Information Collection

Cognitive Research for Proposed Modifications to Form EIA-176

IC 225962 under ICR 201601-1905-002 · OMB 1905-0186.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1905-0186 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
EIA-176 Email Draft.docx EIA-176 Email	IC Document
EIA-176 Invitation Letter Draft.docx EIA-176 Invitation Letter	IC Document
EIA-176 Protocol Final.docx EIA-176 Protocol	IC Document
Generic Testing Clearance Template EIA-176.docx EIA-176 Cognitive Testing Generic Clearance	IC Document

IC Title:

Cognitive Research for Proposed Modifications to Form EIA-176

Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation: 5 CFR 1320

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

Line of Business: Energy

Subfunction: Energy Production

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 15

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	15	15
Annual IC Time Burden (Hours)	15	15
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
EIA-176 Email	EIA-176 Email Draft.docx	03/02/2017
EIA-176 Invitation Letter	EIA-176 Invitation Letter Draft.docx	03/02/2017
EIA-176 Protocol	EIA-176 Protocol Final.docx	03/02/2017
EIA-176 Cognitive Testing Generic Clearance	Generic Testing Clearance Template EIA-176.docx	03/02/2017

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