Information Collection

Energy Priorities and Allocations System

IC 192939 under ICR 201005-1910-004 · OMB 1910-5159.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1910-5159 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form DOE Form XXX Energy Priorities and Allocations System	Form and Instruction
DOE Form XXX REQUEST FOR SPECIAL PRIORITIES ASSISTANCE FORM DOE-XXX.docx	Form and Instruction

IC Title:

Energy Priorities and Allocations System

Agency IC Tracking Number:

Elizabeth Kohl

Is this a Common Form? No

IC Status: New

Obligation to Respond: Mandatory

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	REQUEST FOR SPECIAL PRIORITIES ASSISTANCE	FORM DOE-XXX.docx		Yes	Yes	Fillable Fileable Signable

Line of Business: Energy

Subfunction: Energy Conservation and Preparedness

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 18,000

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

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	700,000	700,000
Annual IC Time Burden (Hours)	14,477	14,477
Annual IC Cost Burden (Dollars)	289,540	289,540

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.