Information Collection

Applications

IC 191495 under ICR 201301-1076-002 · OMB 1076-0174.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1076-0174 can be found here:

Documents and Forms

Document Name Document Type
EMDP FR Clean_FINAL.doc Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Applications	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction			EMDP FR Clean_FINAL.doc		Yes	Yes	Printable Only

Line of Business: Energy

Subfunction: Energy Production

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 75	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 30 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	75	20	55
Annual IC Time Burden (Hours)	3,000	800	2,200
Annual IC Cost Burden (Dollars)	0	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.