Information Collection Request

Collection of Qualitative Feedback on Agency Service Delivery

ICR 202011-3137-001 · OMB 3137-0081 · Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form Awareness and Util Awareness and Utility Survey of IMLS Data Products for the Public Libraries Survey (PLS) and State Library Administrative Agency (SLAA) Survey Form and Instruction New Available
GC Qual Feedback Part B Final 2017-1013.docx Supplementary Document Uploaded 2020-11-17 Available
GC Qual Feedback Part A Final 2017-10-13.docx Supplementary Document Uploaded 2020-11-17 Available
CQFASD_burden_2020_20201011-CB.xlsx Supplementary Document Uploaded 2020-11-17 Available
GC Qual Feedback Part B_20201014.docx Supporting Statement B Uploaded 2020-11-17 Available
GC Qual Feedback Part A_20201014.docx Supporting Statement A Uploaded 2020-11-17 Available
CQFASD_burden2017 for OMB Final 2017-10-13.xlsx Supplementary Document Uploaded 2017-10-16 Available
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery -Justification B.docx Supplementary Document Uploaded 2017-10-16 Available
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery -Justification A.docx Supplementary Document Uploaded 2017-10-16 Available
Draft Generic Clearance 30 day FRN template.docx Supplementary Document Uploaded 2014-05-27 Available
Generic Clearance Submission Template.doc Supplementary Document Uploaded 2011-06-21 Available
Draft Generic Clearance Submission Template.docx Supplementary Document Uploaded 2011-05-26 Available

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
12/31/2023 36 Months From Approved 03/31/2021
9,854 0 9,854
2,376 0 1,578
69,154 0 43,985






table that charts list 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 9,854 9,854 0 0 0 0
Annual Time Burden (Hours) 2,376 1,578 0 798 0 0
Annual Cost Burden (Dollars) 69,154 43,985 0 25,169 0 0


Reginfo record details
  No