Information Collection

State Significant Preservation Accomplishments Summary

IC 182884 under ICR 201408-1024-003 · OMB 1024-0038.

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IC Title:	State Significant Preservation Accomplishments Summary	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 36 CFR 61.4

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

Line of Business: General Government

Subfunction: Executive Functions

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 59	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 95 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	59	0	59
Annual IC Time Burden (Hours)	221	98	123
Annual IC Cost Burden (Dollars)	44	44	0

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