Application for Domestic Indemnification

OMB 3135-0123

Applicants for federal 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).

The latest form for Application for Domestic Indemnification expires 2021-03-31 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form 3135-0123 Application for Domestic Indemnification Form and Instruction
Domestic Indemnity Supporting Statement A.pdf Supporting Statement A
Application for Domestic Indemnification Form and Instruction

All Historical Document Collections

202301-3135-002 Approved without change	Extension without change of a currently approved collection	2023-01-25
202003-3135-010	Extension without change of a currently approved collection	2020-03-18
201801-3135-002 Approved without change	Extension without change of a currently approved collection	2018-01-31
201411-3135-001 Approved without change	Reinstatement with change of a previously approved collection	2014-11-13
201103-3135-005 Approved with change	Extension without change of a currently approved collection	2011-05-18
200805-3135-001 Approved without change	New collection (Request for a new OMB Control Number)	2008-06-17