Information Collection

Nomination as National Historical Landmark - indiv

IC 217982 under ICR 202512-1024-003 · OMB 1024-0276.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 10-934 National Historical Landmark Nomination Nomination as National Historical Landmark - indiv	Form
1024-0276 form instructions.(12.11.2025).pdf www.nps.gov/nhl/apply/write.htm	Instruction
10-934 National Historical Landmark Nomination NPS Form 10-934 National Historic Landmark (NHL)Nomination.(12.11.2025).pdf	Form

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 65

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	10-934				No		Fillable Printable
Instruction				http://www.nps.gov/nhl/apply/write.htm	Yes	No	Printable Only

Line of Business: Education

Subfunction: Cultural and Historic Preservation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 5

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	5	0	5
Annual IC Time Burden (Hours)	2,790	1,070	1,720
Annual IC Cost Burden (Dollars)	0	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.

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