Information Collection

Historic Preservation Certification Application 36 CFR Part 67.3

IC 11055 under ICR 200304-1024-001 · OMB 1024-0009.

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Information Collection (IC) Details

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IC Title:	Historic Preservation Certification Application 36 CFR Part 67.3	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Migrated

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?
Form	10-168B	No	No
Form	10-168C	No	No
Form	10-168	No	No
Form	10-168A	No	No

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 3,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	3,000	0	3,000
Annual IC Time Burden (Hours)	42,000	34,500	7,500
Annual IC Cost Burden (Dollars)	1,000,000	236,000	764,000

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Title	Document	Date Uploaded

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