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Electric Emergency Incident and Disturbance Report
Electric Emergency Incident and Disturbance Report
OMB: 1901-0288
IC ID: 22891
OMB.report
DOE/ENDEP
OMB 1901-0288
ICR 202402-1901-002
IC 22891
( )
Documents and Forms
Document Name
Document Type
Form DOE-417
Electric Emergency Incident and Disturbance Report
Form
DOE417_Form_Instructions.docx
www.oe.netl.doe.gov/OE417/Account/Welcome.aspx
Instruction
DOE417_Form_Instructions.docx
www.oe.netl.doe.gov/OE417/Account/Welcome.aspx
Instruction
DOE-417 Electric Emergency Incident and Disturbance Report
DOE417_Form.docx
www.oe.netl.doe.gov/OE417/Account/Welcome.aspx
Form
DOE-417 Electric Emergency Incident and Disturbance Report
DOE417_Form.docx
www.oe.netl.doe.gov/OE417/Account/Welcome.aspx
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Electric Emergency Incident and Disturbance Report
Agency IC Tracking Number:
DOE-417
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Mandatory
CFR Citation:
5 CFR 1320.5
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
DOE-417
Electric Emergency Incident and Disturbance Report
DOE417_Form.docx
https://www.oe.netl.doe.gov/OE417/Account/Welcome.aspx
Yes
Yes
Fillable Fileable
Instruction
DOE417_Form_Instructions.docx
https://www.oe.netl.doe.gov/OE417/Account/Welcome.aspx
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Energy
Subfunction:
Energy Supply
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
2,994
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Businesses or other for-profits
Percentage of Respondents Reporting Electronically:
100 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
2,994
0
-40
0
0
3,034
Annual IC Time Burden (Hours)
5,025
0
-430
0
0
5,455
Annual IC Cost Burden (Dollars)
438,984
0
438,984
0
0
0
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.