Information Collection

Save Energy Now Voluntary Pledge Report

IC 186585 under ICR 200809-1910-009 · OMB 1910-5141.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1910-5141 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form DOE Form XXX Save Energy Now Voluntary Pledge Report	Form and Instruction
DOE Form XXX Save Energy Now Pledge Annual Report Form SEN LEADER Pledge Annual Reporting Form 1-26-2009.xls	Form and Instruction

IC Title:

Save Energy Now Voluntary Pledge Report

Agency IC Tracking Number:

Michaela Martin

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

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 and Instruction	DOE Form XXX	Save Energy Now Pledge Annual Report Form	SEN LEADER Pledge Annual Reporting Form 1-26-2009.xls		Yes	Yes	Fillable Fileable Signable

Line of Business: Energy

Subfunction: Energy Resource Management

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 280

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 95 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	280	280
Annual IC Time Burden (Hours)	2,800	2,800
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.