore, please do not include any sensitive, proprietary, or confidential
information.

Section 1. Organizational Financial Information
a. Please complete the following table for the Organizational Unit for the three most recently
completed fiscal years.
Fiscal Year

Total Revenue*

Total Expenses**

Surplus or Deficit

* For nonprofit tax filers, Total Revenue can be found on Line 12 of the IRS Form 990.
** For nonprofit tax filers, Total Expenses can be found on Line 18 of the IRS Form 990.

b. If you had a budget surplus or deficit greater than 10% of your annual operating budget for
two or more of the three fiscal years listed above, please explain the circumstances of this
surplus or deficit in the box below.

c. Were there any material weaknesses identified in your prior year’s audit report?
Yes
No
Not applicable
A material weakness is a deficiency, or combination of deficiencies, in internal control, such that
there is a reasonable possibility that a material misstatement of the entity's financial statements
will not be prevented, or detected and corrected on a timely basis. If yes, please explain in the box
below.

d. Has your organization had an A-133 audit in the past three years?
Yes
No

Section 2. Agency-Level Goals and Objectives
Select the IMLS agency-level goal that best aligns with your proposed project. Once you have
selected a goal, please select an associated objective. Refer to Transforming Communities: IMLS
Strategic Plan, 2018-2022 for details.
Promote Lifelong Learning
Early, Digital, Information, Health, Financial, Media, Civic and Other Literacies
Cross-disciplinary and Inquiry-based Learning Methods
Continuous Learning for Families and Individuals with Diverse Backgrounds and Needs
Distinctive Role of Museums and Libraries as Trusted Sources of Information
Build Capacity
Recruitment, Training, and Development of Library and Museum Workforces
Share and Adopt Best Practices and Innovations
Identify Trends to Help Organizations Make Informed Decisions
Serve as Trusted Spaces for Community Engagement and Dialogue
Increase Public Access
Support Stewardship of Museum and Library Collections
Tools, Technology, and Training Enabling Discovery and Use of Collections and
Resources by All
Policies and Partnerships to Address Access Barriers to Collections, Programs, and
Information
Increased Access to Knowledge through Effective Communications

Section 3. Grant Program
Select the program to which you are applying (A through E). Then select one choice per mandatory
category for the chosen program. Refer to the Notice of Funding Opportunity for descriptions of
these options and instructions for how to make selections.
A. Laura Bush 21st Century Librarian Program
1. Select one:
Planning
National Forum
Project
Research in Service to Practice
2. Select one:
Pre-professional
Master’s-level
Doctoral-level
Early Career Development
Continuing Education
3. Select one:
Lifelong Learning
Community Catalysts
National Digital Infrastructures and Initiatives
B. National Leadership Grants for Libraries
1. Select one:
Planning
National Forum
Project
Research in Service to Practice
2. Select one:
Lifelong Learning
Community Catalysts
National Digital Infrastructures and Initiatives
C. Native American Library Services: Enhancement Grants
1. Select one:
Preservation and Revitalization
Educational Programming
Digital Services
D. Native Hawaiian Library Services
1. Select one:
Preservation and Revitalization
Educational Programming
Digital Services
E. Native American Library Services: Basic Grants


File Typeapplication/pdf
File TitleIMLS Program Information Form
SubjectIMLS Program Information Form
AuthorLosin, Peter
File Modified2020-05-15
File Created2020-05-15

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