Information Collection

Energy Right Program

IC 35855 under ICR 201704-3316-001 · OMB 3316-0019.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3316-0019 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form TVA 17658 Security Agreement Energy Right Program	Form
Form TVA 17659 Notice of Right to Cancel Energy Right Program	Form
Form TVA 17657 Repayment Agreement Energy Right Program	Form
Form TVA 17656 Agreement to Participate - Landlord Energy Right Program	Form
Form TVA 17655 Agreement to Participate - Homeowner Energy Right Program	Form
Form TVA 17654 Program Implementation Plan Energy Right Program	Form
Form TVA 17652 Water Heater Plan Work Completion Form Energy Right Program	Form
Form TVA 17651 New Homes Plan Work Completion Form Energy Right Program	Form
Form TVA 17650 Heat Pump Plan Work Completion Form Energy Right Program	Form
Final_BURDEN_ESTIMATE_energy_right.doc	Other-
TVA 17658 Security Agreement 17658.docx	Form
TVA 17659 Notice of Right to Cancel 17659.docx	Form
TVA 17657 Repayment Agreement 17657.docx	Form
TVA 17656 Agreement to Participate - Landlord 17656.docx	Form
TVA 17655 Agreement to Participate - Homeowner 17655.docx	Form
TVA 17654 Program Implementation Plan 17654.docx	Form
TVA 17652 Water Heater Plan Work Completion Form 17652.docx	Form
TVA 17651 New Homes Plan Work Completion Form 17651.docx	Form
TVA 17650 Heat Pump Plan Work Completion Form 17650.docx	Form
SORN for EnergyRight.pdf Privacy Act System of Records Notice	IC Document

IC Title:

Energy Right Program

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	TVA 17658	Yes	Yes	Fillable Printable
Form	TVA 17659	Yes	Yes	Fillable Printable
Form	TVA 17657	Yes	Yes	Fillable Printable
Form	TVA 17656	Yes	Yes	Fillable Printable
Form	TVA 17655	Yes	Yes	Fillable Printable
Form	TVA 17654	Yes	Yes	Fillable Printable
Form	TVA 17652	Yes	Yes	Fillable Printable
Form	TVA 17651	Yes	Yes	Fillable Printable
Form	TVA 17650	Yes	Yes	Fillable Printable
Other-		Yes	No	Printable Only

Line of Business: Energy

Subfunction: Energy Production

Privacy Act System of Records

Title: TVA-29, Energy Program Participant Records

FR Citation: 80 FR 24030

Number of Respondents: 33,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 50 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	33,000	0	33,000
Annual IC Time Burden (Hours)	10,020	0	10,020
Annual IC Cost Burden (Dollars)	0	-190,377	190,377

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Privacy Act System of Records Notice		04/12/2017

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

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