View Information Collection (IC)
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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
TVA 17658
Security Agreement
17658.docx
Yes
Yes
Fillable Printable
Form
TVA 17659
Notice of Right to Cancel
17659.docx
Yes
Yes
Fillable Printable
Form
TVA 17657
Repayment Agreement
17657.docx
Yes
Yes
Fillable Printable
Form
TVA 17656
Agreement to Participate - Landlord
17656.docx
Yes
Yes
Fillable Printable
Form
TVA 17655
Agreement to Participate - Homeowner
17655.docx
Yes
Yes
Fillable Printable
Form
TVA 17654
Program Implementation Plan
17654.docx
Yes
Yes
Fillable Printable
Form
TVA 17652
Water Heater Plan Work Completion Form
17652.docx
Yes
Yes
Fillable Printable
Form
TVA 17651
New Homes Plan Work Completion Form
17651.docx
Yes
Yes
Fillable Printable
Form
TVA 17650
Heat Pump Plan Work Completion Form
17650.docx
Yes
Yes
Fillable Printable
Other-
Final_BURDEN_ESTIMATE_energy_right.doc
Yes
No
Printable Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Energy
Subfunction:
Energy Production
Privacy Act System of Records
Title:
TVA-29, Energy Program Participant Records
FR Citation:
80 FR 24030
Number of Respondents:
33,000
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
33,000
0
0
0
0
33,000
Annual IC Time Burden (Hours)
10,020
0
0
0
0
10,020
Annual IC Cost Burden (Dollars)
0
0
0
-190,377
0
190,377
Documents for IC
Title
Document
Date Uploaded
Privacy Act System of Records Notice
SORN for EnergyRight.pdf
04/12/2017
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.