Emissions Value Request Form

Greenhouse Gas Emissions Value Analysis (45Y and 48E)

Documents and Forms

Document Name Document Type
Emissions Value Request Form Form
Box File Sharing Screenshots Final.pptx Other-Application Upload Screenshots
Emissions Value Request Form 2025.04.17_Emissions Value Request Form_48E45Y.xlsm Form

Information Collection (IC) Details

IC Title:	Emissions Value Request Form	Agency IC Tracking Number:	Natalie Lefton

Is this a Common Form? No		IC Status: New

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	N/A	Emissions Value Request Form	2025.04.17_Emissions Value Request Form_48E45Y.xlsm		Yes	Yes	Fillable Fileable
Other-Application Upload Screenshots			Box File Sharing Screenshots Final.pptx		Yes	Yes	Fillable Fileable

Line of Business: Economic Development

Subfunction: Business and Industry Development

Privacy Act System of Records
Title: DOE-82, Grant and Contract Records for Research Projects, Science Education, and Related Activities	FR Citation: 74 FR 1082

Number of Respondents: 20	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	20	20
Annual IC Time Burden (Hours)	800	800
Annual IC Cost Burden (Dollars)	77,368	77,368

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.