Public Citizens

Privacy Act Administration

Documents and Forms

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

Information Collection (IC) Details

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:

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 %

	Requested	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

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.