U.S. Department of Energy Hydrogen Program Assessment of Knowledge and Opinions on Hydrogen and Fuel Cell Technologies

Forms and Documents

Document Name	Status
Form Survey 4 Hydrogen Survey 2008 End Users Form and Instruction	New
Form Survey 3 Hydrogen Survey 2008 State and Local Government Agencies Form and Instruction	New
Form Survey 2 Hydrogen Survey 2008 Students Form and Instruction	New
Form Survey 1 Hydrogen Survey 2008 General Public Form and Instruction	New
SUPP STAT PART B 03 13 07.pdf Supporting Statement B	0000-00-00
SUPP STAT PART A 03 13 07.pdf Supporting Statement A	0000-00-00

IC Document Collections

IC ID	Document Title	Status
41626	Hydrogen, Fuel Cells, and Infrastructure Technologies Program Baseline Knowledge Assessment - EDUCATOR SURVEY	Removed
179010	Hydrogen Survey 2008 End Users Form and Instruction	New
179009	Hydrogen Survey 2008 State and Local Government Agencies Form and Instruction	New
179007	Hydrogen Survey 2008 Students Form and Instruction	New
179006	Hydrogen Survey 2008 General Public Form and Instruction	New

ICR Details

OMB Control No: 1910-5124	ICR Reference No: 200703-1910-001
Status: Historical Active	Previous ICR Reference No: 200410-1910-001
Agency/Subagency: DOE/DOEOA	Agency Tracking No:
Title: U.S. Department of Energy Hydrogen Program Assessment of Knowledge and Opinions on Hydrogen and Fuel Cell Technologies
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 07/11/2007
	Date Received in OIRA: 03/15/2007
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	07/31/2010	36 Months From Approved	07/31/2007
Responses	3,246	0	150
Time Burden (Hours)	702	0	25
Cost Burden (Dollars)	0	0	0

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Abstract: The Knowledge and Opinions Assessment for the U.S. Department of Energy (DOE) Hydrogen Program will measure the levels of awareness and understanding of hydrogen and fuel cell technologies within four target populations: (1) the general public, (2) students age 12-17, (3) personnel in state and local governments, and (4) potential end users of hydrogen fuel and technologies in business and industry. Four information collections will be conducted, one for each of the target populations.

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Authorizing Statute(s): US Code: 42 USC Sections 5813,5815,5817,7101 Name of Law: Energy Reorganization Act of 1974
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	71 FR 222	11/17/2006
30-day Notice:	Federal Register Citation:	Citation Date:
	72 FR 50	03/15/2007
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 4

IC Title	Form No.	Form Name
Hydrogen Survey 2008 End Users	Survey 4	Hydrogen Survey 2008 End Users
Hydrogen Survey 2008 Students	Survey 2	Hydrogen Survey 2008 Students
Hydrogen Survey 2008 State and Local Government Agencies	Survey 3	Hydrogen Survey 2008 State and Local Government Agencies
Hydrogen Survey 2008 General Public	Survey 1	Hydrogen Survey 2008 General Public
Hydrogen, Fuel Cells, and Infrastructure Technologies Program Baseline Knowledge Assessment - EDUCATOR SURVEY

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ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	3,246	150	0	3,096	0	0
Annual Time Burden (Hours)	702	25	0	677	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

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: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: This data collection is related to the four surveys approved by OMB and conducted in 2004. In the surveys conducted in 2004, 99 potential end users were surveyed. For the current round of surveys, 1,000 end users will be surveyed. This program change is required because DOE now considers this population group a critical component of the education initiative. Technology development has progressed since 2004 and hydrogen and fuel cell technologies are becoming commercially available in certain applications. This change in technology readiness has increased the priority of the end user target audience. The EDUCATOR SURVEY was approved by OMB in 2004 but was never conducted and is now cancelled.

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Annual Cost to Federal Government: $463,262

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? Uncollected

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 03/15/2007

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