Information Collection

Annual Alternative Fuel Vehicle Acquisition Report for State Government and Alternative Fuel Provider Fleets

IC 23410 under ICR 202110-1910-003 · OMB 1910-5101.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1910-5101 can be found here:

Documents and Forms

Document Name Document Type
AC Reporting - Screen Shot 2021-08-10 at 1.46.49 PM.png Other-Report
AC Reporting - Screen Shot 2021-08-10 at 1.46.49 PM.png Other-Report
Annual Reporting Tool - Screen Shot 2021-08-10 at 2.07.36 PM.png Other-Reporting Tool Screenshot
Annual Reporting Tool - Screen Shot 2021-08-10 at 2.07.36 PM.png Other-Reporting Tool Screenshot
SC Reporting - Screen Shot 2021-08-10 at 1.53.22 PM.png Other-Reporting Tool Screenshot
SC Reporting - Screen Shot 2021-08-10 at 1.53.22 PM.png Other-Reporting Tool Screenshot

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Annual Alternative Fuel Vehicle Acquisition Report for State Government and Alternative Fuel Provider Fleets	Agency IC Tracking Number:	Ted Sears

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Report	AC Reporting - Screen Shot 2021-08-10 at 1.46.49 PM.png	Yes	Yes	Fillable Fileable
Other-Reporting Tool Screenshot	Annual Reporting Tool - Screen Shot 2021-08-10 at 2.07.36 PM.png	Yes	Yes	Fillable Fileable
Other-Reporting Tool Screenshot	SC Reporting - Screen Shot 2021-08-10 at 1.53.22 PM.png	Yes	Yes	Fillable Fileable

Line of Business: Environmental Management

Subfunction: Pollution Prevention and Control

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 303	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 95 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	319	-16	335
Annual IC Time Burden (Hours)	2,215	0	2,215
Annual IC Cost Burden (Dollars)	179,083	179,083	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.