Information Collection

HPCA SHPO Review & Recommendation Sheet Rehabilitation Part 3

IC 206058 under ICR 201911-1024-002 · 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⚠️ Notice: This information collection may be referencing outdated material.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

Documents and forms in this information collection
Document Name	Document Type
Form 10-168e HPCA SHPO Review & Recommendation Sheet Rehabilitation Part 3 HPCA SHPO Review & Recommendation Sheet Rehabilitation Part 3	Form
NPS Form 10-168i Instructions 2019.docx	Instruction
10-168e HPCA SHPO Review & Recommendation Sheet Rehabilitation P NPS Form 10-168e SHPO Review Part 2-3 Rehabilitation 2019.docx	Form

IC Title:

HPCA SHPO Review & Recommendation Sheet Rehabilitation Part 3

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 36 CFR 67

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
Form	10-168e				No		Paper Only
Instruction					Yes	No	Printable Only

Line of Business: Economic Development

Subfunction: Business and Industry Development

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,053

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	1,053	168	885
Annual IC Time Burden (Hours)	4,212	1,114	3,098
Annual IC Cost Burden (Dollars)	17,901	2,856	15,045

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.

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