Information Collection

Emissions Value Request Form

IC 276357 under ICR 202507-1910-003 · OMB unassigned.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Emissions Value Request Form 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

IC Title:

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:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	N/A				Yes	Yes	Fillable Fileable
Other-Application Upload Screenshots					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 %

table that charts list of burden
	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

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.

Something went wrong when downloading this file. If you have any questions, please send an email to [email protected].