Cognitive Research for Proposed Modifications to Form EIA-176

EIA-882T: Generic Clearance of Questionnaire Testing, Evaluating, and Research

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

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

Information Collection (IC) Details

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:

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 %

	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

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.