Cognitive Testing for FY 2022 Public Libraries Survey

IMLS Generic Clearance To Conduct Pre-Testing of Surveys

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3137-0125 can be found here:

Documents and Forms

Document Name Document Type
FY2022 PLS Cognitive Testing Interview Protocol_Appendix A.docx Instruction
FY2022 PLS Cognitive Testing Interview Protocol_Appendix B.docx Instruction
Fast Track for FY22 PLS Cognitive Testing Justification.docx Fast Track for FY22 PLS Cognitive Testing Justification IC Document

Information Collection (IC) Details

IC Title:	Cognitive Testing for FY 2022 Public Libraries Survey	Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction			FY2022 PLS Cognitive Testing Interview Protocol_Appendix A.docx		No		Printable Only
Instruction			FY2022 PLS Cognitive Testing Interview Protocol_Appendix B.docx		No		Printable Only

Line of Business: Education

Subfunction: Cultural and Historic Preservation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 20	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	20	20
Annual IC Time Burden (Hours)	25	25
Annual IC Cost Burden (Dollars)	764	764

Documents for IC

Title	Document	Date Uploaded
Fast Track for FY22 PLS Cognitive Testing Justification	Fast Track for FY22 PLS Cognitive Testing Justification.docx	07/06/2021

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