Advance or Reimbursement Web Form

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form Form 1 Request for Advance or Reimbursement Web Form	Form	Modified	Available
Form Form 1 Payment Request Web Form	Form	Modified	Repair queued
Part A Justification eGMS Payment Request Form_20210108.docx	Supplementary Document	Uploaded 2024-02-07	Repair queued
IMLS 3137-0124 Part A Payment Request Form 20240202.docx	Supporting Statement A	Uploaded 2024-02-07	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
245343	Payment Request Web Form	Form	Modified	Request for Advance or Reimbursement Web Form
245343	Payment Request Web Form	Form	Modified
245343	Payment Request Web Form	Instruction	Modified

ICR Details

OMB Control No: 3137-0124	ICR Reference No: 202402-3137-003
Status: Active	Previous ICR Reference No: 202101-3137-003
Agency/Subagency: IMLS	Agency Tracking No:
Title: Advance or Reimbursement Web Form
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 03/28/2024
Retrieve Notice of Action (NOA)	Date Received in OIRA: 02/07/2024
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2027	36 Months From Approved	03/31/2024
Responses	6,000	0	5,000
Time Burden (Hours)	6,000	0	5,000
Cost Burden (Dollars)	190,800	0	145,500

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Abstract: The Institute of Museum and Library Services (IMLS) requests renewal of the clearance for the Request for Advance or Reimbursement Web Form under the Paperwork Reduction Act. The purpose of this collection is to administer the IMLS process by which IMLS awardees request advance or reimbursement payments.

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Authorizing Statute(s): None

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	88 FR 83974	12/01/2023
30-day Notice:	Federal Register Citation:	Citation Date:
	89 FR 8455	02/07/2024
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
Payment Request Web Form	Form 1	Request for Advance or Reimbursement Web Form

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ICR Summary of Burden

table that charts list of burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	6,000	5,000	0	1,000	0	0
Annual Time Burden (Hours)	6,000	5,000	0	1,000	0	0
Annual Cost Burden (Dollars)	190,800	145,500	0	45,300	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: Since implementing the Request for Advance or Reimbursement Web Form three years ago, have tracked the number of submissions awardees make every year. This information indicates that approximately 2,000 individual awardees submitted approximately three payment requests per year, totaling 6,000 requests per year rather than the 5,000 included in the previous clearance.

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Annual Cost to Federal Government: $52,500

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 02/07/2024

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