Form 10-168b HPCA Amendment / Advisory Determination

NPS Form 10-168b (Rev. 6/2023)
National Park Service
OMB Control No. 1024-0009

HISTORIC PRESERVATION CERTIFICATION APPLICATION
AMENDMENT / ADVISORY DETERMINATION
NPS Project Number

Instructions: This page must bear the applicant's original signature and must be dated.

1.

Historic Property Name
Street
City

2.

County

This form

State

Zip

includes additional information requested by NPS for an application currently on hold.
updates applicant or contact information.
amends a previously submitted

Part 1

Part 2

Part 3 application.

requests an advisory determination that the completed phase

of

Standards for Rehabilitation. Phase completion date

phases of this rehabilitation meets the Secretary of the Interior's
Estimated rehabilitation costs of phase (QRE)

Summarize information here; continue on following page if necessary.

3.

Project Contact (if different from applicant)
Name

Company

Street
Zip

4.

City
Telephone

State

Email Address

Applicant
I hereby attest that the information I have provided is, to the best of my knowledge, correct. I further attest that [check one or both boxes, as applicable]:
I am the owner of the above-described property within the meaning of "owner" set forth in 36 CFR § 67.2 (2011), and/or
if I am not the fee simple owner of the above described property, the fee simple owner is aware of the action I am taking relative to this application and has no
objection, as noted in a written statement from the owner, a copy of which (i) either is attached to this application form and incorporated herein, or has been
previously submitted, and (ii) meets the requirements of 36 CFR § 67.3(a)(1) (2011).
For purposes of this attestation, the singular shall include the plural wherever appropriate. I understand that knowing and willful falsification of factual representations in
this application may subject me to fines and imprisonment under 18 U.S.C. § 1001, which, under certain circumstances, provides for imprisonment of up to 8 years.
Name

Signature

Applicant Entity

SSN

Street
Zip

Date
or TIN

City
Telephone

State

Email Address

Applicant, SSN, or TIN has changed since previously submitted application.

NPS Official Use Only
The National Park Service has reviewed this amendment to the Historic Preservation Certification Application and has determined that the amendment:
meets the Secretary of the Interior’s Standards for Rehabilitation.
will meet the Secretary of the Interior’s Standard for Rehabilitation if the attached conditions are met.
does not meet the Secretary of the Interior’s Standards for Rehabilitation.
updates the information on file and does not affect the certification.
Advisory Determinations:
The National Park Service has determined that the work completed in this phase is consistent with the Secretary of the Interior’s Standards for Rehabilitation. This
determination is advisory only. A formal certification of rehabilitation can be issued only after all rehabilitation work and any associated site work or new construction
have been completed. This approval could be superseded if it is found that the overall rehabilitation does not meet the Secretary’s Standards. A copy of this form will be
provided to the Internal Revenue Service.

Date

National Park Service Authorized Signature
NPS conditions or comments attached

HISTORIC PRESERVATION CERTIFICATION APPLICATION
AMENDMENT / ADVISORY DETERMINATION

Historic Property Name

NPS Project Number

Property Address

Page 1 of 1

HISTORIC PRESERVATION CERTIFICTION APPLICATION
AMENDMENT / ADVISORY DETERMINATION
NOTICES
Privacy Act Statement
Authority: 26 U.S. Code § 47 - Rehabilitation credit; 26 U.S. Code § 170 - Charitable, etc., contributions and gifts.
Purpose: To enable the Secretary of the Interior to evaluate the historic significance of structures and whether the
rehabilitation of such structures preserves their historic character. The primary use of this information by the
Secretary of the Interior will be to certify to the Secretary of the Treasury that the applicant is eligible for Federal tax
incentives for historic preservation. This application is used by the Internal Revenue Service to confirm that applicants
for the tax incentives have obtained the certification concerning historic structures and historic rehabilitations that are
required by law.
Routine uses: The information will be used by the National Park Service and the State Historic Preservation Offices
and disclosed to the Internal Revenue Service to determine if the applicant is eligible for Federal tax incentives.
Disclosure: Voluntary, however, failure to provide the requested information may prevent or impede you from
receiving consideration for the requested benefit.
Information Regarding Disclosure of Your Social Security Number Under Public Law 93-579 Section 7(b):
Your Social Security Number (SSN) is needed to identify records unique to you. Applicants are required to provide
their social security or taxpayer identification number for activities subject to collection of fees and charges by the
National Park Service. Failure to disclose your SSN may prevent or delay the processing of your application. The
authority for soliciting your SSN is 31 U.S.C. 7701. The information gathered through the use of the SSN will be used
only as necessary for processing this application and collecting and reporting any delinquent financial obligations.
Use of the SSN will be carried out in accordance with established regulations and published notices of system of
records.
Paperwork Reduction Act Statement
We are collecting this information subject to the Paperwork Reduction Act (44 U.S.C. 3501) through the State Historic
Preservation Officer in order to enable the Secretary of the Interior to gain the benefit of the State review of
applications for Federal tax incentives for historic preservation by owners of historic properties. Information collected
on this form, including names and all written comments, is subject to disclosure. All applicable parts of the form must
be completed in order to receive consideration for the requested benefit. A Federal agency may not conduct or
sponsor, and a person is not required to respond a collection of information unless it displays a currently valid OMB
control number. OMB has approved this collection and assigned it control number 1024-0009.
Estimated Burden Statement
Public reporting burden for this form is estimated to average 7 hours per response including the time it takes to read,
gather and maintain data, review instructions and complete the form. Direct comments regarding these burden
estimates, or any aspects of this form, to the Information Collection Clearance Officer, National Park Service, 13461
Sunrise Valley Drive, Mail Stop 244, Reston, VA 20192. Please do not send your form to this address.
Records Retention Statement
Permanent. Transfer all permanent records to NARA 15 years after closure. (NPS Records Schedule, Resource
Management and Lands (Item 1.A.2) (N1-79-08-1))

FOR APPLICANT RECORDS ONLY – THIS PAGE DOES NOT NEED TO BE PRINTED FOR APPLICATION