Information Collection

Nomination as National Historical Landmark - indiv

IC 217982 under ICR 201508-1024-001 · OMB 1024-0276.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1024-0276 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
1024-NHL form instructions.pdf www.nps.gov/nhl/apply/write.htm	Instruction
10-934 National Historical Landmark Nomination 10-934 - 2015 rev 11-17-15.doc	Form

IC Title:

Nomination as National Historical Landmark - indiv

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 65

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
Instruction			1024-NHL form instructions.pdf	http://www.nps.gov/nhl/apply/write.htm	Yes	No	Printable Only
Form	10-934	National Historical Landmark Nomination	10-934 - 2015 rev 11-17-15.doc		No		Fillable Printable

Line of Business: Education

Subfunction: Cultural and Historic Preservation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 5

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	5	5
Annual IC Time Burden (Hours)	1,720	1,720
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.