Information Collection

IMLS ALHC Research Project

IC 259133 under ICR 202303-3137-001 · OMB 3137-0133.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
IMLS-ALHC Research - Appendices_ 20230312.docx	Instruction
IMLS-ALHC Research - Appendices_ 20230312.docx	Instruction
IMLS-ALHC Research - Burden Estimate_ 20230312.xlsx FY23 Burden Estimate -ALHC Research	IC Document
IMLS-ALHC Research - Burden Estimate_ 20230312.xlsx FY23 Burden Estimate -ALHC Research	IC Document
IMLS-ALHC Research_Spanish_Appendices_ 20230312.docx Appendices	IC Document
IMLS-ALHC Research_Spanish_Appendices_ 20230312.docx Appendices	IC Document

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

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-ALHC Research - Appendices_ 20230312.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: 400

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	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	400	400
Annual IC Time Burden (Hours)	305	305
Annual IC Cost Burden (Dollars)	11,327	11,327

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
FY23 Burden Estimate -ALHC Research	IMLS-ALHC Research - Burden Estimate_ 20230312.xlsx	03/14/2023
Appendices	IMLS-ALHC Research_Spanish_Appendices_ 20230312.docx	03/14/2023

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