Information Collection

EIA-112 Cognitive Testing/Record Keeping

IC 277892 under ICR 202506-1905-001 · OMB 1905-0186.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
InterviewGuide10-14-25.docx	Other-EIA-112 Cognitive Testing/Reco
EmailInvitation10-14-25.docx Email Invitation	IC Document
Generic Testing Clearance Form_EIA-112RecordKeeping10-14-25.docx Generic Testing Clearance Form	IC Document
Screenshots of instrument_Each tab is a schedule.xlsx Screenshots of EIA-112 Webform instrument	IC Document

IC Title:

Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation: 5 CFR 1320.5

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
Other-EIA-112 Cognitive Testing/Record Keeping Protocol					No		Printable Only

Line of Business: Energy

Subfunction: Energy Supply

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 600

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	600	600
Annual IC Time Burden (Hours)	30	30
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Email Invitation		10/15/2025
Generic Testing Clearance Form		10/15/2025
Screenshots of EIA-112 Webform instrument		10/15/2025

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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