Information Collection

Energy Savers Survey

IC 196215 under ICR 200911-1901-001 · OMB 1901-0302.

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Documents and forms in this information collection
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

IC Title:

Energy Savers Survey

Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation: 5 CFR 1320

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-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 %

table that charts list of burden
	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

table that charts IC Documents
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.