View Information Collection (IC)

View Information Collection (IC)

IC Title:	Commercial Building Energy Consumption Survey (CBECS)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 5 CFR 1320.9 5 CFR 1320.8(b)(3)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	EIA-871A	Building Questionnaire	2012 CBECS - Form 871A - Building Questionnaire.doc		Yes	Yes	Fillable Fileable
Form	EIA-871B	Authorization Form	2012 CBECS - Form 871B - Authorization Form.doc		Yes	Yes	Fillable Fileable
Form	EIA-871C	Natural Gas Usage	2012 CBECS - Form 871C - Natural Gas Usage.doc		Yes	Yes	Fillable Fileable
Form	EIA-871D	District Heating Usage	2012 CBECS - Form 871D - District Heating Usage.doc		Yes	Yes	Fillable Fileable
Form	EIA-871E	Electricity Usage	2012 CBECS - Form 871E - Electricity Usage.doc		Yes	Yes	Fillable Fileable
Form	EIA-871F	Fuel Oil Usage	2012 CBECS - Form 871F - Fuel Oil Usage.doc		Yes	Yes	Fillable Fileable
Form	EIA-871G	Worksheet 1 (Building Version)	2012 CBECS - Form 871G - Worksheet 1.doc		Yes	Yes	Fillable Fileable
Form	EIA-871H	Worksheet 2 (Establishment Version)	2012 CBECS - Form 871H - Worksheet 2.doc		Yes	Yes	Fillable Fileable
Form	EIA-871I	Mall Building Questionnaire	2012 CBECS - Form 871I - Mall Building Questionnaire.doc		Yes	Yes	Fillable Fileable
Form	EIA-871J	Mall Establishment Questionnaire	2012 CBECS - Form 871J - Mall Establishment Questionnaire.doc		Yes	Yes	Fillable Fileable

Federal Enterprise Architecture Business Reference Module

Line of Business: Energy

Subfunction: Energy Resource Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 5,142	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 New Statute	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Change Due to Potential Violation of the PRA	Previously Approved
Annual Number of Responses for this IC	5,142	0	5,142	0	0	0
Annual IC Time Burden (Hours)	3,978	0	3,978	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

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.