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

EPA's ENERGY STAR Program in the Commercial and Industrial Sectors (Renewal)

OMB: 2060-0347

IC ID: 24482

⚠️ Notice: This information collection may be referencing outdated material.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 5900-20 ENERGY STAR Program in the Commercial and Industrial Sectors - Private Sector Entities Form
5900-195 Service and Product Provider (SPP) Partnership Applicati SPP_Application_Data_Form.doc www.energystar.gov/ia/about/join/Application_Data_Form.doc Form
5900-196 Take the ENERGY STAR Challenge! ENERGY STAR Challenge Form.doc www.energystar.gov/index.cfm?fuseaction=challenge.showChallengeForm Form
5900-197 ENERGY STAR Data Checklist for Commercial Buildings ENERGY STAR Data_Checklist_09.pdf www.energystar.gov/ia/business/evaluate_performance/Data_Checklist_09.pdf Form
5900-21 Small Business and Congregations Network Small Business and Congregations Network.doc www.energystar.gov/index.cfm?c=small_business.sb_partner_info_form Form
5900-19 Attachment to Partnership Letter Partnership_Letter.doc www.energystar.gov/ia/business/partnerletter.pdf Form
5900-198 Statement of Energy Improvement Statement of Energy Improvement.doc www.energystar.gov Form
5900-22 Statement of Energy Design Intent Statement of Energy Design Intent.pdf www.energystar.gov/ia/business/tools_resources/new_bldg_design/SEDI_Example.pdf Form
5900-20 ENERGY STAR Leaders - Facility Summary Report Leaders Facility Summary Report.doc www.energystar.gov/istar/pmpam Form
5900-20 ENERGY STAR Leaders - Leaders Story Leaders Story.doc www.energystar.gov/istar/pmpam Form
5900-20 ENERGY STAR Leaders - Eligible Facilities List Leaders Eligible Facilities.doc www.energystar.gov/istar/pmpam Form
5900-20 ENERGY STAR Leaders - Ineligible Facilities List Leaders Ineligible Facilities.doc www.energystar.gov/istar/pmpam Form
5900-89 Statement of Energy Performance Statement of Energy Performance - Plants.doc www.energystar.gov/index.cfm?c=in_focus.bus_cement_manuf_focus Form
5900-16 Statement of Energy Performance Statement of Energy Performance - Buildings.pdf www.energystar.gov/ia/business/evaluate_performance/SEP_08.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	ENERGY STAR Program in the Commercial and Industrial Sectors - Private Sector Entities	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	5900-20	ENERGY STAR Leaders - Leaders Story	Leaders Story.doc	https://www.energystar.gov/istar/pmpam	Yes	Yes	Fillable Printable
Form	5900-20	ENERGY STAR Leaders - Eligible Facilities List	Leaders Eligible Facilities.doc	https://www.energystar.gov/istar/pmpam	Yes	Yes	Fillable Printable
Form	5900-20	ENERGY STAR Leaders - Ineligible Facilities List	Leaders Ineligible Facilities.doc	https://www.energystar.gov/istar/pmpam	Yes	Yes	Fillable Printable
Form	5900-89	Statement of Energy Performance	Statement of Energy Performance - Plants.doc	http://www.energystar.gov/index.cfm?c=in_focus.bus_cement_manuf_focus	Yes	Yes	Fillable Printable
Form	5900-16	Statement of Energy Performance	Statement of Energy Performance - Buildings.pdf	http://www.energystar.gov/ia/business/evaluate_performance/SEP_08.pdf	Yes	Yes	Fillable Printable
Form	5900-195	Service and Product Provider (SPP) Partnership Application Data Form	SPP_Application_Data_Form.doc	http://www.energystar.gov/ia/about/join/Application_Data_Form.doc	Yes	Yes	Fillable Fileable
Form	5900-196	Take the ENERGY STAR Challenge!	ENERGY STAR Challenge Form.doc	http://www.energystar.gov/index.cfm?fuseaction=challenge.showChallengeForm	Yes	Yes	Fillable Fileable
Form	5900-197	ENERGY STAR Data Checklist for Commercial Buildings	ENERGY STAR Data_Checklist_09.pdf	http://www.energystar.gov/ia/business/evaluate_performance/Data_Checklist_09.pdf	Yes	Yes	Fillable Printable
Form	5900-21	Small Business and Congregations Network	Small Business and Congregations Network.doc	http://www.energystar.gov/index.cfm?c=small_business.sb_partner_info_form	Yes	Yes	Fillable Fileable
Form	5900-19	Attachment to Partnership Letter	Partnership_Letter.doc	http://www.energystar.gov/ia/business/partnerletter.pdf	Yes	Yes	Fillable Printable
Form	5900-198	Statement of Energy Improvement	Statement of Energy Improvement.doc	www.energystar.gov	Yes	Yes	Fillable Printable
Form	5900-22	Statement of Energy Design Intent	Statement of Energy Design Intent.pdf	http://www.energystar.gov/ia/business/tools_resources/new_bldg_design/SEDI_Example.pdf	Yes	Yes	Fillable Printable
Form	5900-20	ENERGY STAR Leaders - Facility Summary Report	Leaders Facility Summary Report.doc	https://www.energystar.gov/istar/pmpam	Yes	Yes	Fillable Printable

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: 11,471	Number of Respondents for Small Entity: 2,500

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

Percentage of Respondents Reporting Electronically: 95 %

	Approved	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	29,219	-1,067	16,069	14,217
Annual IC Time Burden (Hours)	78,047	-3,065	46,127	34,985
Annual IC Cost Burden (Dollars)	4,481,944	-268	3,073,643	1,408,569

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.