Information Collection

Energy Efficiency and Conservation Block Grants Evaluation Survey

IC 203894 under ICR 201208-1910-010 · OMB 1910-5172.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
EECBG_Survey_Instrument - REVISED.docx	Other-Survey
EECBG Telephone Recruitment Script.docx	Other-Script

IC Title:

Agency IC Tracking Number:

Colleen Rizy

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Survey			EECBG_Survey_Instrument - REVISED.docx		Yes	Yes	Fillable Fileable
Other-Script			EECBG Telephone Recruitment Script.docx		No		Printable Only

Line of Business: Energy

Subfunction: Energy Resource Management

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 700

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	700	350	350
Annual IC Time Burden (Hours)	1,167	233	934
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
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.