Information Collection

IMLS American Rescue Plan Grant Program - Program Information Form

IC 247341 under ICR 202211-3137-017 · OMB 3137-0127.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form ARPA Program Infor IMLS American Rescue Plan Grant Program - Program Information Form	Form and Instruction
Form ARPA Program Infor IMLS American Rescue Plan Grant Program - Program Information Form	Form and Instruction
ARPA Program Infor ARPA Program Information Form FY21 ARPA PIF 20210514.docx www.imls.gov	Form and Instruction
ARPA Program Infor ARPA Program Information Form FY21 ARPA PIF 20210514.docx www.imls.gov	Form and Instruction

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Unchanged

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
Form and Instruction	ARPA Program Information Form 1	ARPA Program Information Form	FY21 ARPA PIF 20210514.docx	https://www.imls.gov	Yes	Yes	Fillable Fileable

Line of Business: Education

Subfunction: Cultural and Historic Preservation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,200

Number of Respondents for Small Entity: 360

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	1,200	1,200
Annual IC Time Burden (Hours)	300	300
Annual IC Cost Burden (Dollars)	9,030	9,030

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

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