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Energy Right Program
Energy Right Program
OMB: 3316-0019
IC ID: 35855
OMB.report
TVA
OMB 3316-0019
ICR 201107-3316-001
IC 35855
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3316-0019 can be found here:
2022-08-09 - Reinstatement with change of a previously approved collection
2017-04-12 - Extension without change of a currently approved collection
Documents and Forms
Document Name
Document Type
Form TVA-17659
Energy Right Program
Form
TVA-17650 Heat Pump Plan Work Completion Form
TVA-17650 Heat Pump WCF 4.30.08.doc
Form
TVA-17651 New Homes Plan Work Completion Form
TVA-17651 New Homes WCF 4.30.08.doc
Form
TVA-17652 Water Heater Plan Work Completion Form
TVA-17652 WH WCF 4.30.08.docx
Form
TVA-17653 Manufactured Homes (Residential) Work Completion Form
TVA-17653 Man Homes WCF.doc
Form
TVA-17654 Program Implementatiion Plan - Schedule P
TVA-17654 Schedule P 4.30.08.doc
Form
TVA-17655 Agreement to Participate - Homeowner
TVA-17655 Agreement to Participate-Homeowner.docx
Form
TVA-17656 Agreement to Participate - Landlord
TVA-17656 Agreement to Participate-Landlord.docx
Form
TVA-17657 Repayment Agreement
TVA-17657 C-Repayment Agreement.doc
Form
TVA-17658 Security Agreement
TVA-17658 C-Security Agreement.doc
Form
TVA-17659 Notice of Right to Cancel
TVA-17659 C- Notice of Right to Cancel.docx
Form
TVA-17676 Manufactured Home Validation
TVA-17676 Man Homes Validation.pdf
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Energy Right Program
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Required to Obtain or Retain Benefits
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
TVA-17659
Notice of Right to Cancel
TVA-17659 C- Notice of Right to Cancel.docx
Yes
No
Fillable Printable
Form
TVA-17676
Manufactured Home Validation
TVA-17676 Man Homes Validation.pdf
Yes
No
Fillable Printable
Form
TVA-17650
Heat Pump Plan Work Completion Form
TVA-17650 Heat Pump WCF 4.30.08.doc
Yes
No
Fillable Printable
Form
TVA-17651
New Homes Plan Work Completion Form
TVA-17651 New Homes WCF 4.30.08.doc
Yes
No
Fillable Printable
Form
TVA-17652
Water Heater Plan Work Completion Form
TVA-17652 WH WCF 4.30.08.docx
Yes
No
Fillable Printable
Form
TVA-17653
Manufactured Homes (Residential) Work Completion Form
TVA-17653 Man Homes WCF.doc
Yes
No
Fillable Printable
Form
TVA-17654
Program Implementatiion Plan - Schedule P
TVA-17654 Schedule P 4.30.08.doc
Yes
Yes
Fillable Fileable
Form
TVA-17655
Agreement to Participate - Homeowner
TVA-17655 Agreement to Participate-Homeowner.docx
Yes
No
Fillable Printable
Form
TVA-17656
Agreement to Participate - Landlord
TVA-17656 Agreement to Participate-Landlord.docx
Yes
No
Fillable Printable
Form
TVA-17657
Repayment Agreement
TVA-17657 C-Repayment Agreement.doc
Yes
No
Fillable Printable
Form
TVA-17658
Security Agreement
TVA-17658 C-Security Agreement.doc
Yes
No
Fillable Printable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Energy
Subfunction:
Energy Production
Privacy Act System of Records
Title:
TVA-29, Energy Program Participant Records
FR Citation:
76 FR 1879
Number of Respondents:
29,000
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
50 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
29,000
0
0
0
29,000
0
Annual IC Time Burden (Hours)
8,700
0
0
0
8,700
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
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.