Historic Preservation Certification Application (HPCA) - Part I (Individuals)

Historic Preservation Certifications, 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⚠️ Notice: This information collection may be referencing outdated material.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 Historic Preservation Certification Application (HPCA) - Part I (Individuals) Form and Instruction
10-168 HPCA Part 1 HPCA forms.pdf www.nps.gov/tps/tax-incentives/taxdocs/hpca-part1.pdf Form and Instruction

Information Collection (IC) Details

IC Title:	Historic Preservation Certification Application (HPCA) - Part I (Individuals)	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 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	HPCA Part 1	HPCA forms.pdf	http://www.nps.gov/tps/tax-incentives/taxdocs/hpca-part1.pdf	Yes	No	Fillable Printable

Line of Business: Economic Development

Subfunction: Business and Industry Development

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 156	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	156	156
Annual IC Time Burden (Hours)	4,212	4,212
Annual IC Cost Burden (Dollars)	11,856	11,856

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.