HPCA Businesses - Part 1, Form 10-168

Historic Preservation Certification Application -- 36 CFR Part 67

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1024-0009 can be found here:

Documents and Forms

Document Name Document Type
Form 10-168 HPCA Businesses - Part 1, Form 10-168 Form and Instruction
10-168 HCPA Part 1 HPCA_2009 form.pdf Form and Instruction

Information Collection (IC) Details

IC Title:	HPCA Businesses - Part 1, Form 10-168	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 36 CFR 67

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	10-168	HCPA Part 1	HPCA_2009 form.pdf		Yes	No	Paper Only

Line of Business: Economic Development

Subfunction: Business and Industry Development

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,190	Number of Respondents for Small Entity: 595

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	1,190	1,190
Annual IC Time Burden (Hours)	595	595
Annual IC Cost Burden (Dollars)	1,071,000	1,071,000

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.