Generic Clearence of Questionnaire Testing, Evaluating, and Research

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form EIA-815 Monthly Bulk Terminal and Blenders Report	Form and Instruction	New	Available
Form EIA-782C Monthly Report of Prime Supplier Sales of Petroleum Products Sold for Local Consumption	Form and Instruction	New	Available
Form EIA-815 Monthly Bulk Terminal and Blenders Report Protocol	Form and Instruction	New	Available
Form EIA-857 Monthly Report of Natural Gas Purchases and Deliveries to Consumers	Form	New	Available
Form EIA-882T(49) Petroleum Supply Burden Testing	Form and Instruction	New	Available
Form EIA-882T(48) Generic Clearance for Testing of the form EIA-857	Form	New	Available
Part B-882T-ss-2008.doc	Supporting Statement B	Uploaded 2008-07-01	Available
Part A-ss882T-2008-updated-12-4-08.doc	Supporting Statement A	Uploaded 2008-12-04	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
198768	EIA-882T(54) Petroleum Testing Forms EIA-782C 815 2011	Form and Instruction	New	Monthly Bulk Terminal and Blenders Report
198768	EIA-882T(54) Petroleum Testing Forms EIA-782C 815 2011	Form and Instruction	New	Monthly Report of Prime Supplier Sales of Petroleum Products Sold for Local Consumption
194515	EIA-882T(53) Monthly Bulk Terminal and Blenders Report	Form and Instruction	New	Monthly Bulk Terminal and Blenders Report Protocol
192845	Website Usability Testing	Other-Letter	New
192794	EIA-857 Cognitive Testing	Form	New	Monthly Report of Natural Gas Purchases and Deliveries to Consumers
192794	EIA-857 Cognitive Testing	Instruction	New
191811	EIA-882T(49) Petroleum supply burden testing	Form and Instruction	New	Petroleum Supply Burden Testing
189427	EIA-856 Pre-survey design visits(48) 2009	Form	New	Generic Clearance for Testing of the form EIA-857
189427	EIA-856 Pre-survey design visits(48) 2009	Other-Letter	New
189408	Residential Energy Consumption Survey Household Questionnaire field test	Other-Letter, Form, Instructions	New

ICR Details

OMB Control No: 1905-0186	ICR Reference No: 200812-1905-003
Status: Historical Active	Previous ICR Reference No: 200807-1905-001
Agency/Subagency: DOE/EIA	Agency Tracking No:
Title: Generic Clearence of Questionnaire Testing, Evaluating, and Research
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 02/06/2009
Retrieve Notice of Action (NOA)	Date Received in OIRA: 12/30/2008
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	02/29/2012	36 Months From Approved	12/31/2011
Responses	4,000	0	4,000
Time Burden (Hours)	1,000	0	1,000
Cost Burden (Dollars)	0	0	0

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Abstract: The EIA-882T is used to conduct/pilot surveys (face-to-face interviews, telephone interviews, mail questionnaires, electronic questionnaires), focus groups and cognitive inter- views. Data are used to modify questionnaires to improve the quality of the data. Samples of potential respondents to pro- posed surveys are selected to participate.

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Authorizing Statute(s): US Code: 15 USC 764(b) Name of Law: Federal Energy Administration Act
   PL: Pub.L. 93 - 275 13(b) Name of Law: Federal Energy Administration Act
   US Code: 15 USC 772(b) Name of Law: Federal Energy Administration Act
   US Code: 15 USC 790a Name of Law: Federal Energy Administration Act
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	73 FR 15499	03/24/2008
30-day Notice:	Federal Register Citation:	Citation Date:
	73 FR 37453	07/01/2008
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 7

table that charts list of burden

IC Title	Form No.	Form Name
EIA-856 Pre-survey design visits(48) 2009	EIA-882T(48)	Generic Clearance for Testing of the form EIA-857
EIA-857 Cognitive Testing	EIA-857	Monthly Report of Natural Gas Purchases and Deliveries to Consumers
EIA-882T(49) Petroleum supply burden testing	EIA-882T(49)	Petroleum Supply Burden Testing
EIA-882T(53) Monthly Bulk Terminal and Blenders Report	EIA-815	Monthly Bulk Terminal and Blenders Report Protocol
EIA-882T(54) Petroleum Testing Forms EIA-782C 815 2011	EIA-782C, EIA-815	Monthly Report of Prime Supplier Sales of Petroleum Products Sold for Local Consumption ,   Monthly Bulk Terminal and Blenders Report
Residential Energy Consumption Survey Household Questionnaire field test
Website Usability Testing

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ICR Summary of Burden

table that charts list of burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	4,000	4,000	0	0	0	0
Annual Time Burden (Hours)	1,000	1,000	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $0

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? Uncollected

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 12/30/2008

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