Workplace Charging Survey - State/Local/Tribal Government

Workplace Charging Challenge

Documents and Forms

Document Name Document Type
2014-05-30_WPC Survey Instrument (FINAL).xlsx Other-Survey

Information Collection (IC) Details

IC Title:	Workplace Charging Survey - State/Local/Tribal Government	Agency IC Tracking Number:

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			2014-05-30_WPC Survey Instrument (FINAL).xlsx		Yes	Yes	Fillable Fileable

Line of Business: Energy

Subfunction: Energy Conservation and Preparedness

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 35	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	35	35
Annual IC Time Burden (Hours)	175	175
Annual IC Cost Burden (Dollars)	849	849

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.