Information Collection

National Medal for Museum and Library Service Nomination Form

IC 231184 under ICR 202007-3137-003 · OMB 3137-0097.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3137-0097 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form National Medal Mus National Medal for Museum and Library Service Nomination Form	Form and Instruction
National Medal Mus National Medal Museum & Library Serv. Nomination 2021 Nomination Form_for PRA 20200727.docx www.imls.gov/our-work/national-medal-museum-and-library-service	Form and Instruction
PRA Burden Estimate Natl Medals 2018.xlsx NMMLS Burden Estimate	IC Document
2019 National Medal Form Final 2018-04-17.docx 2019 National Medal Form	IC Document

IC Title:

National Medal for Museum and Library Service Nomination Form

Agency IC Tracking Number:

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	National Medal Museum & Library Serv. Nomination 1	National Medal Museum & Library Serv. Nomination	2021 Nomination Form_for PRA 20200727.docx	https://www.imls.gov/our-work/national-medal-museum-and-library-service	Yes	Yes	Fillable Fileable

Line of Business: Education

Subfunction: Cultural and Historic Preservation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 160

Number of Respondents for Small Entity: 40

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	160	160
Annual IC Time Burden (Hours)	1,440	1,440
Annual IC Cost Burden (Dollars)	40,219	40,219

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
NMMLS Burden Estimate	PRA Burden Estimate Natl Medals 2018.xlsx	04/24/2018
2019 National Medal Form	2019 National Medal Form Final 2018-04-17.docx	07/27/2020

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