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: 3137-0097	ICR Reference No: 202204-3137-001
Status: Historical Active	Previous ICR Reference No: 202104-3137-001
Agency/Subagency: IMLS	Agency Tracking No:
Title: National Medal for Museum and Library Service form and cover sheet
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: 05/12/2022
	Date Received in OIRA: 04/25/2022
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	06/30/2024	06/30/2024	06/30/2024
Responses	175	0	175
Time Burden (Hours)	1,576	0	1,576
Cost Burden (Dollars)	47,408	0	47,408

ICR Summary of Burden

	Total Approved	Previously Approved
Annual Number of Responses	175	175
Annual Time Burden (Hours)	1,576	1,576
Annual Cost Burden (Dollars)	47,408	47,408

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: Increase in the number of nomination form applications

Annual Cost to Federal Government: $7,628

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. 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? No

Agency Contact: Connie Bodner 202 653-4636 cbodner@imls.gov

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