Interim and Final Performance Reports and Cover Sheets

Forms and Documents

Document Name	Status
Form IMLS Interim Perfo IMLS Interim Performance Report and Cover Sheet Form	New
Form IMLS Final Perform IMLS Final Performance Report and Cover Sheet Form	New
sf425_ffr_instructions.pdf Supplementary Document	2016-06-17
sf-425.pdf Supplementary Document	2016-06-17
sf270.pdf Supplementary Document	2016-06-17
glossary.pdf Supplementary Document	2016-06-17
Administration _ Manage_Award-Forms.pdf Supplementary Document	2016-06-17
NOA_3137-0071_PerformanceReportsChange.pdf Supplementary Document	2016-06-17
NOA_3137-0071 - July 2015.pdf Supplementary Document	2016-06-17
Burden Estimate Interim & Final Perf reports and cover sheet.xlsx Supplementary Document	2016-06-17
Forms justification statement A Interm & Final Perf Reports & Cover Sheets.docx Supporting Statement A	2016-06-17

IC Document Collections

IC ID	Document Title	Status
222032	IMLS Interim Performance Report and Cover Sheet Form	New
222031	IMLS Final Performance Report and Cover Sheet Form	New

ICR Details

OMB Control No: 3137-0100	ICR Reference No: 201606-3137-015
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: IMLS	Agency Tracking No:
Title: Interim and Final Performance Reports and Cover Sheets
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 06/29/2016
	Date Received in OIRA: 06/17/2016
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	07/31/2018	07/31/2018
Responses	976	0	0
Time Burden (Hours)	6,235	0	0
Cost Burden (Dollars)	174,186	0	0

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Abstract: IMLS requests clearance for forms it uses for all of the grant program applications, post-award reporting, and peer reviewer applications. These forms are directly related to the generic clearance for IMLS grant application and award processes (3137-0029).

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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:
	80 FR 25	02/06/2015
30-day Notice:	Federal Register Citation:	Citation Date:
	80 FR 99	05/22/2015
Did the Agency receive public comments on this ICR? Yes

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

IC Title	Form No.	Form Name
IMLS Interim Performance Report and Cover Sheet	IMLS Interim Performance Report 2016 Form 1, IMLS Interim Performance Report 2015 Form 1	IMLS Interim Performance Report 2016 Form ,   IMLS Interim Performance Report 2015 Form
IMLS Final Performance Report and Cover Sheet	IMLS Final Performance Report 2016 Form 1, IMLS Final Performance Report 2015 Form 1	IMLS Final Performance Report 2016 Form ,   IMLS Final Performance Report 2015 Form

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ICR Summary 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	976	0	0	976	0	0
Annual Time Burden (Hours)	6,235	0	0	6,235	0	0
Annual Cost Burden (Dollars)	174,186	0	0	174,186	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: No burden increase.

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Annual Cost to Federal Government: $47,267

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

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? 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? Uncollected

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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: 06/17/2016

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