Energy Right Program

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 17659 Notice of Right to Cancel	Form and Instruction	Modified	Repair queued
Form 17658 Security Agreement	Form and Instruction	Modified	Repair queued
Form 17657 Repayment Agreement	Form and Instruction	Modified	Repair queued
Form 17656 Agreement to Participate Landlord	Form and Instruction	Modified	Repair queued
Form 17655 Agreement to Participate Homeowner	Form and Instruction	Modified	Repair queued
Form TVA 17658 Energy Right Program	Form	Modified	Repair queued
2022 Supporting Statement B - OMB Collection of Information Employing Statis.docx	Supporting Statement B	Uploaded 2022-08-09	Repair queued
EnergyRight Supporting Statement - Final.docx	Supporting Statement A	Uploaded 2022-08-09	Repair queued
TVA_ACT_Sec_10.doc	Supplementary Document	Uploaded 2014-04-29	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
35855	Energy Right Program	Form and Instruction	Modified	Notice of Right to Cancel
35855	Energy Right Program	Form and Instruction	Modified	Security Agreement
35855	Energy Right Program	Form and Instruction	Modified	Repayment Agreement
35855	Energy Right Program	Form and Instruction	Modified	Agreement to Participate Landlord
35855	Energy Right Program	Form and Instruction	Modified	Agreement to Participate Homeowner
35855	Energy Right Program	Form	Modified

ICR Details

OMB Control No: 3316-0019	ICR Reference No: 202208-3316-001
Status: Active	Previous ICR Reference No: 201704-3316-001
Agency/Subagency: TVA	Agency Tracking No:
Title: Energy Right Program
Type of Information Collection: Reinstatement with change of a previously approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 04/15/2025
Retrieve Notice of Action (NOA)	Date Received in OIRA: 08/09/2022
Terms of Clearance: In accordance with 5 CFR 1320, the information collection is approved for three years. To the extent that the online forms used for online surveys differ from the forms included in this collection, the agency must provide screenshots of those forms as part of the next renewal package. The agency is reminded to include the material required in 5 CFR 1320.8(b)(3) (i.e., the PRA burden statement) for every information collection instrument, including for electronic reporting.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	04/30/2028	36 Months From Approved
Responses	33,500	0	0
Time Burden (Hours)	8,650	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: Information collected is used by TVA and local power companies. This information is used by distributors of TVA power to assist in identifying and financing energy improvements for their electrical energy customers.

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Authorizing Statute(s): None

Citations for New Statutory Requirements: None

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

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	87 FR 26387	05/04/2022
30-day Notice:	Federal Register Citation:	Citation Date:
	87 FR 42261	07/14/2022
Did the Agency receive public comments on this ICR? No

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

table that charts list of burden

IC Title	Form No.	Form Name
Energy Right Program	17656, 17657, 17658, 17659, 17655	Agreement to Participate Homeowner ,   Agreement to Participate Landlord ,   Repayment Agreement ,   Security Agreement ,   Notice of Right to Cancel

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ICR Summary of Burden

table that charts list of burden

	Total Approved	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	33,500	0	0	500	0	33,000
Annual Time Burden (Hours)	8,650	0	0	-1,370	0	10,020
Annual Cost Burden (Dollars)	0	0	0	0	0	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: Changing Forms

Short Statement: The decrease in burden is the result of reduced sample sizes for surveys and the elimination of several program related forms. TVA has eliminated two forms since the previous approval. Forms Heat Pump Plan Work Completion Form (TVA 17650), Water Heater Plan Work Completion Form (TVA 17652), Program Implementation Plan Form (TVA 17654), and New Homes Plan Work Completion Form (TVA 17651) were outdated and are no longer used by the program.

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Annual Cost to Federal Government: $97,500

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

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.     Yes

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.     Yes

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

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Common Form ICR:  No

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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: 08/09/2022

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