IMLS Grant Program Application and Post-Award Report Forms

Forms and Documents

Document Name	Status
Form SPR Requirements 1 Grants to States Reporing Requirements and status reports Form and Instruction	Modified
Justification for Change-Removal of Forms-NA Basic Budget A&B & NA Final Financial & Performance Report.docx Justification for No Material/Nonsubstantive Change	2016-06-17
Justification for Change-Removal of Forms-Library Reviewer Form & Museum Reviewer Form.docx Justification for No Material/Nonsubstantive Change	2016-06-17
Justification for Change-Removal of Forms-Interim & Final Performance Reports and Cover Sheets.docx Justification for No Material/Nonsubstantive Change	2016-06-17
Justification for Change-Removal of Forms-National Medal for Museum & Library Service.docx Justification for No Material/Nonsubstantive Change	2016-06-17
Justification for Change - Budget PIS Digital - for removal to OMB.docx Justification for No Material/Nonsubstantive Change	2016-06-06
Justification for Change - 3137-0071 NMMLS 2017.docx Justification for No Material/Nonsubstantive Change	2016-04-29
Performance Report justification for changes 10-15-15.pdf Justification for No Material/Nonsubstantive Change	2015-10-16
PRA burden estimates revised for performance report 20151015.xlsx Supplementary Document	2015-10-15
Justification for Change 3137-0071 General Clearance Grant Application and Post-Award Processes.docx Justification for No Material/Nonsubstantive Change	2015-09-02
Forms justification statement A 0071_2015.docx Supporting Statement A	2015-09-02
Burden estimate for IMLS.xlsx Supplementary Document	2015-06-01
PRA burden est 20150528.xlsx Supplementary Document	2015-06-01
SF-3881.pdf Supplementary Document	2015-06-01
SF-425.pdf Supplementary Document	2015-06-01
SF-425 Instructions.pdf Supplementary Document	2015-06-01
SF-424S.pdf Supplementary Document	2015-06-01
SF-424S Instructions_IMLS.pdf Supplementary Document	2015-06-01
SF-270.pdf Supplementary Document	2015-06-01
State Programs - Program Assurances and Certifications.pdf Supplementary Document	2015-06-01
State Programs - Legal Certification form.pdf Supplementary Document	2015-06-01
State Programs - Internet Safety Certification form.pdf Supplementary Document	2015-06-01
State Programs - Information Update form.pdf Supplementary Document	2015-06-01
State Programs - Certification LSTA State Program Report.pdf Supplementary Document	2015-06-01

IC Document Collections

IC ID	Document Title	Status
216833	Grants to States Reporing Requirements and status reports Form and Instruction	Modified

ICR Details

OMB Control No: 3137-0071	ICR Reference No: 201710-3137-004
Status: Historical Active	Previous ICR Reference No: 201606-3137-016
Agency/Subagency: IMLS	Agency Tracking No:
Title: IMLS Grant Program Application and Post-Award Report Forms
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 10/31/2017
	Date Received in OIRA: 10/16/2017
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	07/31/2018	07/31/2018	07/31/2018
Responses	7,367	0	7,367
Time Burden (Hours)	15,085	0	15,085
Cost Burden (Dollars)	417,391	0	417,391

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Abstract: IMLS requests clearance for the 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) for which a three-year extension is being submitted at this time.

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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 90	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: 1

IC Title	Form No.	Form Name
Grants to States Reporing Requirements and status reports	SPR Requirements 1	SPR Requirements 2017

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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	7,367	7,367	0	0	0	0
Annual Time Burden (Hours)	15,085	15,085	0	0	0	0
Annual Cost Burden (Dollars)	417,391	417,391	0	0	0	0

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

Burden Increase Due to:

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

Burden Reduction Due to:

Short Statement: IMLS is requesting a change to a previously approved clearance in order to extract the IMLS Final Performance Report first page and the IMLS Interim Performance Report first page for additional submissions. The currently approved IMLS Final and Interim Performance Reports are for applicants FY16 forward. Awardees who received a grant FY15 and prior were required to submit only the cover sheet of both those reports. IMLS needs to extract the first page from each report as a standalone document for submission by awardees FY15 and before. This change is requesting the same expiration date of 07/31/2018.

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Annual Cost to Federal Government: $406,017

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.     Yes

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.     Yes

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: 10/16/2017

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