Information Collection

NAB Performance Report Form

IC 251376 under ICR 202201-3137-004 · OMB 3137-0098.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
IMLS NAB Performance Report Form 20220131.docx	Instruction
IMLS NAB Performance Report Form 20220131.docx	Instruction
Burden Estimate NAB Financial and Performance report 20220124.xlsx Burden Estimate FY22	IC Document
Burden Estimate NAB Financial and Performance report 20220124.xlsx Burden Estimate FY22	IC Document

IC Title:

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
Instruction			IMLS NAB Performance Report Form 20220131.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: 180

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

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	180	180
Annual IC Time Burden (Hours)	360	360
Annual IC Cost Burden (Dollars)	11,002	11,002

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Burden Estimate FY22	Burden Estimate NAB Financial and Performance report 20220124.xlsx	01/31/2022

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