Information Collection

Solar Ambassador

IC 261672 under ICR 202402-1910-003 · OMB 1910-5200.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1910-5200 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form GDO-038 Solar Ambassador	Form and Instruction
GDO-038 Solar Ambassador Household Intake Form GDO-038.1- Household Intake Form - Final Clean 2.20.24.docx	Form and Instruction
GDO-038 Solar Ambassador Household Intake Form GDO-038.1- Household Intake Form - English- Final Clean 5.2024.docx	Form and Instruction
GDO-038 Solar Ambassador Household Intake Form - Spanish GDO-038.1- Household Intake Form- Spanish- Final Clean 2.20.24.docx	Form and Instruction
GDO-038 Solar Ambassador Household Intake Form - Spanish GDO-038.1- Household Intake Form- Spanish- Final Clean 5.2024.docx	Form and Instruction

IC Title:

Solar Ambassador

Agency IC Tracking Number:

Aisha Miranda Rivera

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	GDO-038	Solar Ambassador Household Intake Form	GDO-038.1- Household Intake Form - English- Final Clean 5.2024.docx		Yes	Yes	Fillable Fileable
Form and Instruction	GDO-038	Solar Ambassador Household Intake Form - Spanish	GDO-038.1- Household Intake Form- Spanish- Final Clean 5.2024.docx		Yes	Yes	Fillable Fileable

Line of Business: Community and Social Services

Subfunction: Community and Regional Development

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 160

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	40,000	40,000
Annual IC Time Burden (Hours)	20,000	20,000
Annual IC Cost Burden (Dollars)	407,600	407,600

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.