Homeowner

Puerto Rico Energy Resiliency Fund

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1910-5200 can be found here:

Documents and Forms

Document Name Document Type
Form GDO-038 Homeowner Form and Instruction
GDO-038 Solar Ambassador Household Intake Form PR-ERF_Solar Ambassador Prize_Household Intake Form_CLEAN.docx Form and Instruction
GDO-038 Solar Ambassador Household Intake Form PR-ERF_Solar Ambassador Prize_Household Intake Form - Final Clean.docx Form and Instruction
GDO-038 Solar Ambassador Household Intake Form- Spanish PR-ERF_Solar Ambassador Prize_Household Intake Form - (Spanish) Final Clean.docx Form and Instruction

Information Collection (IC) Details

IC Title:	Homeowner	Agency IC Tracking Number:	Aisha Miranda Rivera

Is this a Common Form? No		IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	GDO-038	Solar Ambassador Household Intake Form	PR-ERF_Solar Ambassador Prize_Household Intake Form - Final Clean.docx		Yes	Yes	Fillable Fileable
Form and Instruction	GDO-038	Solar Ambassador Household Intake Form- Spanish	PR-ERF_Solar Ambassador Prize_Household Intake Form - (Spanish) Final Clean.docx		Yes	Yes	Fillable Fileable

Line of Business: Community and Social Services

Subfunction: Community and Regional Development

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 40,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	40,000	40,000
Annual IC Time Burden (Hours)	36,800	36,800
Annual IC Cost Burden (Dollars)	437,920	437,920

Documents for IC

Title	Document	Date Uploaded
No associated records found

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