View Information Collection Request (ICR) Package

Please note that the OMB number and expiration date may not have been determined when this Information Collection Request and associated Information Collection forms were submitted to OMB. The approved OMB number and expiration date may be found by clicking on the Notice of Action link below.

View ICR - OIRA Conclusion

OMB Control No: 1910-5200	ICR Reference No: 202308-1910-002
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: DOE/DOEOA	Agency Tracking No: Aisha Miranda Rivera
Title: Puerto Rico Energy Resiliency Fund
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR: No
Type of Review Request: Emergency	Approval Requested By: 09/01/2023
OIRA Conclusion Action: Approved with change	Conclusion Date: 08/31/2023
	Date Received in OIRA: 08/22/2023
Terms of Clearance: In accordance with 44 USC 3507(j)(2) as amended and 5 CFR 1320.13, this information collection is approved as an emergency clearance. If the Agency decides to continue use of the collection past the approved emergency clearance time period, it must resubmit an ICR to OMB under the normal PRA clearance process.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	02/29/2024	6 Months From Approved
Responses	80,000	0	0
Time Burden (Hours)	56,800	0	0
Cost Burden (Dollars)	845,520	0	0

Number of Information Collection (IC) in this ICR: 2

IC Title	Form No.	Form Name
Homeowner	GDO-038, GDO-038	,
Solar Ambassador	GDO-038, GDO-038	,

ICR Summary of Burden

	Total Approved	Change Due to Agency Discretion
Annual Number of Responses	80,000	80,000
Annual Time Burden (Hours)	56,800	56,800
Annual Cost Burden (Dollars)	845,520	845,520

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: NEW ICR

Annual Cost to Federal Government: $421,500

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination. Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination. Yes

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

Agency Contact: Yohanna Freeman 301 903-1151 yohanna.freeman@hq.doe.gov

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