Noa - 3137-0071 7-6-2015

NOTICE OF OFFICE OF MANAGEMENT AND BUDGET ACTION
Date

07/06/2015

Institute of Museum and Library Services

FOR CERTIFYING OFFICIAL:

Stephanie Burwell

FOR CLEARANCE OFFICER:

Kim Miller

In accordance with the Paperwork Reduction Act, OMB has taken action on your request received
06/01/2015
ACTION REQUESTED:

Revision of a currently approved collection

TYPE OF REVIEW REQUESTED:

Regular

ICR REFERENCE NUMBER:

201506-3137-002

AGENCY ICR TRACKING NUMBER:
TITLE:

IMLS Grant Program Application and Post-Award Report Forms

LIST OF INFORMATION COLLECTIONS: See next page
OMB ACTION: Approved without change
OMB CONTROL NUMBER:

3137-0071

The agency is required to display the OMB Control Number and inform respondents of its legal significance in
accordance with 5 CFR 1320.5(b).
EXPIRATION DATE: 07/31/2018

BURDEN:

DISCONTINUE DATE:

RESPONSES

HOURS

COSTS

10,015

19,097

523,442

6,327

14,890

411,990

0

0

0

-3,688

-4,207

-111,452

Change due to Agency Adjustment

0

0

0

Change due to PRA Violation

0

0

0

Previous
New
Difference
Change due to New Statute
Change due to Agency Discretion

TERMS OF CLEARANCE:
OMB Authorizing Official:

Dominic J. Mancini
Acting Deputy Administrator,
Office Of Information And Regulatory Affairs

IC Title

Form No.

Budget Form

Budget Form 1

Digital Stewardship

Digital Stewardship
form 1

Program Information
Form
FY16 Native American
Basic Budget A & B
FY16 Native American
Basic Final Financial
and Performance
Report
Library Reviewer form

List of ICs
Form Name

CFR Citation

IMLS Budget Form

Digital Stewardship
Supplementary
Information Form
Program Information
Program Information
Sheet 1
Sheet
FY 16 Native American FY 16 Native American
Education Budget B
Education Budget B, FY16
form 2, FY16 NA Basic Native American Basic
Budget A 1
Budget A
FY16 NA Basic Final
FY16 NA Basic Final
Financial & Perf
Financial & Performance
Reporting
Reporting

FY16 Library Reviewer FY16 Library Reviewer
form 1
form
Museum Reviewer form FY16 Museum
FY16 Museum Reviewer
Reviewer form 1
FY16 IMLS Final
FY16 Final
FY16 Final Performance
Performance Report
Performance Report
Report
form 1
FY16 IMLS Interim
FY16 Interim
FY16 Interim Performance
Performance Report
Performance Report
Report form
form 1
FY16 National Medal for FY16 National Medal
FY16 National Medal
Museum and Library
cover sheet form 1
cover sheet
Service cover sheet
Grants to States
State Financial Status
Reporing Requirements Report Final form 1
and status reports
Total Hours Actually Used for Information Collections Under Currently Approved ICR:

Hrs/$/Resp
3,312 / 91,643 / 1,104
542 / 14,997 / 542
345 / 9,532 / 1,378
137 / 3,791 / 274

548 / 15,163 / 274

38 / 1,038 / 75
714 / 19,756 / 1,428
4,460 / 123,417 / 365
2,130 / 58,944 / 672
13 / 352 / 159
2,651 / 73,354 / 56
14,890