Information Collection

Commercial Building Energy Consumption Survey Questionnaire Pretesting

IC 229532 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⚠️ Notice: This information collection may be referencing outdated material.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

Document Name Document Type
Appendix H - Interview Protocol.docx Other-Interview Protocol
Appendix A - Initial Contact Text.docx Initial Contact Text IC Document
Appendix B - Screening Questionnaire.docx Screening Questionnaire IC Document
Appendix C - Confirmation Email.docx Confirmation Email IC Document
Appendix D - Reminder Email.docx Reminder Email IC Document
Appendix E - Thank You Email.docx Thank You Email IC Document
Appendix I - Heating Matching WK.docx Heating Matching IC Document
Appendix J - Cooling Matching WK.docx Cooling Matching IC Document
Appendix K - Showcards.docx Showcards IC Document
Generic Clearance 2018 CBECS Pretesting In-person.docx 2018 CBECS Generic Clearance IC Document
Work Flow of appendices for CBECS In-Person Cognitive Testing.docx Work Flow of Appendices IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Commercial Building Energy Consumption Survey Questionnaire Pretesting	Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation: 5 CFR 1320.9 5 CFR 1320.8 (B)(3)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Interview Protocol			Appendix H - Interview Protocol.docx		No		Paper Only

Line of Business: Energy

Subfunction: Energy Conservation and Preparedness

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 30	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	30	30
Annual IC Time Burden (Hours)	30	30
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Initial Contact Text	Appendix A - Initial Contact Text.docx	12/21/2017
Screening Questionnaire	Appendix B - Screening Questionnaire.docx	12/21/2017
Confirmation Email	Appendix C - Confirmation Email.docx	12/21/2017
Reminder Email	Appendix D - Reminder Email.docx	12/21/2017
Thank You Email	Appendix E - Thank You Email.docx	12/21/2017
Heating Matching	Appendix I - Heating Matching WK.docx	12/21/2017
Cooling Matching	Appendix J - Cooling Matching WK.docx	12/21/2017
Showcards	Appendix K - Showcards.docx	12/21/2017
2018 CBECS Generic Clearance	Generic Clearance 2018 CBECS Pretesting In-person.docx	12/21/2017
Work Flow of Appendices	Work Flow of appendices for CBECS In-Person Cognitive Testing.docx	12/21/2017

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