View Information Collection (IC)

View Information Collection (IC)

IC Title:	Energy Star Program in the Residential Sector: States and Locals	Agency IC Tracking Number:

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	5900-181	Home Performance Reporting Template for Sponsors	HPwES Reporting Template 06-14- 07.xls	energystar.gov	Yes	Yes	Fillable Fileable
Form and Instruction	5900-186	Home Performance Program Plan Template	Home Performance Program Plan Template.doc	energystar.gov	Yes	No	Printable Only
Form and Instruction	5900-183	HVAC QI Partnership Agreement	ENERGY STAR HVAC QI Partnership Agreement.doc	energystar.gov	Yes	No	Fillable Printable

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: 102	Number of Respondents for Small Entity: 80

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 80 %

	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	184	0	37	147	0	0
Annual IC Time Burden (Hours)	3,574	0	718	2,856	0	0
Annual IC Cost Burden (Dollars)	150	0	11	139	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.