Information Collection

HPCA Part 3 - Request for Certification of Completed Work (Private Sector)

IC 190590 under ICR 201604-1024-001 · OMB 1024-0009.

⚠️ Notice: This information collection may be referencing outdated material.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 10-168c HPCA Part 3 - Request for Certification of Completed Work (Private Sector) Form and Instruction
10-168c HPCA Part 3 - Request for Certification of Completed Wor NPS Form 10-168c HPCA Part 3 - Request for Certification of Completed Work Final 06162016.docx Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	HPCA Part 3 - Request for Certification of Completed Work (Private Sector)	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	10-168c	HPCA Part 3 - Request for Certification of Completed Work	NPS Form 10-168c HPCA Part 3 - Request for Certification of Completed Work Final 06162016.docx		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: 841	Number of Respondents for Small Entity: 228

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	841	466	71	304
Annual IC Time Burden (Hours)	14,297	7,922	2,119	4,256
Annual IC Cost Burden (Dollars)	1,364,102	755,852	138,722	469,528

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.