Homeowner

Puerto Rico Energy Resiliency Fund

Documents and Forms

Document Name Document Type
Form GDO-038.1 Homeowner Form and Instruction
GDO-038.1 Solar Ambassador Household Intake Form GDO-038.1- Household Intake Form.docx Form and Instruction
GDO-038.1 Solar Ambassador Household Intake Form- Spanish GDO-038.1- Spanish_PR-ERF_Household Intake Form.docx Form and Instruction

Information Collection (IC) Details

IC Title:	Homeowner	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:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	GDO-038.1	Solar Ambassador Household Intake Form	GDO-038.1- Household Intake Form.docx		Yes	Yes	Fillable Fileable
Form and Instruction	GDO-038.1	Solar Ambassador Household Intake Form- Spanish	GDO-038.1- Spanish_PR-ERF_Household Intake Form.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: 40,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Previously Approved
Annual Number of Responses for this IC	40,000	40,000
Annual IC Time Burden (Hours)	36,800	36,800
Annual IC Cost Burden (Dollars)	437,920	437,920

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.