View Information Collection (IC)

View Information Collection (IC)

View Information Collection (IC)

IC Title:	Residential Utility Disconnection Exploratory Interviews	Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation: 5 CFR 1320

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Qualtrics Web Survey/Protocol			Exploratory Interview Protocol - EIA-112 - 06252024.docx		Yes	Yes	Fillable Fileable

Federal Enterprise Architecture Business Reference Module

Line of Business: Energy

Subfunction: Energy Supply

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 201	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 75 %

	Approved	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	201	0	201	0	0	0
Annual IC Time Burden (Hours)	28	0	28	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
Exploratory Interview Email Recruitment	Exploratory Interview Email Recruitment- EIA-112 - 06252024.docx	06/26/2024
Generic Testing Clearance Summary	Generic Testing Clearance Summary - EIA-112 - 06252024.docx	06/26/2024

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