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⚠️ Notice: This information collection may be referencing outdated material.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

Documents and forms in this information collection
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

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:

table that charts list of 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 %

table that charts list of burden
	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

table that charts IC Documents
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.