Information Collection

Baseline Questionnaire for Certified Local Governments (State)

IC 182868 under ICR 202401-1024-001 · OMB 1024-0038.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 10-2061 Baseline Questionnaire for Certified Local Governments (State)	Form
10-2061 National Park Service Cumulative Baseline Questionnaire 10-2061 Baselline Questionaire for Certified Local Governments.pdf www.nps.gov/history/hps/clg/index.htm	Form

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Unchanged

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 36 CFR 61

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	10-2061	National Park Service Cumulative Baseline Questionnaire for CLGs	10-2061 Baselline Questionaire for Certified Local Governments.pdf	http://www.nps.gov/history/hps/clg/index.htm	Yes	No	Printable Only

Line of Business: General Government

Subfunction: Executive Functions

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 250

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 50 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	250	250
Annual IC Time Burden (Hours)	188	188
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.