View Information Collection Request (ICR) Package

Please note that the OMB number and expiration date may not have been determined when this Information Collection Request and associated Information Collection forms were submitted to OMB. The approved OMB number and expiration date may be found by clicking on the Notice of Action link below.

View Generic ICR - OIRA Conclusion

OMB Control No: 3137-0113	ICR Reference No: 201905-3137-003
Status: Historical Active	Previous ICR Reference No: 201812-3137-001
Agency/Subagency: IMLS	Agency Tracking No:
Title: Community Catalyst (CCI) Program Evaluation: The Roles of Libraries and Museums as Enablers of Community Vitality and Co-Creators of Positive Community Change
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: 05/17/2019
	Date Received in OIRA: 05/17/2019
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	04/30/2022	04/30/2022	04/30/2022
Responses	599	0	599
Time Burden (Hours)	524	0	524
Cost Burden (Dollars)	16,610	0	16,610

Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Community Catalyst (CCI) Program Evaluation	Form 2, Form 4, Form 5, Form 7, Form 1, From 3, Form 6, Form 9, Form 8	, , , , , , , ,

ICR Summary of Burden

	Total Approved	Previously Approved
Annual Number of Responses	599	599
Annual Time Burden (Hours)	524	524
Annual Cost Burden (Dollars)	16,610	16,610

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: This is a new collection.

Annual Cost to Federal Government:

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

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. No

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. 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

Agency Contact: Sandra Webb 202 653-4718 swebb@imls.gov

Something went wrong when downloading this file. If you have any questions, please send an email to risc@gsa.gov.