Energy Star Product Labeling

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 5900-171 Qualified Product Information Form for ENERGY STAR Battery Charging Systems	Form	Modified	Repair queued
Form 5900-170 Qualified Product Information Form for Commercial Ice Machines	Form	Modified	Available
Form 5900-169 Qualified Product Information Form for Commercial Dishwashers	Form	Modified	Available
Form 5900-168 ENERGY STAR Ice Machines Unit Shipment Data	Form	Modified	Available
Form 5900-167 ENERGY STAR Digital-to-Analog Converter Boxes Unit Shipment Data	Form	Modified	Available
Form 5900-166 ENERGY STAR Decorative Light Strings Unit Shipment Data	Form	Modified	Available
Form 5900-165 ENERGY STAR Computers Unit Shipment Data	Form	Modified	Available
Form 5900-164 ENERGY STAR Commercial Dishwashers Unit Shipment Data	Form	Modified	Available
Form 5900-163 ENERGY STAR Imaging Equipment Unit Shipment Data	Form	Modified	Available
Form 5900-60 Qualified Product Information Form for Boilers	Form and Instruction	Modified	Available
Form 5900-33 ENERGY STAR Commitment Form	Form and Instruction	Modified	Available
Form 5900-34 ENERGY STAR Award Application: Parnter of the Year - Product Manufacturer	Form and Instruction	Modified	Available
Form 5900-58 ENERGY STAR Water Cooler Partner Unit Shipment Data	Form and Instruction	Modified	Available
Form 5900-57 ENERGY STAR Ventilating Fan Partner Unit Shipment Data	Form and Instruction	Modified	Available
Form 5900-56 ENERGY STAR Vending Machine Partner Unit Shipment Data	Form and Instruction	Modified	Available
Form 5900-55 ENERGY STAR TV/VCR Partner Unit Shipment Data	Form and Instruction	Modified	Available
Form 5900-54 ENERGY STAR Telephony Partner Unit Shipment Data	Form and Instruction	Modified	Available
Form 5900-53 ENERGY STAR Roof Product Partner Unit Shipment Data	Form and Instruction	Modified	Available
Form 5900-52 ENERGY STAR Residential Light Fixture Partner Unit Shipment Data	Form and Instruction	Modified	Available
Form 5900-51 ENERGY STAR Computer Monitor Partner Unit Shipment Data	Form and Instruction	Modified	Available
Form 5900-50 ENERGY STAR Light Commercial HVAC Partner Unit Shipment Data	Form and Instruction	Modified	Available
Form 5900-49 ENERGY STAR Geothermal Heat Pump Partner Unit Shipment Data	Form and Instruction	Modified	Available
Form 5900-48 ENERGY STAR Furnace Partner Unit Shipment Data	Form and Instruction	Modified	Available
Form 5900-47 ENERGY STAR External Power Supplies Partner Unit Shipment Data	Form and Instruction	Modified	Available
Form 5900-46 ENERGY STAR Exit Sign Partner Unit Shipment Data	Form and Instruction	Modified	Available
Form 5900-45 ENERGY STAR End-Use Product Partner Unit Shipment Data	Form and Instruction	Modified	Available
Form 5900-44 ENERGY STAR Commercial Steam Cooker Partner Unit Shipment Data	Form and Instruction	Modified	Available
Form 5900-43 ENERGY STAR Dehumidifier Partner Unit Shipment Data	Form and Instruction	Modified	Available
Form 5900-42 ENERGY STAR Commercial Fryer Partner Unit Shipment Data	Form and Instruction	Modified	Available
Form 5900-41 ENERGY STAR Commercial Hot Food Holding Cabinet Unit Shipment Data	Form and Instruction	Modified	Available
Form 5900-40 ENERGY STAR Audio/DVD Partner Unit Shipment Data	Form and Instruction	Modified	Available
Form 5900-39 ENERGY STAR Commercial Solid Door Reach-In Refrigerator/Freezer Partners Unit Shipment Data	Form and Instruction	Modified	Available
Form 5900-38 ENERGY STAR Ceiling Fan Partner Unit Shipment Data	Form and Instruction	Modified	Available
Form 5900-37 ENERGY STAR Boiler Partner Unit Shipment Data	Form and Instruction	Modified	Available
Form 5900-36 ENERGY STAR Battery Charger Partner Unit Shipment Data	Form and Instruction	Modified	Available
Form 5900-35 ENERGY STAR Residential Air Source Heat Pump and Central air Conditioner Partner Unit Shipment Data	Form and Instruction	Modified	Available
Form 5900-76 Qualified Product Information Form for Light Commercial Air Source Heat Pumps and Central Air Conditioners (ASHP/CAC)	Form and Instruction	Modified	Available
Form 5900-75 Qualified Product Information Form for Roof Products	Form and Instruction	Modified	Available
Form 5900-74 Qualified Product Information Form for Geothermal Heat Pumps	Form and Instruction	Modified	Available
Form 5900-73 Qualified Product Information Form for Furnaces	Form and Instruction	Modified	Available
Form 5900-72 Qualified Product Information Form for Outdoor Residential Light Fixtures	Form and Instruction	Modified	Available
Form 5900-71 Qualified Product Information Form for Indoor Residential Light Fixtures	Form and Instruction	Modified	Available
Form 5900-70 Qualified Product Information Form for Dehumidifiers	Form and Instruction	Modified	Available
Form 5900-69 Qualified Product Information Form for Commercial Steam Cookers	Form and Instruction	Modified	Repair queued
Form 5900-68 Qualified Product Information Form for Commercial Solid Door Refrigerators and Freezers	Form and Instruction	Modified	Available
Form 5900-67 Qualified Product Information Form for Hot Food Holding Cabinets	Form and Instruction	Modified	Available
Form 5900-66 Qualified Product Information Form for Commercial Fryers	Form and Instruction	Modified	Available
Form 5900-65 Qualified Product Information Form for Residential Ceiling Fans	Form and Instruction	Modified	Available
Form 5900-64 Qualified Product Information Form for Bottled Water Coolers	Form and Instruction	Modified	Available
Form 5900-63 Qualified Product Information Form for Residential Ventilating Fans	Form and Instruction	Modified	Available
Form 5900-61 Qualified Product Information Form for Programmable Thermostats	Form and Instruction	Modified	Available
Form 5900-62 Qualified Product Information Form for New and Rebuilt Refrigerated Beverage Vending Machines	Form and Instruction	Modified	Available
Form 5900-59 Qualified Product Information Form for Residential Air Source Heat Pumps and Central Air Conditioners	Form and Instruction	Modified	Available
Form 5900-77 Qualified Product Information Form for Room Air Cleaners	Form and Instruction	Modified	Available
ES ICR Increase.xls	Supplementary Document	Uploaded 2009-05-05	Available
2078j03.doc	Justification for No Material/Nonsubstantive Change	Uploaded 2009-02-02	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
24770	Energy Star Product Labeling	Form	Modified	Qualified Product Information Form for ENERGY STAR Battery Charging Systems
24770	Energy Star Product Labeling	Form	Modified	Qualified Product Information Form for Commercial Ice Machines
24770	Energy Star Product Labeling	Form	Modified	Qualified Product Information Form for Commercial Dishwashers
24770	Energy Star Product Labeling	Form	Modified	ENERGY STAR Ice Machines Unit Shipment Data
24770	Energy Star Product Labeling	Form	Modified	ENERGY STAR Digital-to-Analog Converter Boxes Unit Shipment Data
24770	Energy Star Product Labeling	Form	Modified	ENERGY STAR Decorative Light Strings Unit Shipment Data
24770	Energy Star Product Labeling	Form	Modified	ENERGY STAR Computers Unit Shipment Data
24770	Energy Star Product Labeling	Form	Modified	ENERGY STAR Commercial Dishwashers Unit Shipment Data
24770	Energy Star Product Labeling	Form	Modified	ENERGY STAR Imaging Equipment Unit Shipment Data
24770	Energy Star Product Labeling	Form and Instruction	Modified	Qualified Product Information Form for Boilers
24770	Energy Star Product Labeling	Form and Instruction	Modified	ENERGY STAR Commitment Form
24770	Energy Star Product Labeling	Form and Instruction	Modified	ENERGY STAR Award Application: Parnter of the Year - Product Manufacturer
24770	Energy Star Product Labeling	Form and Instruction	Modified	ENERGY STAR Water Cooler Partner Unit Shipment Data
24770	Energy Star Product Labeling	Form and Instruction	Modified	ENERGY STAR Ventilating Fan Partner Unit Shipment Data
24770	Energy Star Product Labeling	Form and Instruction	Modified	ENERGY STAR Vending Machine Partner Unit Shipment Data
24770	Energy Star Product Labeling	Form and Instruction	Modified	ENERGY STAR TV/VCR Partner Unit Shipment Data
24770	Energy Star Product Labeling	Form and Instruction	Modified	ENERGY STAR Telephony Partner Unit Shipment Data
24770	Energy Star Product Labeling	Form and Instruction	Modified	ENERGY STAR Roof Product Partner Unit Shipment Data
24770	Energy Star Product Labeling	Form and Instruction	Modified	ENERGY STAR Residential Light Fixture Partner Unit Shipment Data
24770	Energy Star Product Labeling	Form and Instruction	Modified	ENERGY STAR Computer Monitor Partner Unit Shipment Data
24770	Energy Star Product Labeling	Form and Instruction	Modified	ENERGY STAR Light Commercial HVAC Partner Unit Shipment Data
24770	Energy Star Product Labeling	Form and Instruction	Modified	ENERGY STAR Geothermal Heat Pump Partner Unit Shipment Data
24770	Energy Star Product Labeling	Form and Instruction	Modified	ENERGY STAR Furnace Partner Unit Shipment Data
24770	Energy Star Product Labeling	Form and Instruction	Modified	ENERGY STAR External Power Supplies Partner Unit Shipment Data
24770	Energy Star Product Labeling	Form and Instruction	Modified	ENERGY STAR Exit Sign Partner Unit Shipment Data
24770	Energy Star Product Labeling	Form and Instruction	Modified	ENERGY STAR End-Use Product Partner Unit Shipment Data
24770	Energy Star Product Labeling	Form and Instruction	Modified	ENERGY STAR Commercial Steam Cooker Partner Unit Shipment Data
24770	Energy Star Product Labeling	Form and Instruction	Modified	ENERGY STAR Dehumidifier Partner Unit Shipment Data
24770	Energy Star Product Labeling	Form and Instruction	Modified	ENERGY STAR Commercial Fryer Partner Unit Shipment Data
24770	Energy Star Product Labeling	Form and Instruction	Modified	ENERGY STAR Commercial Hot Food Holding Cabinet Unit Shipment Data
24770	Energy Star Product Labeling	Form and Instruction	Modified	ENERGY STAR Audio/DVD Partner Unit Shipment Data
24770	Energy Star Product Labeling	Form and Instruction	Modified	ENERGY STAR Commercial Solid Door Reach-In Refrigerator/Freezer Partners Unit Shipment Data
24770	Energy Star Product Labeling	Form and Instruction	Modified	ENERGY STAR Ceiling Fan Partner Unit Shipment Data
24770	Energy Star Product Labeling	Form and Instruction	Modified	ENERGY STAR Boiler Partner Unit Shipment Data
24770	Energy Star Product Labeling	Form and Instruction	Modified	ENERGY STAR Battery Charger Partner Unit Shipment Data
24770	Energy Star Product Labeling	Form and Instruction	Modified	ENERGY STAR Residential Air Source Heat Pump and Central air Conditioner Partner Unit Shipment Data
24770	Energy Star Product Labeling	Form and Instruction	Modified	Qualified Product Information Form for Light Commercial Air Source Heat Pumps and Central Air Conditioners (ASHP/CAC)
24770	Energy Star Product Labeling	Form and Instruction	Modified	Qualified Product Information Form for Roof Products
24770	Energy Star Product Labeling	Form and Instruction	Modified	Qualified Product Information Form for Geothermal Heat Pumps
24770	Energy Star Product Labeling	Form and Instruction	Modified	Qualified Product Information Form for Furnaces
24770	Energy Star Product Labeling	Form and Instruction	Modified	Qualified Product Information Form for Outdoor Residential Light Fixtures
24770	Energy Star Product Labeling	Form and Instruction	Modified	Qualified Product Information Form for Indoor Residential Light Fixtures
24770	Energy Star Product Labeling	Form and Instruction	Modified	Qualified Product Information Form for Dehumidifiers
24770	Energy Star Product Labeling	Form and Instruction	Modified	Qualified Product Information Form for Commercial Steam Cookers
24770	Energy Star Product Labeling	Form and Instruction	Modified	Qualified Product Information Form for Commercial Solid Door Refrigerators and Freezers
24770	Energy Star Product Labeling	Form and Instruction	Modified	Qualified Product Information Form for Hot Food Holding Cabinets
24770	Energy Star Product Labeling	Form and Instruction	Modified	Qualified Product Information Form for Commercial Fryers
24770	Energy Star Product Labeling	Form and Instruction	Modified	Qualified Product Information Form for Residential Ceiling Fans
24770	Energy Star Product Labeling	Form and Instruction	Modified	Qualified Product Information Form for Bottled Water Coolers
24770	Energy Star Product Labeling	Form and Instruction	Modified	Qualified Product Information Form for Residential Ventilating Fans
24770	Energy Star Product Labeling	Form and Instruction	Modified	Qualified Product Information Form for Programmable Thermostats
24770	Energy Star Product Labeling	Form and Instruction	Modified	Qualified Product Information Form for New and Rebuilt Refrigerated Beverage Vending Machines
24770	Energy Star Product Labeling	Form and Instruction	Modified	Qualified Product Information Form for Residential Air Source Heat Pumps and Central Air Conditioners
24770	Energy Star Product Labeling	Form and Instruction	Modified	Qualified Product Information Form for Room Air Cleaners

ICR Details

OMB Control No: 2060-0528	ICR Reference No: 200902-2060-001
Status: Historical Active	Previous ICR Reference No: 200712-2060-001
Agency/Subagency: EPA/OAR	Agency Tracking No: 2078.03
Title: Energy Star Product Labeling
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 05/05/2009
Retrieve Notice of Action (NOA)	Date Received in OIRA: 02/02/2009
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2011	03/31/2011	03/31/2011
Responses	16,106	0	15,451
Time Burden (Hours)	97,088	0	89,150
Cost Burden (Dollars)	238,831	0	238,831

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Abstract: In order to ensure continued success and benefits to ENERGY STAR Program Partners, protect the integrity of the ENERGY STAR label, and enhance its effectiveness in the marketplace, EPA must ensure that products carrying the label and the manufacturers that are labeling them as ENERGY STAR meet appropriate program requirements. EPA asks for the following program information from ENERGY STAR product manufacturing Partners: 1) sign a Partnership Agreement supplying company contact information; 2) submit qualifying product information that EPA can, in turn, provide to consumers so they will know which products to purchase in order to save energy; 3) submit testing reports (for roof products and lighting only) to verify product qualification; 4) submit annual unit shipment data to ensure the program provides continued benefits to Partners; and 5) submit an application for a Partner of the Year Award, if Partner wishes to receive recognition for their efforts.

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Authorizing Statute(s): None

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	72 FR 38573	07/13/2007
30-day Notice:	Federal Register Citation:	Citation Date:
	72 FR 68879	12/06/2007
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
Energy Star Product Labeling	5900-170, 5900-171, 5900-167, 5900-168, 5900-169, 5900-62, 5900-64, 5900-65, 5900-66, 5900-67, 5900-68, 5900-69, 5900-72, 5900-61, 5900-59, 5900-63, 5900-70, 5900-71, 5900-73, 5900-74, 5900-75, 5900-76, 5900-77, 5900-35, 5900-39, 5900-36, 5900-37, 5900-38, 5900-40, 5900-41, 5900-42, 5900-43, 5900-44, 5900-48, 5900-45, 5900-46, 5900-47, 5900-49, 5900-50, 5900-51, 5900-52, 5900-53, 5900-54, 5900-55, 5900-56, 5900-57, 5900-58, 5900-34, 5900-33, 5900-60, 5900-163, 5900-164, 5900-165, 5900-166	Qualified Product Information Form for Residential Air Source Heat Pumps and Central Air Conditioners ,   Qualified Product Information Form for New and Rebuilt Refrigerated Beverage Vending Machines ,   Qualified Product Information Form for Programmable Thermostats ,   Qualified Product Information Form for Residential Ventilating Fans ,   Qualified Product Information Form for Bottled Water Coolers ,   Qualified Product Information Form for Residential Ceiling Fans ,   Qualified Product Information Form for Commercial Fryers ,   Qualified Product Information Form for Hot Food Holding Cabinets ,   Qualified Product Information Form for Commercial Solid Door Refrigerators and Freezers ,   Qualified Product Information Form for Commercial Steam Cookers ,   Qualified Product Information Form for Dehumidifiers ,   Qualified Product Information Form for Indoor Residential Light Fixtures ,   Qualified Product Information Form for Outdoor Residential Light Fixtures ,   Qualified Product Information Form for Furnaces ,   Qualified Product Information Form for Geothermal Heat Pumps ,   Qualified Product Information Form for Roof Products ,   Qualified Product Information Form for Light Commercial Air Source Heat Pumps and Central Air Conditioners (ASHP/CAC) ,   Qualified Product Information Form for Room Air Cleaners ,   ENERGY STAR Residential Air Source Heat Pump and Central air Conditioner Partner Unit Shipment Data ,   ENERGY STAR Battery Charger Partner Unit Shipment Data ,   ENERGY STAR Boiler Partner Unit Shipment Data ,   ENERGY STAR Ceiling Fan Partner Unit Shipment Data ,   ENERGY STAR Commercial Solid Door Reach-In Refrigerator/Freezer Partners Unit Shipment Data ,   ENERGY STAR Audio/DVD Partner Unit Shipment Data ,   ENERGY STAR Commercial Hot Food Holding Cabinet Unit Shipment Data ,   ENERGY STAR Commercial Fryer Partner Unit Shipment Data ,   ENERGY STAR Dehumidifier Partner Unit Shipment Data ,   ENERGY STAR Commercial Steam Cooker Partner Unit Shipment Data ,   ENERGY STAR End-Use Product Partner Unit Shipment Data ,   ENERGY STAR Exit Sign Partner Unit Shipment Data ,   ENERGY STAR External Power Supplies Partner Unit Shipment Data ,   ENERGY STAR Furnace Partner Unit Shipment Data ,   ENERGY STAR Geothermal Heat Pump Partner Unit Shipment Data ,   ENERGY STAR Light Commercial HVAC Partner Unit Shipment Data ,   ENERGY STAR Computer Monitor Partner Unit Shipment Data ,   ENERGY STAR Residential Light Fixture Partner Unit Shipment Data ,   ENERGY STAR Roof Product Partner Unit Shipment Data ,   ENERGY STAR Telephony Partner Unit Shipment Data ,   ENERGY STAR TV/VCR Partner Unit Shipment Data ,   ENERGY STAR Vending Machine Partner Unit Shipment Data ,   ENERGY STAR Ventilating Fan Partner Unit Shipment Data ,   ENERGY STAR Water Cooler Partner Unit Shipment Data ,   ENERGY STAR Award Application: Parnter of the Year - Product Manufacturer ,   ENERGY STAR Commitment Form ,   Qualified Product Information Form for Boilers ,   ENERGY STAR Imaging Equipment Unit Shipment Data ,   ENERGY STAR Commercial Dishwashers Unit Shipment Data ,   ENERGY STAR Computers Unit Shipment Data ,   ENERGY STAR Decorative Light Strings Unit Shipment Data ,   ENERGY STAR Digital-to-Analog Converter Boxes Unit Shipment Data ,   ENERGY STAR Ice Machines Unit Shipment Data ,   Qualified Product Information Form for Commercial Dishwashers ,   Qualified Product Information Form for Commercial Ice Machines ,   Qualified Product Information Form for ENERGY STAR Battery Charging Systems

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ICR Summary of Burden

table that charts list of burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	16,106	15,451	0	655	0	0
Annual Time Burden (Hours)	97,088	89,150	0	7,938	0	0
Annual Cost Burden (Dollars)	238,831	238,831	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: The increase in burden results from the additional forms added to this ICR. The last renewal of this ICR stated the additional forms may be added, but did not include the burden for those additional forms. This change package includes the additional forms and associated burden.

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Annual Cost to Federal Government: $468,724

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 02/02/2009

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