Information Collection

State and Local Governments -- Individual & District Nominations

IC 187880 under ICR 200812-1024-001 · OMB 1024-0018.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1024-0018 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 10-900 State and Local Governments -- Individual & District Nominations	Form and Instruction
10-900 National Register of Historic Places Form Form 10-900.pdf www.cr.nps.gov/nr/publications/forms.htm	Form and Instruction
10-900-a National Register of Historic Places Continuation Sheet Form-10-900a.pdf www.cr.nps.gov/nr/publications/forms.htm	Form

IC Title:

State and Local Governments -- Individual & District Nominations

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 63 36 CFR 60

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	10-900	National Register of Historic Places Form	Form 10-900.pdf	www.cr.nps.gov/nr/publications/forms.htm	Yes	No	Printable Only
Form	10-900-a	National Register of Historic Places Continuation Sheet	Form-10-900a.pdf	www.cr.nps.gov/nr/publications/forms.htm	Yes	No	Printable Only

Line of Business: Education

Subfunction: Cultural and Historic Preservation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 384

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	384	384
Annual IC Time Burden (Hours)	13,824	13,824
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.