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 and Instruction
17655
Agreement to Participate Homeowner
ER Agreement to Participate - Homeowner 17655.pdf
Yes
Yes
Fillable Fileable Signable
Form and Instruction
17656
Agreement to Participate Landlord
ER Agreement to Participate - Landlord 17656.pdf
Yes
Yes
Fillable Fileable Signable
Form and Instruction
17657
Repayment Agreement
ER Repayment Agreement 17657.pdf
Yes
Yes
Fillable Fileable Signable
Form and Instruction
17658
Security Agreement
ER Security Agreement 17658.pdf
Yes
Yes
Fillable Fileable Signable
Form and Instruction
17659
Notice of Right to Cancel
ER Notice of Right to Cancel 17659.pdf
Yes
Yes
Fillable Fileable Signable
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:
33,500
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
33,500
0
500
0
33,000
0
Annual IC Time Burden (Hours)
8,650
0
-1,370
0
10,020
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
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.
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