ENERGY STAR Program in the Commercial and Industrial Sectors - Public Sector Entities

Information Collection Activities Associated with EPAs ENERGY STAR Program in the Commercial and Industrial Sectors (Renewal)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2060-0347 can be found here:

Documents and Forms

Document Name Document Type
Form 5900-16 ENERGY STAR Program in the Commercial and Industrial Sectors - Public Sector Entities Form and Instruction
5900-19.doc www.energystar.gov/ia/business/partnership_letter.doc Other-Letter Template
5900-20.doc www.energystar.gov/istar/pmpam/index.cfm?c=small_business.sb_partner_info_form Other-Web-based tool
5900-21.doc www.energystar.gov/index.cfm?c=small_business.sb_partner_info_form Other-Web-based submission
5900-16 ENERGY STAR - Statement of Energy Performance 5900-16.pdf www.energystar.gov/ia/business/evaluate_performance/SEP_06.pdf Form and Instruction
5900-22 ENERGY STAR - Statement of Energy Design Intent 5900-22.pdf www.energystar.gov/ia/business/tools_resources/new_bldg_design/SampleSEDI_083006.pdf Form and Instruction

Information Collection (IC) Details

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: New

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	5900-16	ENERGY STAR - Statement of Energy Performance	5900-16.pdf	http://www.energystar.gov/ia/business/evaluate_performance/SEP_06.pdf	Yes	No	Fillable Printable
Other-Letter Template			5900-19.doc	http://www.energystar.gov/ia/business/partnership_letter.doc	Yes	No	Fillable Printable
Other-Web-based submission			5900-21.doc	http://www.energystar.gov/index.cfm?c=small_business.sb_partner_info_form	Yes	Yes	Fillable Fileable
Other-Web-based tool			5900-20.doc	https://www.energystar.gov/istar/pmpam/index.cfm?c=small_business.sb_partner_info_form	Yes	Yes	Fillable Fileable
Form and Instruction	5900-22	ENERGY STAR - Statement of Energy Design Intent	5900-22.pdf	http://www.energystar.gov/ia/business/tools_resources/new_bldg_design/SampleSEDI_083006.pdf	Yes	No	Fillable Fileable

Line of Business: Environmental Management

Subfunction: Pollution Prevention and Control

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,337	Number of Respondents for Small Entity: 75

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 95 %

	Approved	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	6,723	96	6,627
Annual IC Time Burden (Hours)	19,515	330	19,185
Annual IC Cost Burden (Dollars)	453,649	0	453,649

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.