Information Collection

HPCA Part 3 - Request for Certification of Completed Work (Individuals)

IC 190587 under ICR 202309-1024-002 · OMB 1024-0009.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 10-168c HPCA Part 3 - Request for Certification of Completed Work (Individuals)	Form and Instruction
10-168c HPCA Part 3 - Request for Certification of Completed Wor NPS Form 10-168c Part 3 Request for Certification of Completed Work.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	10-168c	HPCA Part 3 - Request for Certification of Completed Work	NPS Form 10-168c Part 3 Request for Certification of Completed Work.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: 50

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	50	-3	53
Annual IC Time Burden (Hours)	700	64	636
Annual IC Cost Burden (Dollars)	90,750	84,284	6,466

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.