Information Collection

Utility Cost Data Survey (Req-21)

IC 217476 under ICR 201211-3090-001 · OMB 3090-0297.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3090-0297 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Instrument-3090-0297 Utility Cost Data Survey (Req-21).pdf	Other-Survey
Template-3090-0297 Utility Cost Data Survey (Req-21).docx Template Utility Cost Data Survey (Req-21)	IC Document

IC Title:

Utility Cost Data Survey (Req-21)

Agency IC Tracking Number:

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			Instrument-3090-0297 Utility Cost Data Survey (Req-21).pdf		Yes	Yes	Fillable Printable

Line of Business: Supply Chain Management

Subfunction: Services Acquisition

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 200

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 80 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	200	200
Annual IC Time Burden (Hours)	34	34
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Template Utility Cost Data Survey (Req-21)	Template-3090-0297 Utility Cost Data Survey (Req-21).docx	07/15/2015

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.