Information Collection

Energy Star Program in the Residential Sector: States and Locals

IC 191109 under ICR 201302-2060-005 · 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⚠️ Notice: This information collection may be referencing outdated material.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 5900-33 Energy Star Program in the Residential Sector: States and Locals	Form and Instruction
5900-33 Energy Efficiency Program Sponsor Partnership Agreement EEPS_Partnership_Agreement.docx www.energystar.gov	Form and Instruction
5900-272 Energy Efficiency Program Sponsor Commitment Form EEPS Commitment Form_New Homes.docx www.energystar.gov	Form
5900-183 HVAC QI Program Partnership Agreement HVAC QI Sponsor Partnership Agreement.docx www.energystar.gov	Form
5900-176 HPwES Program Sponsor Partnership Agreement HPwES_Partnership_Agreement.pdf www.energystar.gov	Form
5900-186 HPwES Program Plan Template HPwES_Implementation Plan_Template.docx www.energystar.gov	Form and Instruction

IC Title:

Energy Star Program in the Residential Sector: States and Locals

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

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 Efficiency Program Sponsor Partnership Agreement	EEPS_Partnership_Agreement.docx	www.energystar.gov	Yes	Yes	Fillable Fileable
Form	5900-272	Energy Efficiency Program Sponsor Commitment Form	EEPS Commitment Form_New Homes.docx	www.energystar.gov	Yes	Yes	Fillable Fileable
Form	5900-183	HVAC QI Program Partnership Agreement	HVAC QI Sponsor Partnership Agreement.docx	www.energystar.gov	Yes	Yes	Fillable Fileable
Form	5900-176	HPwES Program Sponsor Partnership Agreement	HPwES_Partnership_Agreement.pdf	www.energystar.gov	Yes	Yes	Fillable Fileable
Form and Instruction	5900-186	HPwES Program Plan Template	HPwES_Implementation Plan_Template.docx	www.energystar.gov	Yes	Yes	Fillable Fileable

Line of Business: Environmental Management

Subfunction: Pollution Prevention and Control

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 76

Number of Respondents for Small Entity: 57

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 99 %

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	782	400	198	184
Annual IC Time Burden (Hours)	898	3	-2,679	3,574
Annual IC Cost Burden (Dollars)	0	-150	0	150

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.