Historic Preservation Certification Application -- 36 CFR Part 67

Forms and Documents

Document Name	Status
Form 10-168 Historic Preservation Certification Application (HPCA) - Individuals Form 10-168 Form and Instruction	Modified
Form 10-168c HPCA, Part 3, Businesses Form 10-168c Form and Instruction	New
Form 10-168b HPCA Businesses, Amendment, Form 10-168b Form and Instruction	New
Form 10-168a HPCA Businesses Part 2, Form 10-168a Form and Instruction	New
Form 10-168c HPCA Part 3, Individuals Form 10-168c Form and Instruction	New
Form 10-168b HPCA, Individuals, Amendment, Form 10-168b Form and Instruction	New
Form 10-168a HPCA Individuals Part 2, 10-168a Form and Instruction	New
Form 10-168 HPCA Businesses - Part 1, Form 10-168 Form and Instruction	New
30 day notice, Federal Register published.pdf Supplementary Document	2009-09-21
information_collection.1024-0009.supporting_statement.9_21.doc Supporting Statement A	2009-09-21
HPCA_2009 Sept 02_09.pdf Supplementary Document	2009-09-10
information collection.1024-0009.IRC sec170.pdf Supplementary Document	2009-09-10
information collection.1024-0009.nps tax regs.pdf Supplementary Document	2009-07-27
60 day notice Federal Register 1024-0009.mht Supplementary Document	2009-06-23
information collection.1024-0009.IRC sec47.pdf Supplementary Document	2009-06-23

IC Document Collections

IC ID	Document Title	Status
43757	Historic Preservation Certification Application (HPCA) - Individuals Form 10-168 Form and Instruction	Modified
190590	HPCA, Part 3, Businesses Form 10-168c Form and Instruction	New
190589	HPCA Businesses, Amendment, Form 10-168b Form and Instruction	New
190588	HPCA Businesses Part 2, Form 10-168a Form and Instruction	New
190587	HPCA Part 3, Individuals Form 10-168c Form and Instruction	New
190586	HPCA, Individuals, Amendment, Form 10-168b Form and Instruction	New
190584	HPCA Individuals Part 2, 10-168a Form and Instruction	New
190549	HPCA Businesses - Part 1, Form 10-168 Form and Instruction	New

ICR Details

OMB Control No: 1024-0009	ICR Reference No: 200906-1024-002
Status: Historical Active	Previous ICR Reference No: 200607-1024-002
Agency/Subagency: DOI/NPS	Agency Tracking No:
Title: Historic Preservation Certification Application -- 36 CFR Part 67
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 03/04/2010
	Date Received in OIRA: 09/21/2009
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2013	36 Months From Approved	03/31/2010
Responses	5,578	0	4,000
Time Burden (Hours)	25,798	0	80,000
Cost Burden (Dollars)	7,001,644	0	1,278,000

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Abstract: Sections 47 and 170(h) of the Internal Revenue Code require the Secretary of the Interior to certify to the Secretary of the Treasury whether (1) properties are historic structures, and (2) rehabilitation work on such properties is consistent with their historic character. These certifications are necessary for applicants to receive a Federal income tax credit for rehabilitation (sec. 47), or an income tax deduction for charitable contributions for conservation purposes (sec. 170(h)).

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Authorizing Statute(s): US Code: 26 USC 170 Name of Law: Qualified Conservation Contributions
   US Code: 26 USC 47 Name of Law: Qualified Rehabilitated Buildings
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	74 FR 5945	02/09/2009
30-day Notice:	Federal Register Citation:	Citation Date:
	74 FR 47955	09/18/2009
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 8

IC Title	Form No.	Form Name
Historic Preservation Certification Application (HPCA) - Individuals Form 10-168	10-168	HPCA Part 1
HPCA Individuals Part 2, 10-168a	10-168a	HPCA Part 2
HPCA Businesses Part 2, Form 10-168a	10-168a	HPCA Part 2
HPCA Businesses, Amendment, Form 10-168b	10-168b	Amendment
HPCA, Individuals, Amendment, Form 10-168b	10-168b	HPCA Amendment
HPCA Businesses - Part 1, Form 10-168	10-168	HCPA Part 1
HPCA, Part 3, Businesses Form 10-168c	10-168c	HPCA, Part 3
HPCA Part 3, Individuals Form 10-168c	10-168c	HPCA Part 3

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ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	5,578	4,000	0	1,780	-202	0
Annual Time Burden (Hours)	25,798	80,000	0	2,804	-57,006	0
Annual Cost Burden (Dollars)	7,001,644	1,278,000	0	640,800	5,082,844	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: We are estimating 5,578 responses, 25,798 annual burden hours, and $7,001,644 in nonhour burden costs for this information collection. This an increase of 1,578 responses and $5,723,644 in nonhour burden costs, and a decrease of 54,202 burden hours. We are reporting as a program change, an increase of 1780 responses and 2804 hours associated with completion of Form 10-168b. Burden for this form was not included in previous approvals for this information collection because it was a continuation sheet. The form is now an amendment, and we are reporting the burden associated with amending previous applications. Contractor costs of $640,800 for completion of this form are also included as a program change. We are reporting as an adjustment: • A decrease of 202 responses based on our experience over the past 3 years. • A decrease of 57006 burden hours, and an increase of $5,082,844 in nonhour burden costs. We have reduced the burden hours for businesses and increased the nonhour burden cost associated with contractor costs. Approximately 75% of responses are supplied by contractors/ consultants hired by businesses; the hours worked by consultants and the costs associated with these hours now appear in Item 13. Burden hours for businesses submitting applications are therefore lower than for individuals, who prepare the information collection themselves in the overwhelming majority of cases.

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Annual Cost to Federal Government: $1,847,029

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 09/21/2009

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