Information Collection

NEH Certification of Gifts/Pledges

IC 270196 under ICR 202408-3136-001 · OMB 3136-0134.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 202405 NEH Certification of Gifts/Pledges	Form
202405 NEH Certification of Gifts/Pledges 5. NEH Certification of Gifts-Pledges.pdf www.neh.gov/sites/default/files/inline-files/gift-certification-form.pdf	Form
202405 NEH Certification of Gifts/Pledges 5. NEH Certification of Gifts-Pledges.pdf www.neh.gov/sites/default/files/inline-files/gift-certification-form.pdf	Form

IC Title:

Agency IC Tracking Number:

202405

IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

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	202405	NEH Certification of Gifts/Pledges	5. NEH Certification of Gifts-Pledges.pdf	https://www.neh.gov/sites/default/files/inline-files/gift-certification-form.pdf	Yes	Yes	Fillable Fileable

Line of Business: Education

Subfunction: Cultural and Historic Preservation

Privacy Act System of Records

Title: Grants and Cooperative Agreements: Electronic Grant Management System

FR Citation: 87 FR 8616

Number of Respondents: 75

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	75	75
Annual IC Time Burden (Hours)	38	38
Annual IC Cost Burden (Dollars)	2,654	2,654

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.