Form 10-900-b National Register of Historic Places Multiple Property D

NPS Form 10-900-b (Rev. 03/2021)
National Park Service

0MB Control No. 1024-0018

NATIONAL REGISTER OF HISTORIC PLACES
MULTIPLE PROPERTY DOCUMENTATION FORM

This form is used for documenting property groups relating to one or several historic contexts. See instructions in National Register Bulletin

How to Complete the Multiple Property Documentation Form (formerly 16B). Complete each item by entering the reques ted information

D

New Submission

D Amen d ed

Submis s io n

A. Name of Multiple Property Listing:

B. Associated Historic Context:
(Name each associated historic context, identifying theme, geographical area, and chronological period for each).

C. Form Prepared by
Name/ Title:
Organization:
Street and Number:
City/ town:
Email:

State:
Telephone:

Zip code:
Date:

D. Certification
As the designated authority under the National Historic Preservation Act of 1966, as amended, I hereby certify
that this documentation form meets the National Register documentation standards and sets forth requirements for
the listing of related properties consistent with the National Register criteria. This submission meets the
procedural and professional requirements set forth in 36 CFR 60 and the Secretary of the Interior's Standards and
Guidelines for Archeology and Historic Preservation.

Signature of certifying official

Title:

Date:

State or Federal Agency or Tribal Government:

Page 1 of 3

I hereby certify that this multiple property documentation form has been approved by the National Register as a basis for
evaluating related properties for listing in the National Register.
Signature of Keeper

Date of Action:

Table of Contents for Written Narrative
Create a Table of Contents and list the page numbers for each of these sections in the space below.
Provide narrative explanations for each of these sections on continuation sheets. In the header of each section,
cite the letter, page number, and name of the multiple property listing. Refer to How to Complete the Multiple
Property Documentation Form for additional guidance.

E. Statement of Historic Contexts
(If more than one historic context is documented, present them in sequential order.)

F. Associated Property Types
(Provide description, significance, and registration requirements.)

G. Geographical Data

H. Summary of Identification and Evaluation Methods
(Discuss the methods used in developing the multiple property listing.)

I. Major Bibliographical References
List major written works and primary location of additional documentation: State Historic Preservation
Office, other State agency, Federal agency, local government, university, or other, specifying repository.)

NOTICES
Privacy Act Statement
Authority: This information collection is authorized by the National Historic Preservation Act, as amended
(16 U.S.C.460 et seq.), and 36 CFR 60 and 63.
Purposes and Uses: This information is being collected for nominations to the National Register of Historic
Places to nominate properties for listing or determine eligibility for listing, to list properties, and to amend
existing listings.
Effects of Nondisclosure: Voluntary, however, response to this request is required to obtain a benefit in
accordance with the National Historic Preservation Act, as amended (16 U.S.C.460 et seq.).

Paperwork Reduction Act Statement
This information is being collected pursuant to National Historic Preservation Act, as amended (16
U.S.C.460 et seq.), and 36 CFR 60 and 63, to provide the necessary facts to enable the Secretary of the
Interior to evaluate the applicant's eligibility for inclusion in the National Register of Historic Places. A
federal agency may not conduct or sponsor, and a person is not required to respond to, a collection of
information unless it displays a valid Ol\18 control number. 0MB has approved this collection of
information and assigned Control No. 1024-0018.
Estimated Burden Statement
Public reporting for this collection of information is estimated to vary from 60 to 258 hours per response
depending on the complexity of the submission, including the time for reviewing instructions, searching
existing data sources, gathering and maintaining the data needed, and completing and reviewing the
collection of information. Send comments regarding this burden estimate or any other aspect of this
collection of information, including suggestions for reducing this burden, to the Information Collection
Clearance Officer, National Park Service, 1201 Oakridge Drive, Fort Collins, CO 80525. Do not send
your completed form to this address.