EIA-857 Cognitive Testing

Generic Clearence of Questionnaire Testing, Evaluating, and Research

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1905-0186 can be found here:

Documents and Forms

Document Name Document Type
Form EIA-857 EIA-857 Cognitive Testing Form
EIA-857 Instructions.doc Instruction
EIA-857 Monthly Report of Natural Gas Purchases and Deliveries t EIA 857 form.xls Form
EIA-857 Clearance Visits 2010 Letter.doc Letter IC Document
EIA 857 Final Protocol.doc Meeting Protocol IC Document

Information Collection (IC) Details

IC Title:	EIA-857 Cognitive Testing	Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Mandatory

CFR Citation: 5 CFR 1320

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	EIA-857	Monthly Report of Natural Gas Purchases and Deliveries to Consumers	EIA 857 form.xls		No		Paper Only
Instruction			EIA-857 Instructions.doc		No		Paper Only

Line of Business: Energy

Subfunction: Energy Supply

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 30	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	30	30
Annual IC Time Burden (Hours)	45	45
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Letter	EIA-857 Clearance Visits 2010 Letter.doc	05/03/2010
Meeting Protocol	EIA 857 Final Protocol.doc	05/03/2010

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.