Information Collection

Nomination as National Historical Landmark - private sector

IC 217984 under ICR 202202-1024-002 · 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⚠️ Notice: This information collection may be referencing outdated material.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
Form 10-934 Nomination as National Historical Landmark - private sector	Form
Form 10-934 National Historical Landmark Nomination Nomination as National Historical Landmark - private sector	Form
1024-0276 form instructions.pdf www.nps.gov/nhl/apply/write.htm	Instruction
1024-0276 form instructions.pdf www.nps.gov/nhl/apply/write.htm	Instruction
10-934 National Historical Landmark Nomination NPS Form 10-934 National Historic Landmark (NHL)Nomination.pdf	Form
10-934 National Historical Landmark Nomination NPS Form 10-934 National Historic Landmark (NHL)Nomination.pdf	Form

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:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	10-934	National Historical Landmark Nomination	NPS Form 10-934 National Historic Landmark (NHL)Nomination.pdf		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: Farms, Not-for-profit institutions, Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	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

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.