Information Collection

Electric Emergency Incident and Disturbance Report

IC 22891 under ICR 202012-1901-001 · OMB 1901-0288.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1901-0288 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form OE-417 Electric Emergency Incident and Disturbance Report	Form
2.Instructions.docx	Instruction
2.Instructions.docx	Instruction
OE-417 Electric Emergency Incidence and Disturbance Report 1.Form.docx	Form
DOE-417 Electric Emergency Incidence and Disturbance Report 1.Form.docx	Form
OE417_Supporting Statement A.docx Supporting Statement A	IC Document
OE417_Supporting Statement A.docx Supporting Statement A	IC Document

IC Title:

Electric Emergency Incident and Disturbance Report

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 5 CFR 1320.5

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
Form	DOE-417	Electric Emergency Incidence and Disturbance Report	1.Form.docx		Yes	Yes	Fillable Fileable
Instruction			2.Instructions.docx		Yes	Yes	Fillable Fileable

Line of Business: Energy

Subfunction: Energy Conservation and Preparedness

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 3,034

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	3,034	68	151	2,815
Annual IC Time Burden (Hours)	5,455	27	295	5,133
Annual IC Cost Burden (Dollars)	0	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Supporting Statement A	OE417_Supporting Statement A.docx	12/02/2020

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.