Information Collection

High Energy Cost (State, Local and Tribal Governments)

IC 181953 under ICR 200706-0572-001 · OMB 0572-0136.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0572-0136 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form RD1942-46 High Energy Cost (State, Local and Tribal Governments)	Form
RD1942-46 Letter of Intent 1942-46.pdf	Form

IC Title:

High Energy Cost (State, Local and Tribal Governments)

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	RD1942-46	Letter of Intent	1942-46.pdf		Yes	No	Printable Only

Line of Business: Economic Development

Subfunction: Business and Industry Development

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 5

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	25	25
Annual IC Time Burden (Hours)	110	110
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.