Information Collection

HPCA Part 2 - Description of Rehabilitation (Individuals)

IC 190584 under ICR 202309-1024-002 · OMB 1024-0009.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 10-168a HPCA Part 2 - Description of Rehabilitation (Individuals)	Form and Instruction
10-168a HPCA Part 2 - Description of Rehabilitation NPS Form 10-168a Part2 Description of Rehabilitation 6-2023.pdf	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	10-168a	HPCA Part 2 - Description of Rehabilitation	NPS Form 10-168a Part2 Description of Rehabilitation 6-2023.pdf		Yes	No	Fillable Printable

Line of Business: Economic Development

Subfunction: Business and Industry Development

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 65

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

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	65	-12	77
Annual IC Time Burden (Hours)	3,770	-157	3,927
Annual IC Cost Burden (Dollars)	117,975	-15,543	133,518

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.