Information Collection

Energy Star Program in the Residential Sector: Households

IC 191110 under ICR 200910-2060-009 · OMB 2060-0586.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2060-0586 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 5900-184 Energy Star Program in the Residential Sector: Households	Form and Instruction
5900-184 Homeowner Energy Data Release Form EnergyUseReleaseForm.DOC energystar.gov	Form and Instruction
5900-179 Home Improvement Profile Form ENERGY STAR HIP Profile 05 04 09.doc energystar.gov	Form and Instruction
5900-182 Home Performance Homeowner Satisfaction Form HPwESCust_Sat_Form.doc energystar.gov	Form and Instruction

IC Title:

Energy Star Program in the Residential Sector: Households

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

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	5900-184	Homeowner Energy Data Release Form	EnergyUseReleaseForm.DOC	energystar.gov	Yes	No	Printable Only
Form and Instruction	5900-179	Home Improvement Profile Form	ENERGY STAR HIP Profile 05 04 09.doc	energystar.gov	Yes	No	Printable Only
Form and Instruction	5900-182	Home Performance Homeowner Satisfaction Form	HPwESCust_Sat_Form.doc	energystar.gov	Yes	No	Printable Only

Line of Business: Environmental Management

Subfunction: Pollution Prevention and Control

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 52,010

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	52,010	52,010
Annual IC Time Burden (Hours)	15,600	15,600
Annual IC Cost Burden (Dollars)	440	440

Documents for IC

table that charts IC Documents
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.