Historic Preservation for Energy Efficiency Programs

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form DOE F 540.6 HP Reporting Form	Form and Instruction	Modified	Available
Historic Preservation_Supporting Statement 1910-5155 2-7-20.docx	Supporting Statement A	Uploaded 2020-02-24	Available
30 Day FRN 06-04-19.pdf	Supplementary Document	Uploaded 2019-09-20	Available
60 Day FRN 11-13-18.pdf	Supplementary Document	Uploaded 2019-09-20	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
222889	HP Reporting Form	Form and Instruction	Modified

ICR Details

OMB Control No: 1910-5155	ICR Reference No: 201909-1910-001
Status: Active	Previous ICR Reference No: 201607-1910-006
Agency/Subagency: DOE/DOEOA	Agency Tracking No: Felix Vazquez-Guemarez
Title: Historic Preservation for Energy Efficiency Programs
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 02/24/2020
	Date Received in OIRA: 09/30/2019
Terms of Clearance: In accordance with 5 CFR 1320, the information collection is approved for three years.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	02/28/2023	36 Months From Approved	02/29/2020
Responses	221	0	275
Time Burden (Hours)	442	0	662
Cost Burden (Dollars)	18,728	0	0

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Abstract: DOE requests authorization to collect data on the status of Weatherization Assistance Program, State Energy Program and Energy Efficiency and Conservation Block Grant Program activities. Activities using DOE funds, exempt activities from Historic Preservation review and all other Historic Preservation activities. DOE has also requested authorization to liaise regularly with states to gather real-time data on implementation issues, challenges, and activities.

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Authorizing Statute(s): PL: Pub.L. 89 - 665 106 Name of Law: National Historic Preservation Act
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	83 FR 56313	11/13/2018
30-day Notice:	Federal Register Citation:	Citation Date:
	84 FR 25795	06/04/2019
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
HP Reporting Form	DOE F 540.6	DOE HISTORIC PRESERVATION REPORT

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ICR Summary of Burden

table that charts list of burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	221	275	0	0	-54	0
Annual Time Burden (Hours)	442	662	0	0	-220	0
Annual Cost Burden (Dollars)	18,728	0	0	0	18,728	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $4,601

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? Yes

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 09/30/2019

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