Communities for Immunity Evaluation (Round 2)

Documents and Forms

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

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Communities for Immunity Evaluation (Round 2)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation:

Information Collection 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 %

	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

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.