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Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
Private Sector
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
5900-19
Online Partnership Agreement Orgnaizations that Own
5900-19_CI Online Partnership.docx
www.energystar.gov
Yes
Yes
Fillable Printable
Form and Instruction
5900-22
Statement of Energy Design Intent
5900-22 Statement of Energy Design Intent .pdf
https://portfoliomanager.energystar.gov
Yes
Yes
Fillable Printable
Form and Instruction
5900-89
Statement of Energy Performance -Plants
5900-89 Statement of Energy Performance .pdf
Yes
Yes
Fillable Printable
Form and Instruction
5900-195
Online Partnership Agreement Service and Product Providers
5900-195 Online Partnership Agreement Service and Product Providers.pdf
Yes
Yes
Fillable Fileable
Form and Instruction
5900-197
ENERGY STAR Application for Certification
5900-197_Application for Certification.pdf
Yes
Yes
Fillable Printable
Form and Instruction
5900-198
Statement of Energy Improvement
5900-198 Statement_Energy_Improvement 2016.pdf
Yes
Yes
Fillable Printable
Form and Instruction
5900-262
Challenge for Industry Recognition
5900-262 Challenge for Industry Recognition Application.pdf
Yes
Yes
Fillable Fileable
Form and Instruction
5900-263
Challenge for Industry Registration Form
5900-263 Challenge for Industry Registration Form.docx
Yes
Yes
Fillable Fileable
Form and Instruction
5900-265
Plant Award Specification Sheet
5900-265 Plant Award Specification Sheet.pdf
Yes
Yes
Fillable Fileable
Form and Instruction
5900-264
Plant Award Application Letter
5900-264 Plant Award Application Letter.pdf
Yes
Yes
Fillable Fileable Signable
Form and Instruction
5900-382
ENERGY STAR Certfication Audit Form
5900-382 ENERGY STAR Certification Audit Form.pdf
Yes
Yes
Fillable Fileable
Form and Instruction
5900-383
Professional Engineer Verificaiton Checklist
5900-383 Professional Engineer Verification Checklist.pdf
Yes
Yes
Fillable Fileable Signable
Form
5900-387
Challenge for Industry Professional Engineer Verfication Checklist
5900-387 Challenge for Industry Professional Engineer Verification Checklist.pdf
Yes
Yes
Fillable Fileable Signable
Form and Instruction
5900-436
IEQ Measurement Form
5900-436 Indoor Environmental Quality Measurement Form for ENERGY STAR Building Verification Site Visit.pdf
Yes
Yes
Fillable Printable
Form and Instruction
5900-441
Award Application Data Innovation
5900-441 ENERGY STAR Partner of the year Award Application - Data Innovation.pdf
Yes
Yes
Fillable Fileable
Form and Instruction
5900-442
Partner of the Year Applicaiton
5900-442 ENERGY STAR Partner of the Year Award Application - Service and Product Provider.pdf
Yes
Yes
Fillable Fileable
Form and Instruction
5900-443
Sustained Excellence Award Application
5900-443 ENERGY STAR Partner of the Year Award Application - Sustained Excellence Energy Management.pdf
Yes
Yes
Fillable Fileable
Form and Instruction
5900-444
Partner of the Year Award Application
5900-444 ENERGY STAR Partner of the Year Award Application - Energy Management.pdf
Yes
Yes
Fillable Fileable
Form and Instruction
5900-445
Partner of the Year Award Suppl.
5900-445 ENERGY STAR Partner of the Year Award Supplemental.pdf
Yes
Yes
Fillable Fileable
Form and Instruction
5900-622
ENERGY STAR Partner of the Year Award Application - Industry
5900-622 ENERGY STAR Partner of the Year Award Application - Industry.pdf
Yes
Yes
Fillable Fileable Signable
Form and Instruction
5900-623
ENERGY STAR NextGen Application
5900-623 ENERGY STAR NextGen Application.pdf
Yes
Yes
Fillable Fileable Signable
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:
25,388
Number of Respondents for Small Entity:
1,873
Affected Public:
Private Sector
Private Sector:
Businesses or other for-profits
Percentage of Respondents Reporting Electronically:
99 %
Requested
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
228,495
0
43,260
-16,086
0
201,321
Annual IC Time Burden (Hours)
115,249
0
200
-14,426
0
129,475
Annual IC Cost Burden (Dollars)
4,009,962
0
190,947
1,865
0
3,817,150
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.