Information Collection

Communities for Immunity Evaluation (Round 2)

IC 249891 under ICR 202211-3137-018 · OMB 3137-0129.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
IMLS OMB C4I Round 2_Data Instruments_20220113.pdf	Instruction
IMLS OMB C4I Round 2_Data Instruments_20220113.pdf	Instruction
IMLS OMB C4I Round 2 Burden Estimate_20220113.xlsx Burden Estimate FY22	IC Document
IMLS OMB C4I Round 2 Burden Estimate_20220113.xlsx Burden Estimate FY22	IC Document

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
Instruction			IMLS OMB C4I Round 2_Data Instruments_20220113.pdf		Yes	Yes	Paper Only

Line of Business: Education

Subfunction: Cultural and Historic Preservation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,335

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
	Approved	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	1,335	1,335
Annual IC Time Burden (Hours)	185	185
Annual IC Cost Burden (Dollars)	7,189	7,189

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Burden Estimate FY22	IMLS OMB C4I Round 2 Burden Estimate_20220113.xlsx	01/14/2022

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