Supply List of Third Party Certified Product Information

EPA's ENERGY STAR Product Labeling (Renewal)

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

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

Information Collection (IC) Details

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:

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 %

	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

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.