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⚠️ Notice: This information collection may be referencing outdated material.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

Documents and forms in this information collection
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

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:

table that charts list of 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 %

table that charts list of burden
	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

table that charts IC Documents
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.