OMB control number

Historic Preservation Certifications

OMB 1024-0009 · DOI/NPS.

OMB 1024-0009

Sections 47 and 170(h) of the Internal Revenue Code require the Secretary of the Interior to certify to the Secretary of the Treasury whether (1) properties are historic structures, and (2) rehabilitation work on such properties is consistent with their historic character. These certifications are necessary for applicants to receive a Federal income tax credit for rehabilitation (sec. 47), or an income tax deduction for charitable contributions for conservation purposes (sec. 170(h)).

The latest form for Historic Preservation Certifications expires 2029-04-30 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form 10-168 HPCA Part 1 - Evaluation of Significance (Individuals) Form and Instruction
Form 10-168e HPCA SHPO Review & Recommendation Sheet Rehabilitation - Amendments Form
Form 10-168e HPCA SHPO Review & Recommendation Sheet Rehabilitation Part 3 Form
Form 10-168e HPCA SHPO Review & Recommendation Sheet Rehabilitation Part 2 Form
Form 10-168d HPCA SHPO Review and Recommendation Sheet - Significance/Part 1 Form
Form 10-168c HPCA Part 3 - Request for Certification of Completed Work (Private Sector) Form and Instruction
Form 10-168b HPCA Amendment / Advisory Determination (Private Sector) Form and Instruction
Form 10-168a HPCA Part 2 - Description of Rehabilitation (Private Sector) Form and Instruction
Form 10-168c HPCA Part 3 - Request for Certification of Completed Work (Individuals) Form and Instruction
Form 10-168b HPCA Amendment / Advisory Determination (Individuals) Form and Instruction
Form 10-168a HPCA Part 2 - Description of Rehabilitation (Individuals) Form and Instruction
Form 10-168 HPCA Part 1 - Evaluation of Significance (Private Sector) Form and Instruction
1024-0009 Historic Preservation SSA 2023 FINAL 10.11.2023.docx Supporting Statement A
1024-0009 30-day FRN 88 FR 76850 11.2.23.pdf Supplementary Document
1024-0009 60-day FRN 87 FR 65242 10-28-2022.pdf Supplementary Document
36CFR67.pdf Supplementary Document
Qualified Conservation Contributions (26 USC 170).pdf Supplementary Document
Rehabilitation Credit (26 USC 47).pdf Supplementary Document
HPCA Part 1 - Evaluation of Significance (Individuals) Form and Instruction
Certification of Historic Districts
Certification of Statutes
Appeals (Private Sector)
Appeals (individuals)
HPCA SHPO Review & Recommendation Sheet Rehabilitation - Amendments Form
HPCA SHPO Review & Recommendation Sheet Rehabilitation Part 3 Form
HPCA SHPO Review & Recommendation Sheet Rehabilitation Part 2 Form
HPCA SHPO Review and Recommendation Sheet - Significance/Part 1 Form
HPCA Part 3 - Request for Certification of Completed Work (Private Sector) Form and Instruction
HPCA Amendment / Advisory Determination (Private Sector) Form and Instruction
HPCA Part 2 - Description of Rehabilitation (Private Sector) Form and Instruction
HPCA Part 3 - Request for Certification of Completed Work (Individuals) Form and Instruction
HPCA Amendment / Advisory Determination (Individuals) Form and Instruction
HPCA Part 2 - Description of Rehabilitation (Individuals) Form and Instruction
HPCA Part 1 - Evaluation of Significance (Private Sector) Form and Instruction

All Historical Document Collections

202309-1024-002	Extension without change of a currently approved collection	2023-11-07
201911-1024-002 Approved with change	Extension without change of a currently approved collection	2020-01-30
201604-1024-001 Approved without change	Revision of a currently approved collection	2016-07-26
201502-1024-001 Approved without change	No material or nonsubstantive change to a currently approved collection	2015-02-27
201301-1024-002 Approved with change	Revision of a currently approved collection	2013-03-28
200906-1024-002 Approved without change	Revision of a currently approved collection	2009-09-21
200607-1024-002 Approved with change	Revision of a currently approved collection	2006-07-10
200304-1024-001 Approved with change	Extension without change of a currently approved collection	2003-04-25
200003-1024-001 Approved without change	Extension without change of a currently approved collection	2000-03-30
199612-1024-002 Approved without change	Extension without change of a currently approved collection	1996-12-30
199401-1024-001 Approved without change	Extension without change of a currently approved collection	1994-01-11
199011-1024-002 Approved without change	Extension without change of a currently approved collection	1990-11-06
199002-1024-001 Approved with change	No material or nonsubstantive change to a currently approved collection	1990-02-27
198912-1024-001 Approved without change	Extension without change of a currently approved collection	1989-12-04
198612-1024-001 Approved without change	Revision of a currently approved collection	1986-12-12
198607-1024-003 Approved without change	Extension without change of a currently approved collection	1986-07-18
198306-1024-003 Approved without change	Revision of a currently approved collection	1983-06-29
198306-1024-001 Approved without change	Reinstatement with change of a previously approved collection	1983-06-01
198004-1024-001 Approved without change	Revision of a currently approved collection	1980-04-21
197903-1024-002 Approved with change	No material or nonsubstantive change to a currently approved collection	1979-03-14
197710-1024-001 Approved without change	New collection (Request for a new OMB Control Number)	1977-10-20

OMB Details

HPCA Part 1 - Evaluation of Significance (Individuals)

Federal Enterprise Architecture: Economic Development - Business and Industry Development

Form 10-168

HCPA Part 1 - Evaluation of Significance

Fillable Printable

Form and instruction

Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.