Information Collection

State Energy Program

IC 23453 under ICR 202305-1910-003 · OMB 1910-5126.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form DOE F 540.1 State Energy Program	Form
DOE F 540.6 -SEP Quarterly Program Report.docx	Other-Screenshot
DOE F 540.8 SEP Master File.docx	Other-Screenhot
DOE F 540.7 Quarterly Performance Reporting.docx	Other-Screenshot
DOE_F_540.1 SEP Annual File Worksheet.docx	Other-Screenshot
DOE F 540.1 SEP Annual File Worksheet SEP Quarterly Program Report DOE F 540.1.pdf	Form
DOE F 540.1 SEP Annual File Worksheet DOE_F_540.1 SEP Annual File Worksheet.pdf	Form
DOE F 540.6 SEP Quarterly Program Report DOE F 540.6 -SEP Quarterly Program Report.docx	Form
DOE F 540.6 SEP Quarterly Program Report DOE F 540.6 -SEP Quarterly Program Report.pdf	Form
DOE F 540.7 SEP Energy Efficiency Revolving Loan Fund Quarterly Perf DOE F 540.7 SEP Energy Efficiency Revolving Loan Fund Quarterly Performance.docx	Form
DOE F 540.7 SEP Energy Efficiency Revolving Loan Fund Quarterly Perf DOE F 540.7 SEP Energy Efficiency Revolving Loan Fund Quarterly Performance (11_22)_Final.pdf	Form
DOE F 540.8 SEP Master File DOE F 540.8 SEP Master File.docx	Form
DOE F 540.8 SEP Master File DOE F 540.8 SEP Master File.pdf	Form
DOE F 540.6 Screenshot- SEP Quarterly Program Report DOE F 540.6 -SEP Quarterly Program Report.docx	Form
DOE F 540.8 Screenshot-SEP Master File DOE F 540.8 SEP Master File.docx	Form
DOE F 540.7 Screenshot- DOE F 540.7 Quarterly Performance Reporting DOE F 540.7 Quarterly Performance Reporting.docx	Form
DOE_F_540.1 Screenshot- SEP Annual File Worksheet DOE_F_540.1 SEP Annual File Worksheet.docx	Form

IC Title:

Agency IC Tracking Number:

Gregory Davoren

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 10 CFR 420

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	DOE F 540.1	SEP Annual File Worksheet	DOE_F_540.1 SEP Annual File Worksheet.pdf	Yes	Yes	Fillable Fileable
Form	DOE F 540.6	SEP Quarterly Program Report	DOE F 540.6 -SEP Quarterly Program Report.pdf	Yes	Yes	Fillable Fileable
Form	DOE F 540.7	SEP Energy Efficiency Revolving Loan Fund Quarterly Performance	DOE F 540.7 SEP Energy Efficiency Revolving Loan Fund Quarterly Performance (11_22)_Final.pdf	Yes	Yes	Fillable Fileable
Form	DOE F 540.8	SEP Master File	DOE F 540.8 SEP Master File.pdf	Yes	Yes	Fillable Fileable
Other-Screenshot			DOE F 540.6 -SEP Quarterly Program Report.docx	No		Printable Only
Other-Screenhot			DOE F 540.8 SEP Master File.docx	No		Printable Only
Other-Screenshot			DOE F 540.7 Quarterly Performance Reporting.docx	No		Printable Only
Other-Screenshot			DOE_F_540.1 SEP Annual File Worksheet.docx	No		Printable Only

Line of Business: Energy

Subfunction: Energy Resource Management

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 56

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

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

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.