Information Collection

Energy and Performance Information Center (EPIC)

IC 200311 under ICR 201803-2577-005 · OMB 2577-0274.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2577-0274 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
EPIC screen shots combined.pdf	Other-Screen Shots
sample printable annualStatement.pdf	Other-Sample Annual Statement

IC Title:

Energy and Performance Information Center (EPIC)

Agency IC Tracking Number:

PIH-2011-24

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 24 CFR Part 968.115 24 CFR Part 965.301 (To search for a specific CFR, visit the Code of Federal Regulations.)

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-Screen Shots			EPIC screen shots combined.pdf		Yes	Yes	Fillable Printable
Other-Sample Annual Statement			sample printable annualStatement.pdf		Yes	Yes	Fillable Printable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 2,950

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	22,150	-9,650	31,800
Annual IC Time Burden (Hours)	40,695	-28,950	69,645
Annual IC Cost Burden (Dollars)	0	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.