Information Collection

HPCA Part 1 - Evaluation of Significance (Private Sector)

IC 190549 under ICR 202309-1024-002 · OMB 1024-0009.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 10-168 HPCA Part 1 - Evaluation of Significance (Private Sector)	Form and Instruction
10-168 HCPA Part 1 - Evaluation of Significance NPS Form 10-168 Part 1 Evaluation of Significance 2019 (1).docx	Form and Instruction

IC Title:

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 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 and Instruction	10-168	HCPA Part 1 - Evaluation of Significance	NPS Form 10-168 Part 1 Evaluation of Significance 2019 (1).docx		Yes	No	Fillable Fileable

Line of Business: Economic Development

Subfunction: Business and Industry Development

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,273

Number of Respondents for Small Entity: 301

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Requested	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	1,273	-390	1,663
Annual IC Time Burden (Hours)	19,095	-5,850	24,945
Annual IC Cost Burden (Dollars)	96,748	-29,640	126,388

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.