View Information Collection (IC)

View Information Collection (IC)

IC Title:	Energy Star Program in the Residential Sector: 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	5900-188	Online Partnership Agreement Residential Builder	5900-188 Verification Org Flow.pdf	https://energystar.secure.force.com/opa/opahome	Yes	Yes	Fillable Fileable Signable
Form and Instruction	5900-188	Online Partnership Agreement Residential Verification Organization	5900-188 Builder Flow.pdf	https://energystar.secure.force.com/opa/opahome	Yes	Yes	Fillable Fileable Signable
Form and Instruction	5900-266	ENERGY STAR Multifamily High Rise Project Application	5900-266 ENERGY STAR Multifamily High Rise Project Application, Version 1.8.pdf	https://www.energystar.gov/ia/partners/bldrs_lenders_raters/downloads/mfhr/ENERGY_STAR_MFHR_Project_Application_Version_1p8_Jul2017_fillable_508.pdf?50c1-1f3c	Yes	Yes	Fillable Fileable Signable
Form and Instruction	5900-268	Performance Path Calculator	5900-268_ Performance Path Calculator _Guidance Documents _ ENERGY STAR.pdf	https://www.energystar.gov/index.cfm?c=bldrs_lenders_raters.nh_mfhr_guidance	Yes	Yes	Fillable Fileable Signable
Form and Instruction	5900-269	MFHR Testing & Verification Worksheets	5900-269 ENERGY STAR MFHR T&V Worksheets_V1.7_BLANK.xlsm	https://www.energystar.gov/index.cfm?c=bldrs_lenders_raters.nh_mfhr_guidance	Yes	Yes	Fillable Fileable Signable
Form and Instruction	5900-270	ENERGY STAR Multifamily High Rise Submittal Validation Form	5900-270 ENERGY STAR Multifamily High Rise Submittal Validation Form V1.4.pdf	https://www.energystar.gov/ia/partners/bldrs_lenders_raters/downloads/mfhr/ENERGY_STAR_MFHR_Submittal_Validation_Form_Version_1p4_508.pdf?faf2-7ca1	Yes	Yes	Fillable Fileable Signable
Form and Instruction	5900-421	Quarterly Report	5900-421 Quarterly Report 5900-421 .docx	https://www.energystar.gov/index.cfm?fuseaction=host.loginform	Yes	Yes	Fillable Fileable Signable
Form and Instruction	5900-422	ENERGY STAR MULTIFAMILY HIGH RISE PROGRAM Photo Template	5900-422_ENERGY STAR MULTIFAMILY HIGH RISE PROGRAM Photo Template _ ENERGY STAR.pdf	https://www.energystar.gov/index.cfm?c=bldrs_lenders_raters.nh_mfhr_guidance	Yes	Yes	Fillable Fileable Signable
Form and Instruction	5900-423	Application for EPA Recognition: Home Certification Organization	5900-422_ENERGY STAR MULTIFAMILY HIGH RISE PROGRAM Photo Template _ ENERGY STAR.pdf		Yes	Yes	Fillable Fileable Signable
Form and Instruction	5900-425	Core Application for EPA Recognition: HVAC Quality installation Oversight Organization	5900-424 HQUITO App.docx		Yes	Yes	Fillable Fileable Signable
Form and Instruction	5900-426	HVAC Commissioning Checklist	5900-426 HVAC Commissioning Checklist ENERGY STAR Certified Homes, Version 3 _ 3.1 (Rev. 08).pdf	https://www.energystar.gov/ia/partners/bldrs_lenders_raters/downloads/HVAC_Commissioning_Checklist_v99_nohighlight_2015-09-15_clean_fillable.pdf?107d-a78c	Yes	Yes	Fillable Fileable Signable
Form and Instruction	5900-427	HVAC Design Report	5900-427 HVAC_Design_Report_v100_2015-011-20_clean_fillable.pdf		Yes	Yes	Fillable Fileable Signable
Form and Instruction	5900-428	HVAC Design Report	5900-428 National Rater Field Checklist ENERGY STAR Certified Homes_Rev10.pdf	https://www.energystar.gov/sites/default/files/asset/document/National%20Rater%20Field%20Checklist%20ENERGY%20STAR%20Certified%20Homes_Rev10.pdf	Yes	Yes	Paper Only
Form and Instruction	5900-429	Rater Design Review Checklist	5900-429 National Rater Design Review Checklist_Rev 13.pdf		Yes	Yes	Fillable Fileable Signable
Form and Instruction	5900-446	ENERGY STAR Awards Application - Homebuilders	5900-446 2024ESAwards_PART1-APP Homebuilder.docx	https://www.energystar.gov/awards	Yes	Yes	Fillable Fileable Signable
Form and Instruction	5900-447	ENERGY STAR Awards Application - Raters	5900-447 2024ESAwards_PART 1-APP Energy Rating Company (1).docx	https://www.energystar.gov/awards	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: 1,256	Number of Respondents for Small Entity: 1,106

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

	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	323,537	0	16,435	24,900	0	282,202
Annual IC Time Burden (Hours)	208,759	0	12,312	18,656	0	177,791
Annual IC Cost Burden (Dollars)	0	0	0	0	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.