Information Collection

State and Local Governments -- Individual & District Nominations

IC 187880 under ICR 200812-1024-001 · OMB 1024-0018.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1024-0018 can be found here:

Documents and Forms

Document Name Document Type
Form 10-900 State and Local Governments -- Individual & District Nominations Form and Instruction
10-900 National Register of Historic Places Form Form 10-900.pdf www.cr.nps.gov/nr/publications/forms.htm Form and Instruction
10-900-a National Register of Historic Places Continuation Sheet Form-10-900a.pdf www.cr.nps.gov/nr/publications/forms.htm Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	State and Local Governments -- Individual & District Nominations	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 36 CFR 63 36 CFR 60

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	10-900	National Register of Historic Places Form	Form 10-900.pdf	www.cr.nps.gov/nr/publications/forms.htm	Yes	No	Printable Only
Form	10-900-a	National Register of Historic Places Continuation Sheet	Form-10-900a.pdf	www.cr.nps.gov/nr/publications/forms.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: 384	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	384	384
Annual IC Time Burden (Hours)	13,824	13,824
Annual IC Cost Burden (Dollars)	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.