Information Collection

Energy Right Program

IC 35855 under ICR 200402-3316-001 · OMB 3316-0019.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3316-0019 can be found here:

Documents and Forms

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Information Collection (IC) Details

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IC Title:	Energy Right Program	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Migrated

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?
Form	17650	Yes	Yes
Form	17652	Yes	Yes
Form	17656	Yes	Yes
Form	17655	Yes	Yes
Form	17653	Yes	Yes
Form	17657	Yes	Yes
Form	17651	Yes	Yes
Form	17654	Yes	Yes
Form	17658/17659	Yes	Yes
Form	17676	Yes	Yes

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 31,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 50 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	31,000	11,000	20,000
Annual IC Time Burden (Hours)	9,300	3,300	6,000
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.