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Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
Public 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
5900-197
ENERGY STAR Application for Certification
5900-197 ENERGY STAR Application for Certification.pdf
Yes
Yes
Fillable Printable
Form and Instruction
5900-382
ENERGY STAR Certification Audit Form
5900-382 ENERGY STAR Certification Audit Form.pdf
Yes
Yes
Fillable Fileable
Form and Instruction
5900-19
Online Partnership Agreement Organizations that Own
5900-19 Online Partnership Agreement Organizations that Own Buildings & Plants.pdf
Yes
Yes
Fillable Fileable
Form and Instruction
5900-436
Indoor Environmental Quality Measurement Form for E
5900-436 Indoor Environmental Quality Measurement Form for ENERGY STAR Building Verification Site Visit.pdf
Yes
Yes
Fillable Fileable Signable
Form and Instruction
5900-443
ENERGY STAR Partner of the Year Award Application f
5900-443 ENERGY STAR Partner of the Year Award Application - Sustained Excellence Energy Management.pdf
Yes
Yes
Fillable Fileable
Form and Instruction
5900-444
ENERGY STAR Partner of the Year Award Application f
5900-444 ENERGY STAR Partner of the Year Award Application - Energy Management.pdf
Yes
Yes
Fillable Fileable
Form and Instruction
5900-445
ENERGY START Partner of the Year Award Supplemental
5900-445 ENERGY STAR Partner of the Year Award Supplemental.pdf
Yes
Yes
Fillable Fileable
Form and Instruction
5900-198
Statement of Energy Improvement
5900-198 Statement of Energy Improvement .pdf
Yes
Yes
Fillable Fileable Signable
Form and Instruction
5900-383
Professional Engineer Verification Checklist
5900-383 Professional Engineer Verification Checklist.pdf
Yes
Yes
Fillable Fileable Signable
Form and Instruction
5900-22
Statement of Energy Design Intent
5900-22 Statement of Energy Design Intent .pdf
Yes
Yes
Fillable Fileable Signable
Form and Instruction
5900-89
Statement of Energy Performance
5900-89 Statement of Energy Performance .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:
16,808
Number of Respondents for Small Entity:
1,180
Affected Public:
State, Local, and Tribal Governments
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
151,147
0
2,006
17,548
0
131,593
Annual IC Time Burden (Hours)
71,950
0
125
-9,006
0
80,831
Annual IC Cost Burden (Dollars)
1,278,788
0
63,353
-1,865
0
1,217,300
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.