State Energy Program

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form DOE F 540.8 SEP Master File	Form	Modified	Available
Form DOE F 540.7 SEP Energy Efficiency Revolving Loan Fund Quarterly Performance	Form	Modified	Available
Form DOE F 540.6 SEP Quarterly Program Report	Form	Modified	Available
Form DOE F 540.1 SEP Annual File Worksheet	Form	Modified	Available
Form DOE F 540.1 State Energy Program	Form	Modified	Repair queued
2023 1910-5126 Supporting Statement_Final (Clean) 6.01.docx	Supporting Statement A	Uploaded 2023-06-01	Available
60-day FRN 10-19-22.pdf	Supplementary Document	Uploaded 2023-05-10	Repair queued
30-day FRN 12-28-22.pdf	Supplementary Document	Uploaded 2023-05-10	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
23453	State Energy Program	Form	Modified	SEP Master File
23453	State Energy Program	Form	Modified	SEP Energy Efficiency Revolving Loan Fund Quarterly Performance
23453	State Energy Program	Form	Modified	SEP Quarterly Program Report
23453	State Energy Program	Form	Modified	SEP Annual File Worksheet
23453	State Energy Program	Form	Modified
23453	State Energy Program	Other-Screenshot	Modified

ICR Details

OMB Control No: 1910-5126	ICR Reference No: 202305-1910-003
Status: Active	Previous ICR Reference No: 202006-1910-001
Agency/Subagency: DOE/DOEOA	Agency Tracking No: Gregory Davoren
Title: State Energy Program
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 08/14/2023
Retrieve Notice of Action (NOA)	Date Received in OIRA: 06/06/2023
Terms of Clearance: In accordance with 5 CFR 1320, the information collection is approved for three years. In accordance with 1320.5(a), the agency is reminded that an agency cannot collect information without a valid OMB control number. Upon resubmission of this renewal, the agency is reminded to provide screen shots of the electronic portal where the reporting requirements are submitted to DOE (with the control number and burden statement).

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	08/31/2026	36 Months From Approved	08/31/2023
Responses	1,232	0	224
Time Burden (Hours)	22,848	0	7,456
Cost Burden (Dollars)	1,729,822	0	315,910

---

Abstract: The information collection request, State Energy Program (SEP), was previously approved on August 31, 2020 under OMB Control No. 1910-5126 and its current expiration date is August 31, 2023. This ICR includes SEP Annual Appropriations and Infrastructure Investment and Jobs Act (IIJA). This ICR makes updates to the SEP reporting metrics to ensure the requested information can be shared on an annual basis with Congress.

---

Authorizing Statute(s): PL: Pub.L. 94 - 163 361-365 Name of Law: Energy Policy and Conservation Act of 1975
   PL: Pub.L. 101 - 440 364, 3, 4 Name of Law: State Energy Efficiency Programs Improvement Act
   PL: Pub.L. 102 - 486 141 Name of Law: Energy Policy Act of 1992
   PL: Pub.L. 110 - 140 531 Name of Law: Energy Independence and Security Act of 2007
   US Code: 42 USC 6321-6327 Name of Law: State Energy Program
  

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:
	87 FR 63487	10/19/2022
30-day Notice:	Federal Register Citation:	Citation Date:
	87 FR 79878	12/28/2022
Did the Agency receive public comments on this ICR? No

---

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

table that charts list of burden

IC Title	Form No.	Form Name
State Energy Program	DOE F 540.1, DOE F 540.6, DOE F 540.7, DOE F 540.8	SEP Annual File Worksheet ,   SEP Quarterly Program Report ,   SEP Energy Efficiency Revolving Loan Fund Quarterly Performance ,   SEP Master File

---

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	1,232	224	0	560	448	0
Annual Time Burden (Hours)	22,848	7,456	0	12,096	3,296	0
Annual Cost Burden (Dollars)	1,729,822	315,910	0	915,788	498,124	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: The previous ICR submission (1910-5126) only accounted for 1 form, the Quarterly Performance Report and omitted the Annual File and Master File totaling 8,064 respondent burden hours. Historically, the Annual File and Master File were never included in previous ICRs. While calculating the burden hours SEP was informed that these two forms should be included in the ICR. The increase is also due to the implementation of 2 new funding sources under IIJA.

---

Annual Cost to Federal Government: $114,646

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: 06/06/2023

---