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Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
ENERGY STAR Program in the Commercial and Industrial Sectors - Public 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
5900-197
Data Checklist
Data Checklist.pdf
www.energystar.gov
Yes
Yes
Fillable Printable
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
Attachment to C&I Partnership Letter
5900-19_C&I Partnership_Letter.doc
https://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
Yes
Fillable Fileable
Form and Instruction
5900-376
Final Team Energy Questionnaire
5900-376_Final Team Energy Questionnaire_print ICR_12_31_2015.doc
www.energystar.gov
Yes
Yes
Fillable Printable
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
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:
19,782
Number of Respondents for Small Entity:
1,029
Affected Public:
State, Local, and Tribal Governments
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
111,632
0
-183
28,183
0
83,632
Annual IC Time Burden (Hours)
96,719
0
-155
23,907
0
72,967
Annual IC Cost Burden (Dollars)
2,678,316
0
9,990
98,226
0
2,570,100
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.