Skip to main content
An official website of the United States government
The .gov means it's official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you're on a federal government site.
The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.
Search:
Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
ENERGY STAR Program in the Commercial and Industrial Sectors - Private Sector Entities
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Voluntary
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
5900-21
Small Business Network Form
5900-21_Small Business Network.doc
http://www.energystar.gov/
Yes
Yes
Fillable Fileable
Form
5900-22
Statement of Energy Design Intent
5900-22_Statement of Energy Design Intent.docx
http://www.energystar.gov/
Yes
Yes
Fillable Printable
Form
5900-198
Statement of Energy Improvement
5900-198_Statement of Energy Improvement.doc
www.energystar.gov
Yes
Yes
Fillable Printable
Form
5900-89
Statement of Energy Performance - Plants
5900-89_Statement of Energy Performance - Plants.doc
www.energystar.gov
Yes
No
Fillable Fileable
Form and Instruction
5900-195
SPP Partnership Agreement
5900-195_SPP Partnership Agreement.docx
https://www.energystar.gov
Yes
Yes
Fillable Fileable
Form and Instruction
5900-33
EEPS Partnership Agreement
5900-33_EEPS_Partnership_Agreement_ICR_12_31_2015.docx
http://www.energystar.gov/
Yes
Yes
Fillable Fileable
Form
5900-19
C&I Partnership Letter
5900-19_C&I Partnership_Letter.doc
https://www.energystar.gov/
Yes
Yes
Fillable Fileable
Form and Instruction
5900-263
Challenge for Industry Registration Form
5900-263_ENERGY STAR - Challenge for Industry Registration Form.docx
www.energystar.gov
Yes
Yes
Fillable Fileable
Form and Instruction
5900-262
Challenge for Industry Online Recognition Application
5900-262_ENERGY STAR - Challenge for Industry Recognition Application.docx
www.energystar.gov
Yes
Yes
Fillable Fileable
Form
5900-265
EPI Award Specification Sheet
5900-265_Plant Award Specification Sheet.doc
www.energystar.gov
Yes
No
Fillable Printable
Form and Instruction
5900-264
EPI Award Application Letter
5900-264_Plant Award Application Letter.doc
www.energystar.gov
Yes
Yes
Fillable Printable
Form
5900-197
Data Checklist
5900-197_Data Checklist Form.pdf
www.energystar.gov
Yes
Yes
Fillable Fileable
Form and Instruction
5900-375
Energy Data Verification Form
5900-375_Energy Data Verification Form_print ICR_12_31_2016.docx
www.energystar.gov
Yes
No
Fillable Printable
Form and Instruction
5900-376
Final Team Energy Questoinnaire
5900-376_Final Team Energy Questionnaire_print ICR_12_31_2015.doc
www.energystar.gov
Yes
Yes
Fillable Fileable
Form and Instruction
5900-377
Final Energy Questionnaire
5900-377_Final Energy Questionnaire_print ICR_12_31_2015.doc
www.energystar.gov
Yes
Yes
Fillable Fileable
Form and Instruction
5900-378
Final Team Water Questionnaire
5900-378_Final Team Water Questionnaire_12_31_2015.doc
www.energystar.gov
Yes
Yes
Fillable Fileable
Form and Instruction
5900-379
Final Water Questionnaire
5900-379_Final Water Questionnaire_12_31_2015.doc
www.energystar.gov
Yes
Yes
Fillable Fileable
Form and Instruction
5900-380
Team Registration
5900-380_Team-Registration_12_31_2015.xlsx
www.energystar.gov
Yes
Yes
Fillable Fileable
Form and Instruction
5900-381
Water Data Verification
5900-381_Water Data Verification Form_12_31_2015.docx
www.energystar.gov
Yes
Yes
Fillable Fileable
Form and Instruction
5900-382
Spot Audit Form
5900-382_Spot Audit Form_ print ICR_12_31_2015.docx
www.energystar.gov
Yes
Yes
Fillable Fileable
Form and Instruction
5900-383
PE Verification Form
5900-383_PE Verification Form Appendix 3_12_31_2015.docx
www.energystar.gov
Yes
Yes
Fillable Fileable
Form and Instruction
5900-384
Letter of Intent_Architect of Record
5900-384_Letter Of Intent_Architect Of Record_print ICR_12_31_2015.docx
www.energystar.gov
Yes
Yes
Fillable Fileable
Form and Instruction
5900-385
Letter of Intent_Building Owner
5900-385_Letter Of Intent_Building Owner_print ICR_12_31_2015.doc
www.energystar.gov
Yes
Yes
Fillable Fileable
Form and Instruction
5900-386
Letter of Intent_Commercial Real Estate Developer
5900-386_Letter Of Intent_Commercial Real Estate Developer_12_31_2015.doc
www.energystar.gov
Yes
Yes
Fillable Fileable
Form and Instruction
5900-387
PE Verification Form
5900-387_PE Verification Form_ICR Appendix 6_12_31_2015.pdf
www.energystar.gov
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Environmental Management
Subfunction:
Pollution Prevention and Control
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
31,733
Number of Respondents for Small Entity:
1,650
Affected Public:
Private Sector
Private Sector:
Farms, Not-for-profit institutions, Businesses or other for-profits
Percentage of Respondents Reporting Electronically:
99 %
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
173,995
0
-148
39,071
0
135,072
Annual IC Time Burden (Hours)
157,365
0
-136
35,959
0
121,542
Annual IC Cost Burden (Dollars)
8,149,411
0
89,910
311,421
0
7,748,080
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.