View Information Collection (IC)
Skip to main content
An official website of the United States government
The .gov means it's official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you're on a federal government site.
The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.
Search:
Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
Energy Right Program
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
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
17651
New Homes WCF
17651_New Homes WCF 4 1 07.doc
Yes
Yes
Fillable Fileable Signable
Form
17655
Agreement to Participate-Homeowner
17655_Agreement to Participate-Homeowner.doc
Yes
Yes
Fillable Fileable Signable
Form
17652
Water Heater Work Completion Form
17652_WH WCF.doc
Yes
Yes
Fillable Fileable Signable
Form
17654
Schedule P - Program Implementaion Plan
17654_Schedule P 4 1 07.doc
Yes
Yes
Fillable Fileable Signable
Form
17656
Agreement to Participate-Landlord.doc
17656_Agreement to Participate-Landlord.doc
Yes
Yes
Fillable Fileable Signable
Form
17657
Repayment Agreement
17657_Repayment Agreement.doc
Yes
Yes
Fillable Fileable Signable
Form
17658
Security Agreement
17658_Security Agreement.doc
Yes
Yes
Fillable Fileable Signable
Form
17659
Notice of Right to Cancel
17659_Notice of Right to Cancel.doc
Yes
Yes
Fillable Fileable Signable
Form
17676
Manufactured Home Validation
17676.pdf
Yes
Yes
Printable Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Energy
Subfunction:
Energy Production
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
29,000
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
50 %
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
29,000
0
-2,000
0
31,000
0
Annual IC Time Burden (Hours)
8,700
0
-600
0
9,300
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.
Something went wrong when downloading this file. If you have any questions, please send an email to risc@gsa.gov.