National Medal for Museum and Library Service form and cover sheet

Forms and Documents

Document Name	Status
Form National Medal Nom National Medal for Museum and Library Service Nomination Form Form and Instruction	New
PRA Burden Estimate Natl Medals_20210415.xlsx Supplementary Document	2021-04-21
Part A Justification Natl Medals 2018-04-04.docx Supplementary Document	2021-04-21
Part A Justification National Medals Nomination Form_20210416.docx Supporting Statement A	2021-04-21
Medals Justification for Change FY21_20200727.docx Justification for No Material/Nonsubstantive Change	2020-07-27
Grant App justification A - NMMLS - FY 2017_final.docx Supplementary Document	2018-04-24
Final Justification for Change FY18 NMML 2017-07-05.docx Justification for No Material/Nonsubstantive Change	2017-07-05
National Medal for Museum and Library Service _ Information.pdf Supplementary Document	2016-06-16
NOA__0071_NMMLS_April2016.pdf Supplementary Document	2016-06-16
NOA__0029_NMMLS_April2016.pdf Supplementary Document	2016-06-16

IC Document Collections

IC ID	Document Title	Status
246935	National Medal for Museum and Library Service Nomination Form Form and Instruction	New

ICR Details

OMB Control No: 3137-0097	ICR Reference No: 202104-3137-001
Status: Received in OIRA	Previous ICR Reference No: 202007-3137-003
Agency/Subagency: IMLS	Agency Tracking No:
Title: National Medal for Museum and Library Service form and cover sheet
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 04/21/2021

	Requested	Previously Approved
Expiration Date	36 Months From Approved	06/30/2021
Responses	175	159
Time Burden (Hours)	1,576	1,444
Cost Burden (Dollars)	47,408	40,338

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Abstract: The National Medals are designed to recognize outstanding libraries and museums that have made significant contributions in service to improve the wellbeing of their communities. These institutions exceed expected levels of community outreach beyond a single program or exhibit by building community cohesion and serving as catalysts for positive community change. Nominees should review the IMLS strategic plan and highlight how their work aligns (e.g., promoting lifelong learning, building institutional capacity, increasing community access).

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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 1536	01/08/2021
30-day Notice:	Federal Register Citation:	Citation Date:
	86 FR 20742	04/21/2021
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
National Medal for Museum and Library Service Nomination Form	National Medal Nomination Form 1	National Medal Nomination Form

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ICR Summary of Burden

	Total Request	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	175	159	0	16	0	0
Annual Time Burden (Hours)	1,576	1,444	0	132	0	0
Annual Cost Burden (Dollars)	47,408	40,338	0	7,070	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: Increase in the number of nomination form applications

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Annual Cost to Federal Government: $7,628

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: 04/21/2021

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