Information Collection

FPIRI Evaluation Form

IC 247778 under ICR 202104-3136-001 · OMB 3136-0134.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3136-0134 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form FPIRI evaluation f FPIRI Evaluation Form	Form
FPIRI evaluation f FPIRI evaluation form FPIRI Evaluation Form.pdf securegrants.neh.gov/Misc/CentersEvaluation.aspx	Form

IC Title:

FPIRI Evaluation Form

Agency IC Tracking Number:

IC Status: New

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	FPIRI evaluation form	FPIRI evaluation form	FPIRI Evaluation Form.pdf	https://securegrants.neh.gov/Misc/CentersEvaluation.aspx	Yes	Yes	Fillable Fileable

Line of Business: Education

Subfunction: Cultural and Historic Preservation

Privacy Act System of Records

Title: NEH-1 Grants and Cooperative Agreements: Electronic Grant Management System

FR Citation: 82 FR 79

Number of Respondents: 50

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	50	50
Annual IC Time Burden (Hours)	25	25
Annual IC Cost Burden (Dollars)	1,769	1,769

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

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