Information Collection

Utility Billing

IC 194476 under ICR 201106-1910-002 · OMB 1910-5156.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Utility Billing Disclosure waiver v3 0.doc	Other-Authorization/Survey

IC Title:

Utility Billing

Agency IC Tracking Number:

Keith Dennis

Is this a Common Form? No

IC Status: Modified

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-Authorization/Survey			Utility Billing Disclosure waiver v3 0.doc		Yes	No	Fillable Printable

Line of Business: Energy

Subfunction: Energy Supply

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 60,629

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	60,629	-547,795	608,424
Annual IC Time Burden (Hours)	29,998	-282,502	312,500
Annual IC Cost Burden (Dollars)	37,000	-391,000	428,000

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.