Information Collection Request

Historic Preservation Certifications

ICR 202309-1024-002 · OMB 1024-0009 · Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form 10-168 HCPA Part 1 - Evaluation of Significance Form and Instruction Modified Repair queued
Form 10-168 HPCA Part 1 - Evaluation of Significance (Individuals) Form and Instruction Modified Available
Form 10-168e HPCA SHPO Review & Recommendation Sheet Rehabilitation - Amendments Form Modified Repair queued
Form 10-168e HPCA SHPO Review & Recommendation Sheet Rehabilitation - Amendments Form Modified Available
Form 10-168e HPCA SHPO Review & Recommendation Sheet Rehabilitation Part 3 Form Modified Repair queued
Form 10-168e HPCA SHPO Review & Recommendation Sheet Rehabilitation Part 3 Form Modified Repair queued
Form 10-168e HPCA SHPO Review & Recommendation Sheet Rehabilitation Part 2 Form Modified Repair queued
Form 10-168e HPCA SHPO Review & Recommendation Sheet Rehabilitation Part 2 Form Modified Repair queued
Form 10-168d HPCA State Historic Preservation Office Review & Recommendation Sheet - Significance Part I Form Modified Repair queued
Form 10-168d HPCA SHPO Review and Recommendation Sheet - Significance/Part 1 Form Modified Available
Form 10-168c HPCA Part 3 - Request for Certification of Completed Work Form and Instruction Modified Repair queued
Form 10-168c HPCA Part 3 - Request for Certification of Completed Work (Private Sector) Form and Instruction Modified Available
Form 10-168b HPCA Amendment / Advisory Determination Form and Instruction Modified Repair queued
Form 10-168b HPCA Amendment / Advisory Determination (Private Sector) Form and Instruction Modified Repair queued
Form 10-168a HPCA Part 2 - Description of Rehabilitation Form and Instruction Modified Repair queued
Form 10-168a HPCA Part 2 - Description of Rehabilitation (Private Sector) Form and Instruction Modified Repair queued
Form 10-168c HPCA Part 3 - Request for Certification of Completed Work Form and Instruction Modified Repair queued
Form 10-168c HPCA Part 3 - Request for Certification of Completed Work (Individuals) Form and Instruction Modified Available
Form 10-168b HPCA Amendment / Advisory Determination Form and Instruction Modified Repair queued
Form 10-168b HPCA Amendment / Advisory Determination (Individuals) Form and Instruction Modified Repair queued
Form 10-168a HPCA Part 2 - Description of Rehabilitation Form and Instruction Modified Available
Form 10-168a HPCA Part 2 - Description of Rehabilitation (Individuals) Form and Instruction Modified Repair queued
Form 10-168 HCPA Part 1 - Evaluation of Significance Form and Instruction Modified Repair queued
Form 10-168 HPCA Part 1 - Evaluation of Significance (Private Sector) Form and Instruction Modified Available
1024-0009 Historic Preservation SSA 2023 FINAL 10.11.2023.docx Supporting Statement A Uploaded 2023-10-11 Repair queued
1024-0009 30-day FRN 88 FR 76850 11.2.23.pdf Supplementary Document Uploaded 2023-11-07 Repair queued
1024-0009 60-day FRN 87 FR 65242 10-28-2022.pdf Supplementary Document Uploaded 2023-09-29 Repair queued
36CFR67.pdf Supplementary Document Uploaded 2019-12-04 Repair queued
Qualified Conservation Contributions (26 USC 170).pdf Supplementary Document Uploaded 2023-09-29 Repair queued
Rehabilitation Credit (26 USC 47).pdf Supplementary Document Uploaded 2023-09-29 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
43757 HPCA Part 1 - Evaluation of Significance (Individuals) Form and Instruction ModifiedHCPA Part 1 - Evaluation of Significance
43757 HPCA Part 1 - Evaluation of Significance (Individuals) Form and Instruction Modified
206167 Certification of Historic Districts Unchanged
206166 Certification of Statutes Unchanged
206061 Appeals (Private Sector) Modified
206060 Appeals (individuals) Modified
206059 HPCA SHPO Review & Recommendation Sheet Rehabilitation - Amendments Form ModifiedHPCA SHPO Review & Recommendation Sheet Rehabilitation - Amendments
206059 HPCA SHPO Review & Recommendation Sheet Rehabilitation - Amendments Form Modified
206059 HPCA SHPO Review & Recommendation Sheet Rehabilitation - Amendments Instruction Modified
206058 HPCA SHPO Review & Recommendation Sheet Rehabilitation Part 3 Form ModifiedHPCA SHPO Review & Recommendation Sheet Rehabilitation Part 3
206058 HPCA SHPO Review & Recommendation Sheet Rehabilitation Part 3 Form Modified
206058 HPCA SHPO Review & Recommendation Sheet Rehabilitation Part 3 Instruction Modified
206057 HPCA SHPO Review & Recommendation Sheet Rehabilitation Part 2 Form ModifiedHPCA SHPO Review & Recommendation Sheet Rehabilitation Part 2
206057 HPCA SHPO Review & Recommendation Sheet Rehabilitation Part 2 Form Modified
206057 HPCA SHPO Review & Recommendation Sheet Rehabilitation Part 2 Instruction Modified
206056 HPCA SHPO Review and Recommendation Sheet - Significance/Part 1 Form ModifiedHPCA State Historic Preservation Office Review & Recommendation Sheet - Significance Part I
206056 HPCA SHPO Review and Recommendation Sheet - Significance/Part 1 Form Modified
206056 HPCA SHPO Review and Recommendation Sheet - Significance/Part 1 Instruction Modified
190590 HPCA Part 3 - Request for Certification of Completed Work (Private Sector) Form and Instruction ModifiedHPCA Part 3 - Request for Certification of Completed Work
190590 HPCA Part 3 - Request for Certification of Completed Work (Private Sector) Form and Instruction Modified
190589 HPCA Amendment / Advisory Determination (Private Sector) Form and Instruction ModifiedHPCA Amendment / Advisory Determination
190589 HPCA Amendment / Advisory Determination (Private Sector) Form and Instruction Modified
190588 HPCA Part 2 - Description of Rehabilitation (Private Sector) Form and Instruction ModifiedHPCA Part 2 - Description of Rehabilitation
190588 HPCA Part 2 - Description of Rehabilitation (Private Sector) Form and Instruction Modified
190587 HPCA Part 3 - Request for Certification of Completed Work (Individuals) Form and Instruction ModifiedHPCA Part 3 - Request for Certification of Completed Work
190587 HPCA Part 3 - Request for Certification of Completed Work (Individuals) Form and Instruction Modified
190586 HPCA Amendment / Advisory Determination (Individuals) Form and Instruction ModifiedHPCA Amendment / Advisory Determination
190586 HPCA Amendment / Advisory Determination (Individuals) Form and Instruction Modified
190584 HPCA Part 2 - Description of Rehabilitation (Individuals) Form and Instruction ModifiedHPCA Part 2 - Description of Rehabilitation
190584 HPCA Part 2 - Description of Rehabilitation (Individuals) Form and Instruction Modified
190549 HPCA Part 1 - Evaluation of Significance (Private Sector) Form and Instruction ModifiedHCPA Part 1 - Evaluation of Significance
190549 HPCA Part 1 - Evaluation of Significance (Private Sector) Form and Instruction Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
04/30/2029 36 Months From Approved 04/30/2026
12,208 0 11,841
150,045 0 150,432
4,440,135 0 4,490,811





Reginfo record details
16
table that charts list of burden
IC Title Form No. Form Name
Appeals (Private Sector)
Appeals (individuals)
Certification of Historic Districts
Certification of Statutes
HPCA Amendment / Advisory Determination (Individuals) 10-168b
HPCA Amendment / Advisory Determination (Private Sector) 10-168b
HPCA Part 1 - Evaluation of Significance (Individuals) 10-168
HPCA Part 1 - Evaluation of Significance (Private Sector) 10-168
HPCA Part 2 - Description of Rehabilitation (Individuals) 10-168a
HPCA Part 2 - Description of Rehabilitation (Private Sector) 10-168a
HPCA Part 3 - Request for Certification of Completed Work (Individuals) 10-168c
HPCA Part 3 - Request for Certification of Completed Work (Private Sector) 10-168c
HPCA SHPO Review & Recommendation Sheet Rehabilitation - Amendments 10-168e
HPCA SHPO Review & Recommendation Sheet Rehabilitation Part 2 10-168e
HPCA SHPO Review & Recommendation Sheet Rehabilitation Part 3 10-168e
HPCA SHPO Review and Recommendation Sheet - Significance/Part 1 10-168d

table that charts list of burden
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 12,208 11,841 0 0 367 0
Annual Time Burden (Hours) 150,045 150,432 0 0 -387 0
Annual Cost Burden (Dollars) 4,440,135 4,490,811 0 0 -50,676 0


Reginfo record details
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