Information Collection

CBECS (Voluntary) (OMB 1905-0145)

IC 227095 under ICR 201706-1905-001 · OMB 1905-0211.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form EIA-871A CBECS (Voluntary) (OMB 1905-0145)	Form and Instruction
EIA-871A Building Questionnaire 2012 CBECS - Form 871A - Building Questionnaire.doc www.eia.gov/survey/#eia-871	Form and Instruction
EIA-871B Authorization Form Authorization Form 2012 871B.docx	Form and Instruction
EIA-871I Mall Building Questionnaire 2012 CBECS - Form 871I - Mall Building Questionnaire.doc	Form and Instruction
EIA-871J Mall Establishment Questionnaire 2012 CBECS - Form 871J - Mall Establishment Questionnaire.doc	Form and Instruction
EIA-871G Characteristics, Energy Sources, and Equipment Worksheet 1 building 2012 871G.docx	Form and Instruction
EIA-871H Energy Amounts Used and Dollars Spent Worksheet 2 building 2012 871H.docx	Form and Instruction

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

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
Form and Instruction	EIA-871A	Building Questionnaire	2012 CBECS - Form 871A - Building Questionnaire.doc	https://www.eia.gov/survey/#eia-871	Yes	No	Fillable Printable
Form and Instruction	EIA-871B	Authorization Form	Authorization Form 2012 871B.docx		No		Fillable Printable
Form and Instruction	EIA-871I	Mall Building Questionnaire	2012 CBECS - Form 871I - Mall Building Questionnaire.doc		No		Fillable Printable
Form and Instruction	EIA-871J	Mall Establishment Questionnaire	2012 CBECS - Form 871J - Mall Establishment Questionnaire.doc		No		Fillable Printable
Form and Instruction	EIA-871G	Characteristics, Energy Sources, and Equipment	Worksheet 1 building 2012 871G.docx		No		Fillable Printable
Form and Instruction	EIA-871H	Energy Amounts Used and Dollars Spent	Worksheet 2 building 2012 871H.docx		No		Fillable Printable

Line of Business: Energy

Subfunction: Energy Resource Management

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 800

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	800	800
Annual IC Time Burden (Hours)	0	0
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

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