Information Collection

Energy Star Product Labeling

IC 24770 under ICR 200902-2060-001 · OMB 2060-0528.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2060-0528 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 5900-77 Energy Star Product Labeling	Form and Instruction
5900-59 Qualified Product Information Form for Residential Air S airsrc_heat_cac_qpi_form.doc www.energystar.gov/qpi	Form and Instruction
5900-62 Qualified Product Information Form for New and Rebuilt R vending_qpi_form.doc www.energystar.gov/qpi	Form and Instruction
5900-61 Qualified Product Information Form for Programmable Ther thermostats_qpi_form.doc www.energystar.gov/qpi	Form and Instruction
5900-63 Qualified Product Information Form for Residential Venti vent_fans_qpi_forms.doc www.energystar.gov/qpi	Form and Instruction
5900-64 Qualified Product Information Form for Bottled Water Coo water_coolers_qpi_form.doc www.energystar.gov/qpi	Form and Instruction
5900-65 Qualified Product Information Form for Residential Ceili ceiling_fans_qpi_form.doc www.energystar.gov/qpi	Form and Instruction
5900-66 Qualified Product Information Form for Commercial Fryers commer_fryer_qpi_form.doc www.energystar.gov/qpi	Form and Instruction
5900-67 Qualified Product Information Form for Hot Food Holding commer_hfhc_qpi_form.doc www.energystar.gov/qpi	Form and Instruction
5900-68 Qualified Product Information Form for Commercial Solid commer_refrig_qpi_form.doc www.energystar.gov/qpi	Form and Instruction
5900-69 Qualified Product Information Form for Commercial Steam commer_steamer_qpi_form.doc www.energystar.gov/qpi	Form and Instruction
5900-70 Qualified Product Information Form for Dehumidifiers dehumid_qpi_form.doc www.energystar.gov/qpi	Form and Instruction
5900-71 Qualified Product Information Form for Indoor Residentia fixtures_indoor_qpi_form.doc www.energystar.gov/qpi	Form and Instruction
5900-72 Qualified Product Information Form for Outdoor Residenti fixtures_outdoor_qpi_form.doc www.energystar.gov/qpi	Form and Instruction
5900-73 Qualified Product Information Form for Furnaces furnaces_qpi_form.doc www.energystar.gov/qpi	Form and Instruction
5900-74 Qualified Product Information Form for Geothermal Heat P geo_heat_qpi_form.doc www.energystar.gov/qpi	Form and Instruction
5900-75 Qualified Product Information Form for Roof Products roof_prods_qpi_form.doc www.energystar.gov/qpi	Form and Instruction
5900-76 Qualified Product Information Form for Light Commercial lchvac_qpi_form.doc www.energystar.gov/qpi	Form and Instruction
5900-77 Qualified Product Information Form for Room Air Cleaners room_airclean_qpi_form.doc www.energystar.gov/qpi	Form and Instruction
5900-35 ENERGY STAR Residential Air Source Heat Pump and Central ASHP CAC Collection Form.xls www.energystar.gov/usd	Form and Instruction
5900-36 ENERGY STAR Battery Charger Partner Unit Shipment Data Battery Chargers Collection Form.xls www.energystar.gov/usd	Form and Instruction
5900-37 ENERGY STAR Boiler Partner Unit Shipment Data Boilers Data Collection Form.xls www.energystar.gov.usd	Form and Instruction
5900-38 ENERGY STAR Ceiling Fan Partner Unit Shipment Data Ceiling Fan Data Collection Form.xls www.energystar.gov/usd	Form and Instruction
5900-39 ENERGY STAR Commercial Solid Door Reach-In Refrigerator/ Commercial Refrigerator_Freezer Data Collection Form.xls www.energystar.gov/usd	Form and Instruction
5900-40 ENERGY STAR Audio/DVD Partner Unit Shipment Data Audio_DVD Data Collection Form.xls www.energystar.gov/usd	Form and Instruction
5900-41 ENERGY STAR Commercial Hot Food Holding Cabinet Unit Shi Commercial Hot Food Holding Cabinet Data Collection Form.xls www.energystar.gov/usd	Form and Instruction
5900-42 ENERGY STAR Commercial Fryer Partner Unit Shipment Data Commercial Fryers Data Collection Form.xls www.energystar.gov/usd	Form and Instruction
5900-43 ENERGY STAR Dehumidifier Partner Unit Shipment Data Dehum Data Collection Form.xls www.energystar.gov/usd	Form and Instruction
5900-44 ENERGY STAR Commercial Steam Cooker Partner Unit Shipmen Commercial Steam Cookers Data Collection Form.xls www.energystar.gov/usd	Form and Instruction
5900-45 ENERGY STAR End-Use Product Partner Unit Shipment Data End-Use Products Data Collection Form.xls www.energystar.gov/usd	Form and Instruction
5900-46 ENERGY STAR Exit Sign Partner Unit Shipment Data Exit Signs Data Collection Form.xls www.energystar.gov/usd	Form and Instruction
5900-47 ENERGY STAR External Power Supplies Partner Unit Shipmen External Power Supplies Data Collection Form.xls www.energystar.gov/usd	Form and Instruction
5900-48 ENERGY STAR Furnace Partner Unit Shipment Data Furnaces Data Collection Form.xls www.energystar.gov/usd	Form and Instruction
5900-49 ENERGY STAR Geothermal Heat Pump Partner Unit Shipment D Geothermal Heat Pump Collection Form.xls www.energystar.gov/usd	Form and Instruction
5900-50 ENERGY STAR Light Commercial HVAC Partner Unit Shipment LC HVAC Collection Form.xls www.energystar.gov/usd	Form and Instruction
5900-51 ENERGY STAR Computer Monitor Partner Unit Shipment Data Monitors Data Collection Form.xls www.energystar.gov/usd	Form and Instruction
5900-52 ENERGY STAR Residential Light Fixture Partner Unit Shipm Residential Light Fixtures Data Collection Form.xls www.energystar.gov/usd	Form and Instruction
5900-53 ENERGY STAR Roof Product Partner Unit Shipment Data Roof Products Data Collection Form.xls www.energystar.gov/usd	Form and Instruction
5900-54 ENERGY STAR Telephony Partner Unit Shipment Data Telephony Data Collection Form.xls www.energystar.gov/usd	Form and Instruction
5900-55 ENERGY STAR TV/VCR Partner Unit Shipment Data TV_VCR Data Collection Form.xls www.energystar.gov/usd	Form and Instruction
5900-56 ENERGY STAR Vending Machine Partner Unit Shipment Data Vending Machines Data Collection Form.xls www.energystar.gov/usd	Form and Instruction
5900-57 ENERGY STAR Ventilating Fan Partner Unit Shipment Data Vent Fan Data Collection Form.xls www.energystar.gov/usd	Form and Instruction
5900-58 ENERGY STAR Water Cooler Partner Unit Shipment Data Water Cooler Data Collection Form.xls www.energystar.gov/usd	Form and Instruction
5900-34 ENERGY STAR Award Application: Parnter of the Year - Pro 2008 App POY Product Manufacturer.doc www.energystar.gov/awards	Form and Instruction
5900-33 ENERGY STAR Commitment Form Commitment Form.xls	Form and Instruction
5900-60 Qualified Product Information Form for Boilers boilers_qpi_form.doc www.energystar.gov/qpi	Form and Instruction
5900-163 ENERGY STAR Imaging Equipment Unit Shipment Data Imaging Equipment Unit Shipment Data.pdf www.energystar.gov/usd	Form
5900-164 ENERGY STAR Commercial Dishwashers Unit Shipment Data Commercial Dishwashers Unit Shipment Data.pdf www.energystar.gov/usd	Form
5900-165 ENERGY STAR Computers Unit Shipment Data Computers Unit Shipment Data.pdf www.energystar.gov/usd	Form
5900-166 ENERGY STAR Decorative Light Strings Unit Shipment Data Decorative Light Strings Unit Shipment Data.pdf www.energystar.gov/usd	Form
5900-167 ENERGY STAR Digital-to-Analog Converter Boxes Unit Shipm Digital-to-Analog Converter Boxes Unit Shipment Data.pdf www.energystar.gov/usd	Form
5900-168 ENERGY STAR Ice Machines Unit Shipment Data Ice Machines Unit Shipment Data.pdf www.energystar.gov/usd	Form
5900-169 Qualified Product Information Form for Commercial Dishwa Commercial Dishwashers Qualified Product Information Form.pdf www.energystar.gov/qpi	Form
5900-170 Qualified Product Information Form for Commercial Ice Ma Commercial Ice Machines Qualified Product Information Form.pdf www.energystar.gov/qpi	Form
5900-171 Qualified Product Information Form for ENERGY STAR Batte Battery Charging Systems Qualified Product Infomation Form.pdf www.energystar.gov/qpi	Form
ES ICR Increase.xls Respondents and Hours for Additional Forms	IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

Energy Star Product Labeling

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	5900-77	Qualified Product Information Form for Room Air Cleaners	room_airclean_qpi_form.doc	www.energystar.gov/qpi	Yes	Yes	Fillable Fileable Signable
Form and Instruction	5900-35	ENERGY STAR Residential Air Source Heat Pump and Central air Conditioner Partner Unit Shipment Data	ASHP CAC Collection Form.xls	www.energystar.gov/usd	Yes	Yes	Fillable Fileable Signable
Form and Instruction	5900-36	ENERGY STAR Battery Charger Partner Unit Shipment Data	Battery Chargers Collection Form.xls	www.energystar.gov/usd	Yes	Yes	Fillable Fileable Signable
Form and Instruction	5900-37	ENERGY STAR Boiler Partner Unit Shipment Data	Boilers Data Collection Form.xls	www.energystar.gov.usd	Yes	Yes	Fillable Fileable Signable
Form and Instruction	5900-38	ENERGY STAR Ceiling Fan Partner Unit Shipment Data	Ceiling Fan Data Collection Form.xls	www.energystar.gov/usd	Yes	Yes	Fillable Fileable Signable
Form and Instruction	5900-39	ENERGY STAR Commercial Solid Door Reach-In Refrigerator/Freezer Partners Unit Shipment Data	Commercial Refrigerator_Freezer Data Collection Form.xls	www.energystar.gov/usd	Yes	Yes	Fillable Fileable Signable
Form and Instruction	5900-40	ENERGY STAR Audio/DVD Partner Unit Shipment Data	Audio_DVD Data Collection Form.xls	www.energystar.gov/usd	Yes	Yes	Fillable Fileable Signable
Form and Instruction	5900-41	ENERGY STAR Commercial Hot Food Holding Cabinet Unit Shipment Data	Commercial Hot Food Holding Cabinet Data Collection Form.xls	www.energystar.gov/usd	Yes	Yes	Fillable Fileable Signable
Form and Instruction	5900-42	ENERGY STAR Commercial Fryer Partner Unit Shipment Data	Commercial Fryers Data Collection Form.xls	www.energystar.gov/usd	Yes	Yes	Fillable Fileable Signable
Form and Instruction	5900-43	ENERGY STAR Dehumidifier Partner Unit Shipment Data	Dehum Data Collection Form.xls	www.energystar.gov/usd	Yes	Yes	Fillable Fileable Signable
Form and Instruction	5900-44	ENERGY STAR Commercial Steam Cooker Partner Unit Shipment Data	Commercial Steam Cookers Data Collection Form.xls	www.energystar.gov/usd	Yes	Yes	Fillable Fileable Signable
Form and Instruction	5900-45	ENERGY STAR End-Use Product Partner Unit Shipment Data	End-Use Products Data Collection Form.xls	www.energystar.gov/usd	Yes	Yes	Fillable Fileable Signable
Form and Instruction	5900-46	ENERGY STAR Exit Sign Partner Unit Shipment Data	Exit Signs Data Collection Form.xls	www.energystar.gov/usd	Yes	Yes	Fillable Fileable Signable
Form and Instruction	5900-47	ENERGY STAR External Power Supplies Partner Unit Shipment Data	External Power Supplies Data Collection Form.xls	www.energystar.gov/usd	Yes	Yes	Fillable Fileable Signable
Form and Instruction	5900-48	ENERGY STAR Furnace Partner Unit Shipment Data	Furnaces Data Collection Form.xls	www.energystar.gov/usd	Yes	Yes	Fillable Fileable Signable
Form and Instruction	5900-49	ENERGY STAR Geothermal Heat Pump Partner Unit Shipment Data	Geothermal Heat Pump Collection Form.xls	www.energystar.gov/usd	Yes	Yes	Fillable Fileable Signable
Form and Instruction	5900-50	ENERGY STAR Light Commercial HVAC Partner Unit Shipment Data	LC HVAC Collection Form.xls	www.energystar.gov/usd	Yes	Yes	Fillable Fileable Signable
Form and Instruction	5900-51	ENERGY STAR Computer Monitor Partner Unit Shipment Data	Monitors Data Collection Form.xls	www.energystar.gov/usd	Yes	Yes	Fillable Fileable Signable
Form and Instruction	5900-52	ENERGY STAR Residential Light Fixture Partner Unit Shipment Data	Residential Light Fixtures Data Collection Form.xls	www.energystar.gov/usd	Yes	Yes	Fillable Fileable Signable
Form and Instruction	5900-53	ENERGY STAR Roof Product Partner Unit Shipment Data	Roof Products Data Collection Form.xls	www.energystar.gov/usd	Yes	Yes	Fillable Fileable Signable
Form and Instruction	5900-54	ENERGY STAR Telephony Partner Unit Shipment Data	Telephony Data Collection Form.xls	www.energystar.gov/usd	Yes	Yes	Fillable Fileable Signable
Form and Instruction	5900-55	ENERGY STAR TV/VCR Partner Unit Shipment Data	TV_VCR Data Collection Form.xls	www.energystar.gov/usd	Yes	Yes	Fillable Fileable Signable
Form and Instruction	5900-56	ENERGY STAR Vending Machine Partner Unit Shipment Data	Vending Machines Data Collection Form.xls	www.energystar.gov/usd	Yes	Yes	Fillable Fileable Signable
Form and Instruction	5900-57	ENERGY STAR Ventilating Fan Partner Unit Shipment Data	Vent Fan Data Collection Form.xls	www.energystar.gov/usd	Yes	Yes	Fillable Fileable Signable
Form and Instruction	5900-58	ENERGY STAR Water Cooler Partner Unit Shipment Data	Water Cooler Data Collection Form.xls	www.energystar.gov/usd	Yes	Yes	Fillable Fileable Signable
Form and Instruction	5900-34	ENERGY STAR Award Application: Parnter of the Year - Product Manufacturer	2008 App POY Product Manufacturer.doc	www.energystar.gov/awards	Yes	Yes	Fillable Fileable Signable
Form and Instruction	5900-33	ENERGY STAR Commitment Form	Commitment Form.xls		Yes	Yes	Fillable Fileable Signable
Form and Instruction	5900-60	Qualified Product Information Form for Boilers	boilers_qpi_form.doc	www.energystar.gov/qpi	Yes	Yes	Fillable Fileable Signable
Form	5900-163	ENERGY STAR Imaging Equipment Unit Shipment Data	Imaging Equipment Unit Shipment Data.pdf	http://www.energystar.gov/usd	Yes	Yes	Fillable Fileable
Form	5900-164	ENERGY STAR Commercial Dishwashers Unit Shipment Data	Commercial Dishwashers Unit Shipment Data.pdf	http://www.energystar.gov/usd	Yes	Yes	Fillable Fileable Signable
Form	5900-165	ENERGY STAR Computers Unit Shipment Data	Computers Unit Shipment Data.pdf	http://www.energystar.gov/usd	Yes	Yes	Fillable Fileable Signable
Form	5900-166	ENERGY STAR Decorative Light Strings Unit Shipment Data	Decorative Light Strings Unit Shipment Data.pdf	http://www.energystar.gov/usd	Yes	Yes	Fillable Fileable Signable
Form	5900-167	ENERGY STAR Digital-to-Analog Converter Boxes Unit Shipment Data	Digital-to-Analog Converter Boxes Unit Shipment Data.pdf	http://www.energystar.gov/usd	Yes	Yes	Fillable Fileable Signable
Form	5900-168	ENERGY STAR Ice Machines Unit Shipment Data	Ice Machines Unit Shipment Data.pdf	http://www.energystar.gov/usd	Yes	Yes	Fillable Fileable Signable
Form	5900-169	Qualified Product Information Form for Commercial Dishwashers	Commercial Dishwashers Qualified Product Information Form.pdf	www.energystar.gov/qpi	Yes	Yes	Fillable Fileable Signable
Form	5900-170	Qualified Product Information Form for Commercial Ice Machines	Commercial Ice Machines Qualified Product Information Form.pdf	www.energystar.gov/qpi	Yes	Yes	Fillable Fileable Signable
Form	5900-171	Qualified Product Information Form for ENERGY STAR Battery Charging Systems	Battery Charging Systems Qualified Product Infomation Form.pdf	www.energystar.gov/qpi	Yes	Yes	Fillable Fileable Signable
Form and Instruction	5900-59	Qualified Product Information Form for Residential Air Source Heat Pumps and Central Air Conditioners	airsrc_heat_cac_qpi_form.doc	www.energystar.gov/qpi	Yes	Yes	Fillable Fileable Signable
Form and Instruction	5900-62	Qualified Product Information Form for New and Rebuilt Refrigerated Beverage Vending Machines	vending_qpi_form.doc	www.energystar.gov/qpi	Yes	Yes	Fillable Fileable Signable
Form and Instruction	5900-61	Qualified Product Information Form for Programmable Thermostats	thermostats_qpi_form.doc	www.energystar.gov/qpi	Yes	Yes	Fillable Fileable Signable
Form and Instruction	5900-63	Qualified Product Information Form for Residential Ventilating Fans	vent_fans_qpi_forms.doc	www.energystar.gov/qpi	Yes	Yes	Fillable Fileable Signable
Form and Instruction	5900-64	Qualified Product Information Form for Bottled Water Coolers	water_coolers_qpi_form.doc	www.energystar.gov/qpi	Yes	Yes	Fillable Fileable Signable
Form and Instruction	5900-65	Qualified Product Information Form for Residential Ceiling Fans	ceiling_fans_qpi_form.doc	www.energystar.gov/qpi	Yes	Yes	Fillable Fileable Signable
Form and Instruction	5900-66	Qualified Product Information Form for Commercial Fryers	commer_fryer_qpi_form.doc	www.energystar.gov/qpi	Yes	Yes	Fillable Fileable Signable
Form and Instruction	5900-67	Qualified Product Information Form for Hot Food Holding Cabinets	commer_hfhc_qpi_form.doc	www.energystar.gov/qpi	Yes	Yes	Fillable Fileable Signable
Form and Instruction	5900-68	Qualified Product Information Form for Commercial Solid Door Refrigerators and Freezers	commer_refrig_qpi_form.doc	www.energystar.gov/qpi	Yes	Yes	Fillable Fileable Signable
Form and Instruction	5900-69	Qualified Product Information Form for Commercial Steam Cookers	commer_steamer_qpi_form.doc	www.energystar.gov/qpi	Yes	Yes	Fillable Fileable Signable
Form and Instruction	5900-70	Qualified Product Information Form for Dehumidifiers	dehumid_qpi_form.doc	www.energystar.gov/qpi	Yes	Yes	Fillable Fileable Signable
Form and Instruction	5900-71	Qualified Product Information Form for Indoor Residential Light Fixtures	fixtures_indoor_qpi_form.doc	www.energystar.gov/qpi	Yes	Yes	Fillable Fileable Signable
Form and Instruction	5900-72	Qualified Product Information Form for Outdoor Residential Light Fixtures	fixtures_outdoor_qpi_form.doc	www.energystar.gov/qpi	Yes	Yes	Fillable Fileable Signable
Form and Instruction	5900-73	Qualified Product Information Form for Furnaces	furnaces_qpi_form.doc	www.energystar.gov/qpi	Yes	Yes	Fillable Fileable Signable
Form and Instruction	5900-74	Qualified Product Information Form for Geothermal Heat Pumps	geo_heat_qpi_form.doc	www.energystar.gov/qpi	Yes	Yes	Fillable Fileable Signable
Form and Instruction	5900-75	Qualified Product Information Form for Roof Products	roof_prods_qpi_form.doc	www.energystar.gov/qpi	Yes	Yes	Fillable Fileable Signable
Form and Instruction	5900-76	Qualified Product Information Form for Light Commercial Air Source Heat Pumps and Central Air Conditioners (ASHP/CAC)	lchvac_qpi_form.doc	www.energystar.gov/qpi	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: 1,347

Number of Respondents for Small Entity: 415

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 95 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	16,106	655	15,451
Annual IC Time Burden (Hours)	97,088	7,938	89,150
Annual IC Cost Burden (Dollars)	238,831	0	238,831

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Respondents and Hours for Additional Forms	ES ICR Increase.xls	05/04/2009

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.