View Information Collection Request (ICR) Package

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View Generic ICR - OIRA Conclusion

OMB Control No: 1910-5160	ICR Reference No: 202602-1910-005
Status: Active	Previous ICR Reference No: 202108-1910-003
Agency/Subagency: DOE/DOEOA	Agency Tracking No: Yohanna Freeman
Title: Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 04/21/2026
	Date Received in OIRA: 02/27/2026
Terms of Clearance: OMB approves this collection for a period of three years. As terms of clearance, OMB notes that DOE must include the OMB Control No., expiration date, and PRA burden statement in each Generic IC. To request approval of information collections under this generic approval, the agency must do the following: 1) Unless an agency is using multiple modes of collection (e.g., paper forms and electronic submissions), provide a Generic Clearance Submission Template for each Instrument; 2) If the agency is using multiple modes of collection (e.g., paper forms and electronic submissions), the same Generic Clearance Submission Template may be used for both instruments; 3) each Generic Clearance Submission Template must be uploaded as a Supplementary document using a naming convention that allows the public to identify the associated instrument; 4) submit no more than five Generic Submission Templates with each request.”

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	04/30/2029	36 Months From Approved	04/30/2026
Responses	200,000	0	200,000
Time Burden (Hours)	74,000	0	74,000
Cost Burden (Dollars)	4,729,340	0	3,796,200

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Adjustment in Estimate
Annual Number of Responses	200,000	200,000	0
Annual Time Burden (Hours)	74,000	74,000	0
Annual Cost Burden (Dollars)	4,729,340	3,796,200	933,140

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

Burden Increase Due to:

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

Burden Reduction Due to:

Short Statement:

Annual Cost to Federal Government: $0

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. No

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. No

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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