Forms and Documents

Document Name	Status
Form 10-900-b National Register District Nominations Prepared by Consultants (govt) Form and Instruction	Modified
Form 10-900 Preparation and Submission of Nomination Forms (govt) Form and Instruction	Modified
Form 10-900 Preparation and Submission of Nomination Forms (private sector) Form and Instruction	Modified
Form 10-900 New Nominations Prepared and Submitted by Consultants (indiv) Form and Instruction	Modified
Form 10-900-b Newly Proposed MPS Cover Document Prepared by Consultants Form and Instruction	Modified
Form 10-900 Existing Multiple Property Submission by Consultants Form and Instruction	Modified
Form 10-900 National Register Individual Nominations Prepared by Consultants (indiv) Form and Instruction	Modified
Form 10-900 Preparation and Submission of Nomination Forms (individuals) Form and Instruction	Modified
1024-0018 SSA National Register Historic Properties_10.21.2021.docx Supporting Statement A	2021-10-21
1024-0018 Instructions NRB 16a (1).pdf Supplementary Document	2018-10-22
1024-0018 NRHP 60-day FRN 6-8-2021 (86 FR 30478) (1).pdf Supplementary Document	2021-10-14
1024-0018 NRHP 30-day (87FR3329).pdf Supplementary Document	2022-01-24
36 CFR 6O & 63.mht Supplementary Document	2018-10-20

IC Document Collections

IC ID	Document Title	Status
249745	Notarized Statement of Owner Objections (private sector)	New
218312	Review of Nomination Forms and Submission to NPS (govt)	Unchanged
218310	National Register District Nominations Prepared by Consultants (govt) Form and Instruction	Modified
218308	Preparation and Submission of Nomination Forms (govt) Form and Instruction	Modified
218307	Preparation and Submission of Nomination Forms (private sector) Form and Instruction	Modified
187885	New Nominations Prepared and Submitted by Consultants (indiv) Form and Instruction	Modified
187884	Newly Proposed MPS Cover Document Prepared by Consultants Form and Instruction	Modified
187881	Existing Multiple Property Submission by Consultants Form and Instruction	Modified
187880	National Register Individual Nominations Prepared by Consultants (indiv) Form and Instruction	Modified
11059	Preparation and Submission of Nomination Forms (individuals) Form and Instruction	Modified

ICR Details

OMB Control No:	ICR Reference No:
Status:	Previous ICR Reference No:
Agency/Subagency:	Agency Tracking No:
Title:
Type of Information Collection:	Common Form ICR:
Type of Review Request:	Date Received in OIRA:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date
Responses	0	0	0
Time Burden (Hours)	0	0	0
Cost Burden (Dollars)	0	0	0

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Abstract:

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Authorizing Statute(s): None

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:

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Federal Register Notices & Comments

Did the Agency receive public comments on this ICR?

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Number of Information Collection (IC) in this ICR: 0

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ICR Summary of Burden

	Total	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	0	0	0	0	0	0
Annual Time Burden (Hours)	0	0	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion:

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion:

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government:

Does this IC contain surveys, censuses, or employ statistical methods?

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.    

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.    

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]?

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]?

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)?

Is this ICR related to the Pandemic Response?

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Common Form ICR: 

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date:

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