Information Collection

Authorization to Obtain Energy Use Information

IC 191161 under ICR 200910-1910-002 · OMB unassigned.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Authorization Form_11 5 09.doc	Other-Questionnaire

IC Title:

Agency IC Tracking Number:

Andrew Chang

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
Other-Questionnaire			Authorization Form_11 5 09.doc		Yes	No	Paper Only

Line of Business: Energy

Subfunction: Energy Supply

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 525,000

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	525,000	525,000
Annual IC Time Burden (Hours)	43,575	43,575
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.