Information Collection

MAP Application Forms

IC 251356 under ICR 202201-3137-003 · OMB 3137-0101.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3137-0101 can be found here:

Documents and Forms

Document Name Document Type
MAP Survey 1 - Museum End of Program 20220127.docx Instruction
MAP Survey 1 - Museum End of Program 20220127.docx Instruction
MAP Survey 2 - Museum One Year Later 20220127.docx Instruction
MAP Survey 2 - Museum One Year Later 20220127.docx Instruction
MAP Survey 3 - Museum Follow Up Visit 20220127.docx Instruction
MAP Survey 3 - Museum Follow Up Visit 20220127.docx Instruction
MAP Survey 4 - Peer Reviewer Post Assessment 20220127.docx Instruction
MAP Survey 4 - Peer Reviewer Post Assessment 20220127.docx Instruction
MAP Survey 5 - Peer Reviewer Follow Up Visit 20220127.docx Instruction
MAP Survey 5 - Peer Reviewer Follow Up Visit 20220127.docx Instruction
MAP Forms Burden Estimate 20220122.xlsx Burden Estimate FY22 IC Document
MAP Forms Burden Estimate 20220122.xlsx Burden Estimate FY22 IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	MAP Application Forms	Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction	MAP Survey 1 - Museum End of Program 20220127.docx	Yes	Yes	Fillable Fileable
Instruction	MAP Survey 2 - Museum One Year Later 20220127.docx	Yes	Yes	Fillable Fileable
Instruction	MAP Survey 3 - Museum Follow Up Visit 20220127.docx	Yes	Yes	Fillable Fileable
Instruction	MAP Survey 4 - Peer Reviewer Post Assessment 20220127.docx	Yes	Yes	Fillable Fileable
Instruction	MAP Survey 5 - Peer Reviewer Follow Up Visit 20220127.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: 650	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	650	650
Annual IC Time Burden (Hours)	1,537	1,537
Annual IC Cost Burden (Dollars)	45,557	45,557

Documents for IC

Title	Document	Date Uploaded
Burden Estimate FY22	MAP Forms Burden Estimate 20220122.xlsx	01/28/2022

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