HP Reporting Form

Historic Preservation for Energy Efficiency Programs

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1910-5155 can be found here:

Documents and Forms

Document Name Document Type
Form DOE F 540.6 HP Reporting Form Form and Instruction
DOE F 540.6 DOE HISTORIC PRESERVATION REPORT DOE HISTORIC PRESERVATION REPORT.pdf Form and Instruction

Information Collection (IC) Details

IC Title:	HP Reporting Form	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	DOE F 540.6	DOE HISTORIC PRESERVATION REPORT	DOE HISTORIC PRESERVATION REPORT.pdf		Yes	Yes	Fillable Fileable

Line of Business: Energy

Subfunction: Energy Resource Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 221	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	221	-54	275
Annual IC Time Burden (Hours)	442	-220	662
Annual IC Cost Burden (Dollars)	18,728	18,728	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.