Energy and Performance Information Center (EPIC)

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Document Name Document Type
EPIC screen shots combined.pdf Other-Screen Shots
sample printable annualStatement.pdf Other-Sample Annual Statement

Information Collection (IC) Details

View Information Collection (IC)

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:

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 %

	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

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.