IMLS Collections Assessment for Preservation Forms

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form CAP Follow-up Surv CAP Follow-up Survey Form	Form and Instruction	New	Repair queued
Form CAP Follow-up Surv CAP Follow-up Survey Form	Form and Instruction	New	Repair queued
Form CAP Participant Fe CAP Participant Feedback Form	Form and Instruction	New	Available
Form CAP Participant Fe CAP Participant Feedback Form	Form and Instruction	New	Repair queued
Form CAP Assessor Feedb CAP Assessor Feedback Form	Form and Instruction	New	Available
Form CAP Assessor Feedb CAP Assessor Feedback Form	Form and Instruction	New	Repair queued
Form CAP Application Fe CAP Application Feedback Form	Form and Instruction	New	Available
Form CAP Application Fe CAP Application Feedback Form	Form and Instruction	New	Repair queued
Form CAP Site Questionn CAP Site Questionnaire Form	Form and Instruction	New	Repair queued
Form CAP Site Questionn CAP Site Questionnaire Form	Form and Instruction	New	Repair queued
Form CAP Accessor Appli CAP Accessor Application Form	Form and Instruction	New	Available
Form CAP Accessor Appli CAP Assessor Application Form	Form and Instruction	New	Repair queued
Form CAP Application Fo CAP Application Form	Form and Instruction	New	Available
Form CAP Application Fo CAP Application Form	Form and Instruction	New	Available
PRA burden est CAP FORMS 20210319.xlsx	Supplementary Document	Uploaded 2021-03-25	Repair queued
Part A_CAP Forms 20210323.docx	Supporting Statement A	Uploaded 2021-03-25	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
246452	CAP Follow-up Survey Form	Form and Instruction	New	CAP Follow-up Survey Form
246452	CAP Follow-up Survey Form	Form and Instruction	New
246451	CAP Participant Feedback Form	Form and Instruction	New	CAP Participant Feedback Form
246451	CAP Participant Feedback Form	Form and Instruction	New
246450	CAP Assessor Feedback Form	Form and Instruction	New	CAP Assessor Feedback Form
246450	CAP Assessor Feedback Form	Form and Instruction	New
246449	CAP Application Feedback Form	Form and Instruction	New	CAP Application Feedback Form
246449	CAP Application Feedback Form	Form and Instruction	New
246448	CAP Site Questionnaire Form	Form and Instruction	New	CAP Site Questionnaire Form
246448	CAP Site Questionnaire Form	Form and Instruction	New
246447	CAP Assessor Application Form	Form and Instruction	New	CAP Accessor Application Form
246447	CAP Assessor Application Form	Form and Instruction	New
246446	CAP Application Form	Form and Instruction	New	CAP Application Form
246446	CAP Application Form	Form and Instruction	New

ICR Details

OMB Control No: 3137-0126	ICR Reference No: 202103-3137-002
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: IMLS	Agency Tracking No:
Title: IMLS Collections Assessment for Preservation Forms
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 05/10/2021
Retrieve Notice of Action (NOA)	Date Received in OIRA: 03/25/2021
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	05/31/2024	36 Months From Approved
Responses	710	0	0
Time Burden (Hours)	950	0	0
Cost Burden (Dollars)	27,008	0	0

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Abstract: The Collections Assessment for Preservation (CAP) program allows a qualified conservator to study of all of a museum’s collections, buildings and building systems, as well as its policies and procedures relating to collections care. Participants who complete the program receive an assessment report with prioritized recommendations to improve collections care. The forms submitted for public review in this Notice are application forms for assessors and participating museums; pre-visit site questionnaires for participating museums; CAP program evaluation forms for participating museums and assessors; and program Outcomes Based Evaluation forms.

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Authorizing Statute(s): None

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	86 FR 2704	01/13/2021
30-day Notice:	Federal Register Citation:	Citation Date:
	86 FR 15968	03/25/2021
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 7

table that charts list of burden

IC Title	Form No.	Form Name
CAP Application Feedback Form	CAP Application Feedback Form 1	CAP Application Feedback Form
CAP Application Form	CAP Application Form 1	CAP Application Form
CAP Assessor Application Form	CAP Accessor Application Form 1	CAP Accessor Application Form
CAP Assessor Feedback Form	CAP Assessor Feedback Form 1	CAP Assessor Feedback Form
CAP Follow-up Survey Form	CAP Follow-up Survey Form 1	CAP Follow-up Survey Form
CAP Participant Feedback Form	CAP Participant Feedback Form 1	CAP Participant Feedback Form
CAP Site Questionnaire Form	CAP Site Questionnaire Form 1	CAP Site Questionnaire Form

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ICR Summary of Burden

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	710	0	0	710	0	0
Annual Time Burden (Hours)	950	0	0	950	0	0
Annual Cost Burden (Dollars)	27,008	0	0	27,008	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: There is no burden increase. This is a new collection request.

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Annual Cost to Federal Government: $4,271

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 03/25/2021

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