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Communities for Immunity Evaluation (Round 2)
Communities for Immunity Evaluation (Round 2)
OMB: 3137-0129
IC ID: 249891
OMB.report
IMLS
OMB 3137-0129
ICR 202201-3137-001
IC 249891
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3137-0129 can be found here:
2022-11-30 - Reinstatement without change of a previously approved collection
Documents and Forms
Document Name
Document Type
IMLS OMB C4I Round 2_Data Instruments_20220113.pdf
Instruction
IMLS OMB C4I Round 2_Data Instruments_20220113.pdf
Instruction
IMLS OMB C4I Round 2 Burden Estimate_20220113.xlsx
Burden Estimate FY22
IC Document
IMLS OMB C4I Round 2 Burden Estimate_20220113.xlsx
Burden Estimate FY22
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Communities for Immunity Evaluation (Round 2)
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
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
Instruction
IMLS OMB C4I Round 2_Data Instruments_20220113.pdf
Yes
Yes
Paper Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Education
Subfunction:
Cultural and Historic Preservation
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
1,335
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
100 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
1,335
0
147
0
0
1,188
Annual IC Time Burden (Hours)
185
0
65
0
0
120
Annual IC Cost Burden (Dollars)
7,189
0
2,501
0
0
4,688
Documents for IC
Title
Document
Date Uploaded
Burden Estimate FY22
IMLS OMB C4I Round 2 Burden Estimate_20220113.xlsx
01/14/2022
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.