Information Collection

Supply List of Third Party Certified Product Information

IC 24770 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⚠️ Notice: This information collection may be referencing outdated material.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 5900-33 Supply List of Third Party Certified Product Information	Form and Instruction
5900-33 ENERGY STAR Commitment Form Commitment Form.xls	Form and Instruction

IC Title:

Supply List of Third Party Certified Product Information

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	5900-33	ENERGY STAR Commitment Form	Commitment Form.xls		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: 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	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	20	20	-16,106	16,106
Annual IC Time Burden (Hours)	1,820	1,820	-97,088	97,088
Annual IC Cost Burden (Dollars)	0	0	-238,831	238,831

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.