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National Medal for Museum and Library Service Nomination Form
National Medal for Museum and Library Service form and cover sheet
OMB: 3137-0097
IC ID: 231184
OMB.report
IMLS
OMB 3137-0097
ICR 202007-3137-003
IC 231184
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3137-0097 can be found here:
2024-05-07 - Revision of a currently approved collection
2023-04-20 - No material or nonsubstantive change to a currently approved collection
Documents and Forms
Document Name
Document Type
Form National Medal Mus
National Medal for Museum and Library Service Nomination Form
Form and Instruction
National Medal Mus National Medal Museum & Library Serv. Nomination
2021 Nomination Form_for PRA 20200727.docx
www.imls.gov/our-work/national-medal-museum-and-library-service
Form and Instruction
PRA Burden Estimate Natl Medals 2018.xlsx
NMMLS Burden Estimate
IC Document
2019 National Medal Form Final 2018-04-17.docx
2019 National Medal Form
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
National Medal for Museum and Library Service Nomination Form
Agency IC Tracking Number:
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
Form and Instruction
National Medal Museum & Library Serv. Nomination 1
National Medal Museum & Library Serv. Nomination
2021 Nomination Form_for PRA 20200727.docx
https://www.imls.gov/our-work/national-medal-museum-and-library-service
Yes
Yes
Fillable Fileable
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:
160
Number of Respondents for Small Entity:
40
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
0 %
Requested
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
160
0
0
0
0
160
Annual IC Time Burden (Hours)
1,440
0
0
0
0
1,440
Annual IC Cost Burden (Dollars)
40,219
0
0
0
0
40,219
Documents for IC
Title
Document
Date Uploaded
NMMLS Burden Estimate
PRA Burden Estimate Natl Medals 2018.xlsx
04/24/2018
2019 National Medal Form
2019 National Medal Form Final 2018-04-17.docx
07/27/2020
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.