Information Collection

Partner of the Year Award Applicaiton

IC 196466 under ICR 201103-2060-002 · 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⚠️ Notice: This information collection may be referencing outdated material.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 5900-34 Partner of the Year Awards Partner of the Year Award Applicaiton	Form and Instruction
Form 500-34 Partner of the Year Awards Partner of the Year Award Applicaiton	Form and Instruction
Form 5900-34 Partner of the Year Award Partner of the Year Award Applicaiton	Form and Instruction
Form 5900-34 Partner of the Year Award Partner of the Year Award Applicaiton	Form and Instruction
Form 5900-34 Partner of the Year Award Partner of the Year Award Applicaiton	Form and Instruction
5900-34 Partner of the Year Awards Awards - Products.pdf www.energystar.gov/awards	Form and Instruction
500-34 Partner of the Year Awards Awards - Delivery.pdf www.energystar.gov/awards	Form and Instruction
5900-34 Partner of the Year Award Awards - Lighting.pdf www.energystar.gov/awards	Form and Instruction
5900-34 Partner of the Year Award Awards - Promotion.pdf www.energystar.gov/awards	Form and Instruction
5900-34 Partner of the Year Award Awards - Retail.pdf www.energystar.gov/awards	Form and Instruction

IC Title:

Partner of the Year Award Applicaiton

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	5900-34	http://www.energystar.gov/awards	Yes	Yes	Fillable Fileable Signable
Form and Instruction	500-34	http://www.energystar.gov/awards	Yes	Yes	Fillable Fileable Signable
Form and Instruction	5900-34	http://www.energystar.gov/awards	Yes	Yes	Fillable Fileable Signable
Form and Instruction	5900-34	http://www.energystar.gov/awards	Yes	Yes	Fillable Fileable Signable
Form and Instruction	5900-34	http://www.energystar.gov/awards	Yes	Yes	Fillable Fileable Signable

Line of Business: Environmental Management

Subfunction: Pollution Prevention and Control

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 140

Number of Respondents for Small Entity: 10

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	140	140
Annual IC Time Burden (Hours)	6,174	6,174
Annual IC Cost Burden (Dollars)	10,002	10,002

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.

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