Residential Energy Consumption (RECS) (OMB 1905-0092)

CIPSEA Confidentiality Pledge Revision

Documents and Forms

Document Name Document Type
Form EIA-457A Residential Energy Consumption (RECS) (OMB 1905-0092) Form and Instruction
EIA-457A 2015 Household Questionnaire 2015 RECS Household Survey Questionnaire 457A.docx www.eia.gov/survey/#eia-457 Form and Instruction
EIA-457A Household Survey Authorization 2015 RECS_Household Survey Authorization Form 457A.docx Form
EIA-457C Rental Agent Questionnaire 2015 RECS Rental Agent Questionnaire Form 457C.docx www.eia.gov/survey/#eia-457 Form and Instruction
EIA-457D-G Propane (Bottled Gas or LPG) Usage Form 2015 RECS ICR_Energy Supplier Surveys EIA 457D-G.pdf www.eia.gov/survey/#eia-457 Form and Instruction
2015 RECS_ICR_Household Survey Advance Letter_CIPSEA Edit.doc Household Respondent Letter IC Document
2015 RECS ICR_Household Survey Refusal Letter_CIPSEA Edit.docx Household Respondent Refusal Letter IC Document
2015 RECS ICR_Rental Agent Advance Letter_CIPSEA Edit.doc Rental Agent Advance Letter IC Document
2015 RECS ICR_Energy Supplier Survey Advance Letter_CIPSEA Edit.doc Energy Supplier Advance Letter IC Document

Information Collection (IC) Details

IC Title:	Residential Energy Consumption (RECS) (OMB 1905-0092)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Mandatory

CFR Citation: 5 CFR 1

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	EIA-457A	2015 Household Questionnaire	2015 RECS Household Survey Questionnaire 457A.docx	https://www.eia.gov/survey/#eia-457	Yes	Yes	Printable Only
Form	EIA-457A	Household Survey Authorization	2015 RECS_Household Survey Authorization Form 457A.docx		No		Fillable Printable
Form and Instruction	EIA-457C	Rental Agent Questionnaire	2015 RECS Rental Agent Questionnaire Form 457C.docx	https://www.eia.gov/survey/#eia-457	Yes	No	Fillable Printable
Form and Instruction	EIA-457D-G	Propane (Bottled Gas or LPG) Usage Form	2015 RECS ICR_Energy Supplier Surveys EIA 457D-G.pdf	https://www.eia.gov/survey/#eia-457	Yes	No	Paper Only

Line of Business: Energy

Subfunction: Energy Resource Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,114	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,114	1,114
Annual IC Time Burden (Hours)	0	0
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Household Respondent Letter	2015 RECS_ICR_Household Survey Advance Letter_CIPSEA Edit.doc	06/05/2017
Household Respondent Refusal Letter	2015 RECS ICR_Household Survey Refusal Letter_CIPSEA Edit.docx	06/05/2017
Rental Agent Advance Letter	2015 RECS ICR_Rental Agent Advance Letter_CIPSEA Edit.doc	06/05/2017
Energy Supplier Advance Letter	2015 RECS ICR_Energy Supplier Survey Advance Letter_CIPSEA Edit.doc	06/05/2017

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