Information Collection

Measures that Matter Needs Assessment

IC 250306 under ICR 202111-3137-004 · OMB 3137-0131.

Documents and Forms

Document Name Document Type
Case Study Interview Protocols_Appendix I_ 20211106.docx Instruction
IMLS MtM Appendix I_Case Study Interview Protocols_Version2_20220208.docx Instruction
MtM Burden Estimate 20211106.xlsx IMLS MtM Burden Estimate IC Document
MtM Burden Estimate 20211106.xlsx IMLS MtM Burden Estimate IC Document
Case Study Interview Protocols_Appendix I_ Version 1_20211106.docx Supplementary Documents: Appendices IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Measures that Matter Needs Assessment	Agency IC Tracking Number:

Is this a Common Form? No		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			IMLS MtM Appendix I_Case Study Interview Protocols_Version2_20220208.docx		Yes	Yes	Fillable Fileable

Line of Business: Education

Subfunction: Cultural and Historic Preservation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 130	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	130	130
Annual IC Time Burden (Hours)	98	98
Annual IC Cost Burden (Dollars)	2,664	2,664

Documents for IC

Title	Document	Date Uploaded
IMLS MtM Burden Estimate	MtM Burden Estimate 20211106.xlsx	11/10/2021
Supplementary Documents: Appendices	Case Study Interview Protocols_Appendix I_ Version 1_20211106.docx	02/11/2022

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