IMLS Supplementary Information Form FY22

Generic Clearance for IMLS Grant Forms: Budget Form, Library and Museum Program Information Form, and Digital Product Form, EGMS PIS Supplementary Sheet, eGMS Abstract form

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3137-0092 can be found here:

Documents and Forms

Document Name Document Type
Form IMLS Supplementary IMLS Supplementary Information Form FY22 Form and Instruction
IMLS Supplementary IMLS Supplementary Information Form FY22 IMLS Supplementary Information Form FY22 without codes 20201203.docx www.imls.gov Form and Instruction
IMLS Supplementary IMLS Supplementary Information Form FY22 IMLS Supplementary Information Form FY22 without codes 20201203.docx www.imls.gov Form and Instruction

Information Collection (IC) Details

IC Title:	IMLS Supplementary Information Form FY22	Agency IC Tracking Number:

IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	IMLS Supplementary Information Form FY22 1	IMLS Supplementary Information Form FY22	IMLS Supplementary Information Form FY22 without codes 20201203.docx	www.imls.gov	Yes	Yes	Fillable Fileable

Line of Business: Education

Subfunction: Cultural and Historic Preservation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,464	Number of Respondents for Small Entity: 300

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Previously Approved
Annual Number of Responses for this IC	1,464	1,464
Annual IC Time Burden (Hours)	146	146
Annual IC Cost Burden (Dollars)	4,260	4,260

Documents for IC

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.