Utility Billing

Documents and Forms

Document Name Document Type
Utility Billing Disclosure waiver v3 0.doc Other-Authorization/Survey

Information Collection (IC) Details

View Information Collection (IC)

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:

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 %

	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

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.