OMB No. 3135-0112
NHPA / NEPA Questionnaire
f you are recommended for a grant, your project may be subject to the National Environmental Policy Act
and/or the National Historic Preservation Act (NHPA). The NEA will conduct a review of your project to ensure that it is
in compliance with NEPA/NHPA.
ome of the common project types that garner a NHPA review are:
• A project involving or occurring near a district, site, building, landscape, structure or object that is 50 years old
and therefore eligible for inclusion in the National Register of Historic Places.
• The commissioning and installation of temporary or permanent outdoor furnishings such as benches or market
structures or art such as a sculpture or mural.
n arts festival in a park.
• Design planning and services for projects that may involve a historic site, structure, or district.
is is the first step in the NHPA review process. Based in your responses, the NEA will determine one of the following
1. There are no anticipated adverse effects on historic properties or resources;
2. Based on an agreement that the NEA has with the Advisory Council on Historic Preservation
(ACHP), one or
more approved exemptions can be applied to the project, confirming that there are no anticipated adverse
effects on historic properties or resources; or
3. The project has the potential to have adverse effects on historic properties or resources. You are asked to
contact and work directly with your State Historic Preservation Office
(SHPO), and potentially initiate a Section
Fill out the following form for every project location. Return it along with the Project Budget to the Specialist indicated
on the tentative funding notification.
If you have revised your project as a result of the tentative funding notification, clearly indicate such on the Project
Budget form under "Project Description." Specifically indicate if the revised project no longer involves activities that
require NEPA/NHPA review. For example, because of the reduced funding amount a three-pronged project that
included an outdoor mural was reduced to a two-pronged project without the mural.
Current Award Recipients:
Fill out the following form for every project location. Submit it to the Grants & Contracts Office at email@example.com. If
you are revising the budget too, indicate if the revised project no longer involves activities or locations that require
Include maps and photographs of each location and property. Be as concise as possible.
If you have questions regarding NHPA / NEPA or the process please contact firstname.lastname@example.org