Energy Savers Survey

DOE Customer Surveys

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1901-0302 can be found here:

Documents and Forms

Document Name Document Type
Form DOE-887(92) Energy Savers Survey Form and Instruction
DOE-887(92) Energy Savers Survey 2011 Energy Savers Survey final 2_15_2011.pdf Form and Instruction
EnergySaversOMBLetter final 2_14_2011.doc Letter IC Document

Information Collection (IC) Details

IC Title:	Energy Savers Survey	Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation: 5 CFR 1320

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	DOE-887(92)	Energy Savers Survey 2011	Energy Savers Survey final 2_15_2011.pdf		Yes	Yes	Fillable Fileable

Line of Business: Energy

Subfunction: Energy Conservation and Preparedness

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 600	Number of Respondents for Small Entity: 600

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	600	600
Annual IC Time Burden (Hours)	70	70
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Letter	EnergySaversOMBLetter final 2_14_2011.doc	02/15/2011

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.