Information Collection

Weatherization Assistance Program Sub-programs - State, Local or Tribal Government

IC 210941 under ICR 201403-1910-001 · OMB 1910-5157.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1910-5157 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
2014-03-26_PAGE screen shots.doc	Other-Database Screenshots

IC Title:

Weatherization Assistance Program Sub-programs - State, Local or Tribal Government

Agency IC Tracking Number:

Christine Platt-Patrick (EERE)

Is this a Common Form? No

IC Status: New

Obligation to Respond: Mandatory

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-Database Screenshots			2014-03-26_PAGE screen shots.doc		Yes	Yes	Fillable Fileable

Line of Business: Energy

Subfunction: Energy Conservation and Preparedness

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 5

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	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	20	20
Annual IC Time Burden (Hours)	240	240
Annual IC Cost Burden (Dollars)	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.