IMLS Library - Discretionary Program Information Form

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⚠️ Notice: This information collection may be referencing outdated material.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 Library Program In IMLS Library - Discretionary Program Information Form Form and Instruction
Library Program In Library Program Information Form FY22 IMLS Library Program Information Form FY22 without codes 20201203.docx www.imls.gov Form and Instruction
Library Program In Library Program Information Form FY22 IMLS Library Program Information Form FY22 without codes 20201203.docx www.imls.gov Form and Instruction

Information Collection (IC) Details

IC Title:	IMLS Library - Discretionary Program Information Form	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	Library Program Information Form FY22 1	Library Program Information Form FY22	IMLS Library Program 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: 741	Number of Respondents for Small Entity: 150

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Previously Approved
Annual Number of Responses for this IC	741	741
Annual IC Time Burden (Hours)	185	185
Annual IC Cost Burden (Dollars)	5,515	5,515

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.