Information Collection

Commercial Buildings Energy Consumption Survey: Voluntary

IC 205540 under ICR 201301-1905-001 · OMB 1905-0145.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1905-0145 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form EIA-871H Commercial Buildings Energy Consumption Survey: Voluntary	Form and Instruction
EIA-871A Building Questionnaire 2012 CBECS - Form 871A - Building Questionnaire.doc	Form and Instruction
EIA-871B Authorization Form Authorization Form 2012.docx	Form and Instruction
EIA-871I Mall Building Questionnaire 2012 CBECS - Form 871I - Mall Building Questionnaire.doc	Form and Instruction
EIA-871J Mall Establishment Questionnaire 2012 CBECS - Form 871J - Mall Establishment Questionnaire.doc	Form and Instruction
EIA-871G Worksheet 1: Characteristics, Energy Sources and Equipme Worksheet 1 building 2012.docx	Form and Instruction
EIA-871H Energy Amounts Used and Dollars Spent: Buildings Worksheet 2 building 2012.docx	Form and Instruction
CBECS endorsement insert - v2a.docx CBECS Endorsement Insert	IC Document
DOE Lead Letter - FINAL.docx DOE Lead Letter	IC Document
DOE Package Letter - ESTABS - v1.docx DOE Pkg Letter: Establishments	IC Document
DOE Package Letter - BLDGS and STRIP CTRS - v1.docx DOE Pkg Letter: Bldgs/Strip Ctrs	IC Document
37209 FAQ Brochure PANELS.pdf FAQ Brochure PANELS	IC Document
Worksheet 1 establishment 2012.docx Worksheet 1: Establishments	IC Document
Worksheet 1 mall building 2012.docx Worksheet 1: Mall Bldg	IC Document
Worksheet 2 establishment 2012.docx Worksheet 2: Establishment	IC Document

IC Title:

Commercial Buildings Energy Consumption Survey: Voluntary

Agency IC Tracking Number:

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	Available Electronically?	Electronic Capability
Form and Instruction	EIA-871H	Energy Amounts Used and Dollars Spent: Buildings	Worksheet 2 building 2012.docx	No	Fillable Fileable
Form and Instruction	EIA-871G	Worksheet 1: Characteristics, Energy Sources and Equipment: Buildings	Worksheet 1 building 2012.docx	No	Fillable Fileable
Form and Instruction	EIA-871A	Building Questionnaire	2012 CBECS - Form 871A - Building Questionnaire.doc	No	Fillable Fileable
Form and Instruction	EIA-871I	Mall Building Questionnaire	2012 CBECS - Form 871I - Mall Building Questionnaire.doc	No	Fillable Fileable
Form and Instruction	EIA-871J	Mall Establishment Questionnaire	2012 CBECS - Form 871J - Mall Establishment Questionnaire.doc	No	Fillable Fileable
Form and Instruction	EIA-871B	Authorization Form	Authorization Form 2012.docx	No	Fillable Fileable

Line of Business: Energy

Subfunction: Energy Resource Management

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 3,233

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	3,233	3,233
Annual IC Time Burden (Hours)	3,024	3,024
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
CBECS Endorsement Insert	CBECS endorsement insert - v2a.docx	01/25/2013
DOE Lead Letter	DOE Lead Letter - FINAL.docx	01/25/2013
DOE Pkg Letter: Establishments	DOE Package Letter - ESTABS - v1.docx	01/25/2013
DOE Pkg Letter: Bldgs/Strip Ctrs	DOE Package Letter - BLDGS and STRIP CTRS - v1.docx	01/25/2013
FAQ Brochure PANELS	37209 FAQ Brochure PANELS.pdf	01/25/2013
Worksheet 1: Establishments	Worksheet 1 establishment 2012.docx	01/25/2013
Worksheet 1: Mall Bldg	Worksheet 1 mall building 2012.docx	01/25/2013
Worksheet 2: Establishment	Worksheet 2 establishment 2012.docx	01/25/2013

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