Puerto Rico Energy Resiliency Fund

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form GDO-038 Solar Ambassador Household Intake Form - Spanish	Form and Instruction	New	Repair queued
Form GDO-038 Solar Ambassador Household Intake Form	Form and Instruction	New	Repair queued
Form GDO-038 Solar Ambassador	Form and Instruction	New	Repair queued
Form GDO-038 Solar Ambassador Household Intake Form- Spanish	Form and Instruction	New	Repair queued
Form GDO-038 Solar Ambassador Household Intake Form	Form and Instruction	New	Available
Form GDO-038 Homeowner	Form and Instruction	New	Repair queued
Action Memo_FRN_Solar_Ambassador_Prize_Intake_Form_signed.pdf	Supplementary Document	Uploaded 2023-08-21	Repair queued
2023 1910-NEW Supporting Statement_PR-ERF_Solar Ambassador Household Intake Form_CLEAN.docx	Supporting Statement A	Uploaded 2023-08-21	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
261672	Solar Ambassador	Form and Instruction	New	Solar Ambassador Household Intake Form - Spanish
261672	Solar Ambassador	Form and Instruction	New	Solar Ambassador Household Intake Form
261672	Solar Ambassador	Form and Instruction	New
261671	Homeowner	Form and Instruction	New	Solar Ambassador Household Intake Form- Spanish
261671	Homeowner	Form and Instruction	New	Solar Ambassador Household Intake Form
261671	Homeowner	Form and Instruction	New

ICR Details

OMB Control No: 1910-5200	ICR Reference No: 202308-1910-002
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: DOE/DOEOA	Agency Tracking No: Aisha Miranda Rivera
Title: Puerto Rico Energy Resiliency Fund
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Emergency	Approval Requested By: 09/01/2023
OIRA Conclusion Action: Approved with change	Conclusion Date: 08/31/2023
Retrieve Notice of Action (NOA)	Date Received in OIRA: 08/22/2023
Terms of Clearance: In accordance with 44 USC 3507(j)(2) as amended and 5 CFR 1320.13, this information collection is approved as an emergency clearance. If the Agency decides to continue use of the collection past the approved emergency clearance time period, it must resubmit an ICR to OMB under the normal PRA clearance process.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	02/29/2024	6 Months From Approved
Responses	80,000	0	0
Time Burden (Hours)	56,800	0	0
Cost Burden (Dollars)	845,520	0	0

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Abstract: The purpose of this ICR is to authorize the ‘Solar Ambassador Household Intake Form’ as the means to collect homeowner information necessary to qualify households as eligible to participate in the deployment phase of the PR-ERF. Eligibility is limited to very low-income single-family households residing in Puerto Rico that (1) include an individual with an energy-dependent disability or (2) are located in a Last Mile Community .

Emergency Justfication: An emergency clearance is necessary due to the exigent need for a diligent verification process to demonstrate to Congress, agency and administration leadership, and the public that the Puerto Rican households most vulnerable to extreme weather events with the highest energy burden have been served. PR-ERF supports DOE’s mission to advance equity and justice priorities, reduce greenhouse gas emissions, and create quality jobs. DOE is therefore requesting an Emergency Clearance for a 6-month approval period.

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Authorizing Statute(s): PL: Pub.L. 117 - 328 3 Name of Law: The Consolidated Appropriations Act of 2023
  

Citations for New Statutory Requirements: PL: Pub.L. 117 - 328 3 Name of Law: The Consolidated Appropriations Act of 2023

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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

Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 2

table that charts list of burden

IC Title	Form No.	Form Name
Homeowner	GDO-038, GDO-038	Solar Ambassador Household Intake Form ,   Solar Ambassador Household Intake Form- Spanish
Solar Ambassador	GDO-038, GDO-038	Solar Ambassador Household Intake Form ,   Solar Ambassador Household Intake Form - Spanish

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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	80,000	0	0	80,000	0	0
Annual Time Burden (Hours)	56,800	0	0	56,800	0	0
Annual Cost Burden (Dollars)	845,520	0	0	845,520	0	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: NEW ICR

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Annual Cost to Federal Government: $421,500

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.     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: 08/22/2023

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