Application for International and Domestic Indemnification

Forms and Documents

Document Name	Status
Form 3135-0094 Application for International Indemnification Form and Instruction	Modified
Form 3135-0094 Application for Domestic Indemnification Form and Instruction	New
Indemnity Supporting Statement A Final.pdf Supporting Statement A	2026-01-28

IC Document Collections

IC ID	Document Title	Status
32834	Application for International Indemnification Form and Instruction	Modified
278895	Application for Domestic Indemnification Form and Instruction	New

ICR Details

OMB Control No: 3135-0094	ICR Reference No: 202601-3135-002
Status: Received in OIRA	Previous ICR Reference No: 202301-3135-001
Agency/Subagency: NEA	Agency Tracking No: 3135NEA-Indemnity
Title: Application for International and Domestic Indemnification
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 01/30/2026

	Requested	Previously Approved
Expiration Date	36 Months From Approved	03/31/2026
Responses	25	40
Time Burden (Hours)	1,325	1,800
Cost Burden (Dollars)	39,750	83,880

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Abstract: Applicants for federal international and domestic indemnity under the Arts and Artifacts Indemnity Act (P.L. 94-158) are required to submit indemnity applications. Respondents include non-profit, tax-exempt organizations (primarily museums).

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Authorizing Statute(s): PL: Pub.L. 94 - 158 1, 89 Stat. 844 Name of Law: Arts and Artifacts Indemnity Act
  

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:
	90 FR 55182	12/01/2025
30-day Notice:	Federal Register Citation:	Citation Date:
	91 FR 4113	01/30/2026
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 2

IC Title	Form No.	Form Name
Application for Domestic Indemnification	3135-0094	Application for Domestic Indemnification
Application for International Indemnification	3135-0094	Application for International Indemnification

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ICR Summary of Burden

	Total Request	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	25	40	0	-15	0	0
Annual Time Burden (Hours)	1,325	1,800	0	-475	0	0
Annual Cost Burden (Dollars)	39,750	83,880	0	-44,130	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: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: Application requirements remain unchanged. Applicant time burden was recalculated based on estimated time to gather and prepare application materials. Application submission numbers have been reduced in recent years.

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Annual Cost to Federal Government: $270,507

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: 01/30/2026

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