Information Collection

Public Libraries Survey

IC 209111 under ICR 202006-3137-003 · OMB 3137-0074.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3137-0074 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 2019 PLS Survey 1 Public Libraries Survey	Form and Instruction
2019 PLS Survey 1 2019 PLS Survey Guide and Questionnaire FY 2019 PLS Users Guide & Questionnaire DRAFT.docx	Form and Instruction
FY 2019_Data Element Definitions.docx PLS Data Element Definitions	IC Document
FY 2019 PLS Emails_7.16.19.docx PLS Email contacts	IC Document
FY 2019 PLS CO IMLS Director letter attachment _ draft.docx PLS Directors Letter 1	IC Document
FY 2019 PLS SDC IMLS Director letter attachment _ Draft.docx PLS Directors Letter 2	IC Document
OMB Justification for Change PLS 2020 20200608.docx Justification for Nonsubstantive Change PLS	IC Document
FY 2016 PLS Questionnaire_9.15.16.pdf FY 2016 PLS Questionnaire	IC Document

IC Title:

Public Libraries 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
Form and Instruction	2019 PLS Survey 1	2019 PLS Survey Guide and Questionnaire	FY 2019 PLS Users Guide & Questionnaire 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: 56

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
	Requested	Previously Approved
Annual Number of Responses for this IC	56	56
Annual IC Time Burden (Hours)	4,754	4,754
Annual IC Cost Burden (Dollars)	134,977	134,977

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
PLS Data Element Definitions	FY 2019_Data Element Definitions.docx	08/16/2019
PLS Email contacts	FY 2019 PLS Emails_7.16.19.docx	08/16/2019
PLS Directors Letter 1	FY 2019 PLS CO IMLS Director letter attachment _ draft.docx	08/16/2019
PLS Directors Letter 2	FY 2019 PLS SDC IMLS Director letter attachment _ Draft.docx	08/16/2019
Justification for Nonsubstantive Change PLS	OMB Justification for Change PLS 2020 20200608.docx	06/11/2020
FY 2016 PLS Questionnaire	FY 2016 PLS Questionnaire_9.15.16.pdf	06/11/2020

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