Energy Efficiency and Conservation Block Grants Evaluation Survey

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
EECBG_ICR_Supporting_Statement_A- REVISED.docx	Supporting Statement A	Uploaded 2013-03-26	Available
Att_A_EECBG_Detailed_Evaluation_Plan.pdf	Supplementary Document	Uploaded 2012-08-29	Available
EECBG_ICR_Supporting_Statement_B - REVISED.docx	Supporting Statement B	Uploaded 2013-03-26	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
203894	Energy Efficiency and Conservation Block Grants Evaluation Survey	Other-Survey	New

ICR Details

OMB Control No: 1910-5172	ICR Reference No: 201208-1910-010
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: DOE/DOEOA	Agency Tracking No: Colleen Rizy
Title: Energy Efficiency and Conservation Block Grants Evaluation Survey
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: 04/05/2013
	Date Received in OIRA: 09/10/2012
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	04/30/2016	36 Months From Approved
Responses	700	0	0
Time Burden (Hours)	1,167	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: The information collected is required by DOE to reliably quantify what the EECBG has accomplished nationwide, in terms of energy savings; reduction in energy costs; job creation and productivity impacts; and impact on air quality and fossil fuel emissions. The information will be used to inform Congress, the Department, and the Administration of the current state of program performance. Respondents include local grantee grant activity managers.

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Authorizing Statute(s): PL: Pub.L. 110 - 140 542 Name of Law: Energy Independence and Security Act
  

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 31	02/15/2012
30-day Notice:	Federal Register Citation:	Citation Date:
	77 FR 131	07/09/2012
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
Energy Efficiency and Conservation Block Grants Evaluation Survey

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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	700	0	0	350	350	0
Annual Time Burden (Hours)	1,167	0	0	233	934	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

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

Burden Reduction Due to:

Short Statement: This is a new information collection. The survey will be administered in two parts, consisting of a combination of a telephone survey and web-based survey. The first part of the survey, containing introductory and confirmatory questions, will be administered via a telephone interview, estimated to average 20 minutes. The respondent will then be directed to a website where the remainder of the survey, involving more complex questions about actual measures installed, can be completed on-line over time. Once the respondent has completed the web-based survey, he or she will submit it electronically. The average burden per respondent is estimated to be 200 minutes and the total number of burden hours for all 700 responses is 1,167 hours. This includes all time required for the respondents to read instructions, review their records, gather the necessary information, complete the survey, review their responses, and provide any necessary clarification of their answers.

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Annual Cost to Federal Government: $1,500,000

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

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)? Yes

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: 09/10/2012

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