Information Collection

Nomination as National Historical Landmark - private sector

IC 217984 under ICR 201812-1024-004 · 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⚠️ Notice: This information collection may be referencing outdated material.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

Document Name Document Type
Form 10-934 Nomination as National Historical Landmark - private sector Form
1024-0276 form instructions.pdf www.nps.gov/nhl/apply/write.htm Instruction
10-934 National Historical Landmark Nomination 1024-0276 Form10-934.(ver12.18).doc Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Nomination as National Historical Landmark - 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 65

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	10-934	National Historical Landmark Nomination	1024-0276 Form10-934.(ver12.18).doc		No		Fillable Fileable
Instruction			1024-0276 form instructions.pdf	http://www.nps.gov/nhl/apply/write.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: 10	Number of Respondents for Small Entity: 8

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Farms, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	10	10
Annual IC Time Burden (Hours)	3,440	3,440
Annual IC Cost Burden (Dollars)	0	0

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.