Information Collection

Public Citizens

IC 270766 under ICR 202408-1910-002 · OMB 1910-1700.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form DOE F 206.5 Public Citizens	Form and Instruction
DOE F 206.5 Privacy Act Information Request DOE F 206.5 Privacy Act Information Request (Final).pdf	Form and Instruction
DOE F 206.5 Privacy Act Information Request DOE F 206.5 Privacy Act Information Request (Final).pdf	Form and Instruction

IC Title:

Public Citizens

Agency IC Tracking Number:

Brenda Canterbury

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

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	DOE F 206.5	Privacy Act Information Request	DOE F 206.5 Privacy Act Information Request (Final).pdf		Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Central Personnel

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 165

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 75 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	165	165
Annual IC Time Burden (Hours)	55	55
Annual IC Cost Burden (Dollars)	3,559	3,559

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.