Clean Cities Plug-In Vehicle Community Readiness Scorecard

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
PEV ScoreCard Questions and Answers 120411 v8.xlsx	Supplementary Document	Uploaded 2013-01-18	Available
CleanCities PEV Scorecard Scoring.pptx	Supplementary Document	Uploaded 2013-01-18	Available
PEV_Scorecard_Coordinator_email.docx	Supplementary Document	Uploaded 2013-01-18	Available
30-Day FRN (Published).pdf	Supplementary Document	Uploaded 2013-01-18	Available
60-Day FRN (Published).pdf	Supplementary Document	Uploaded 2013-01-18	Available
Supporting Statement B 11-29-12.docx	Supporting Statement B	Uploaded 2013-01-18	Available
REVISED scorecard Supporting Statement 1-17-13.doc	Supporting Statement A	Uploaded 2013-01-18	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
203302	Clean Cities Plug-In Vehicle Community Readiness Scorecarsd	Other-Survey	New

ICR Details

OMB Control No: 1910-5171	ICR Reference No: 201206-1910-001
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: DOE/DOEOA	Agency Tracking No: Ted Sears
Title: Clean Cities Plug-In Vehicle Community Readiness Scorecard
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 01/18/2013
	Date Received in OIRA: 07/25/2012
Terms of Clearance: In accordance with 5 CFR 1320, the information collection is approved for three years.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	01/31/2016	36 Months From Approved
Responses	100	0	0
Time Burden (Hours)	2,050	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: This ICR provides a scorecard allowing DOE Clean Cities Coalitions and Stakeholders to assess the level of readiness of their communities for plug-in electric vehicles (PEVs) for residential and fleet customers. Information collected is critical for DOE to provide respondents an objective assessment of community readiness for PEV adoption, understanding successful PEV deployment, and assuring appropriate evaluation of PEV deployment progress. This activity is authorized under 42 U.S.C. §§13233.

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Authorizing Statute(s): US Code: 42 USC 13233 Name of Law: Energy Policy Act of 1992
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	77 FR 62	03/30/2012
30-day Notice:	Federal Register Citation:	Citation Date:
	77 FR 129	07/05/2012
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
Clean Cities Plug-In Vehicle Community Readiness Scorecarsd

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ICR Summary of Burden

table that charts list of burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	100	0	0	0	100	0
Annual Time Burden (Hours)	2,050	0	0	0	2,050	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $60,000

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 07/25/2012

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