Information Collection

Clean Cities Plug-In Vehicle Community Readiness Scorecarsd

IC 203302 under ICR 201206-1910-001 · OMB 1910-5171.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1910-5171 can be found here:

Documents and Forms

Document Name Document Type
Scorecard Instructions Page.pdf Instruction
PEV Score Card 121106_OMB Submitted.pdf Other-Survey

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Clean Cities Plug-In Vehicle Community Readiness Scorecarsd	Agency IC Tracking Number:	Linda Bluestein

Is this a Common Form? No		IC Status: New

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-Survey			PEV Score Card 121106_OMB Submitted.pdf		Yes	Yes	Fillable Fileable
Instruction			Scorecard Instructions Page.pdf		Yes	Yes	Fillable Fileable

Line of Business: Energy

Subfunction: Energy Production

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 100	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	100	100
Annual IC Time Burden (Hours)	2,050	2,050
Annual IC Cost Burden (Dollars)	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.