Information Collection

Nomination as National Historical Landmark - govt

IC 217985 under ICR 202512-1024-003 · OMB 1024-0276.

Documents and Forms

Document Name Document Type
Form 10-934 National Historical Landmark Nomination Nomination as National Historical Landmark - govt 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

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Nomination as National Historical Landmark - govt	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:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	10-934	National Historical Landmark Nomination	NPS Form 10-934 National Historic Landmark (NHL)Nomination.(12.11.2025).pdf		No		Fillable Printable
Instruction			1024-0276 form instructions.(12.11.2025).pdf	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: 10	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	10	-5	15
Annual IC Time Burden (Hours)	5,580	420	5,160
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

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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