NEPA Environmental Analysis

Forms and Documents

Document	Type	Status	Availability
Form DOE F 540 EERE Environmental Questionnaire - Private	Form and Instruction	Removed	Repair queued
Form DOE F 540 EERE Environmental Questionnaire	Form and Instruction	Modified	Available
30 Day FRN 11-3-2020.pdf	Supplementary Document	Uploaded 2020-11-09	Repair queued
60 Day FRN 4-13-2020.pdf	Supplementary Document	Uploaded 2020-11-09	Repair queued
1910-5175 Supporting Statement.docx	Supporting Statement A	Uploaded 2020-11-09	Repair queued

IC Document Collections

IC ID	Collection	Type	Status	Form
211748	EERE Environmental Questionnaire - Private	Form and Instruction	Removed
211747	EERE Environmental Questionnaire	Form and Instruction	Modified

ICR Details

OMB Control No: 1910-5175	ICR Reference No: 202011-1910-002
Status: Received in OIRA	Previous ICR Reference No: 201708-1910-002
Agency/Subagency: DOE/DOEOA	Agency Tracking No: Lisa Jorgensen (EERE)
Title: NEPA Environmental Analysis
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 11/12/2020

	Requested	Previously Approved
Expiration Date	36 Months From Approved	01/31/2021
Responses	300	300
Time Burden (Hours)	443	150
Cost Burden (Dollars)	29,238	0

---

Abstract: The National Environmental Policy Act (NEPA) of 1969 (42 U.S.C. 4321 et seq.) requires that an environmental analysis be completed for all major Federal actions significantly affecting the environment including projects entirely or partly financed by Federal agencies. To effectively perform environmental analyses for these projects, DOE needs to collect project-specific environmental information from Federal financial assistance awardees.

---

Authorizing Statute(s): US Code: 42 USC 4321 Name of Law: National Environmental Policy Act
  

Citations for New Statutory Requirements: None

---

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

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	85 FR 20490	04/13/2020
30-day Notice:	Federal Register Citation:	Citation Date:
	85 FR 69608	11/03/2020
Did the Agency receive public comments on this ICR? No

---

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

IC Title	Form No.	Form Name
EERE Environmental Questionnaire	DOE F 540	Environmental Questionnaire
EERE Environmental Questionnaire - Private	DOE F 540	Office of Energy Efficiency and Renewable Energy Environmental Questionniare

---

ICR Summary of Burden

	Total Request	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	300	300	0	-240	240	0
Annual Time Burden (Hours)	443	150	0	-120	413	0
Annual Cost Burden (Dollars)	29,238	0	0	0	29,238	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: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: IC was removed and consolidated into one IC.

---

Annual Cost to Federal Government: $43,200

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)? No

Is this ICR related to the Pandemic Response? No

---

Common Form ICR:  No

---

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: 11/12/2020

---