Information Collection

Energy Star Program in the Residential Sector: Private Sector

IC 44052 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⚠️ Notice: This information collection may be referencing outdated material.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 5900-269 Energy Star Program in the Residential Sector: Private Sector	Form and Instruction
5900-269 MFHR Testing and Verification Worksheets MFHR T&V Worksheets_Version_1.4.xls www.energystar.gov	Form and Instruction
5900-272 ENERGY STAR Certified Homes Energy Efficiency Program Sp EEPS Commitment Form_New Homes.docx www.energystar.gov	Form
5900-33 Energy Efficiency Program Sponsor Partnership Agreement EEPS_Partnership_Agreement.docx www.energystar.gov	Form and Instruction
5900-180 Installation Commissioning Report ESQI_commissionreport.xls www.energystar.gov	Form
5900-188 Home Builder Partnership Agreement Home Builders and Plants_Partnership Agreement.docx www.energystar.gov	Form and Instruction
5900-186 HPwES Program Plan Template HPwES_Implementation Plan_Template.docx www.energystar.gov	Form and Instruction
5900-175 HVAC System QI Contractor Checklist HVAC QI Contractor Checklist.docx www.energystar.gov	Form
5900-183 HVAC QI Program Partnership Agreement HVAC QI Sponsor Partnership Agreement.docx www.energystar.gov	Form
5900-08 Lender Partnership Agreement Lender_partnership_agreement.docx www.energystar.gov	Form
5900-172 Site Installation Checklist Manufactured Home Completion Report.doc www.research-alliance.org	Form and Instruction
5900-267 MFHR Developer Participation Agreement MFHR Developer Participation Agreement _V1.0.docx www.energystar.gov	Form
5900-268 MFHR Performance Path Calculator MFHR Performance Path Calculator_V1.2.xls www.energystar.gov	Form and Instruction
5900-266 MFHR Project Application MFHR Project Application_V1.1.docx www.energystar.gov	Form
5900-270 MFHR Submittal Validation Form MFHR Submittal Validation Form_V1.0.docx www.energystar.gov	Form
5900-189 Modular Home Completion Report Modular Home Completion.Report.v2.5.docx www.research-alliance.org	Form and Instruction
5900-188 Partnership Agreement Architects-HPD Partnership Agreement.docx www.energystar.gov	Form and Instruction
5900-194 Modular Plant Qualification Form Modular Plant Qualification Form.docx www.research-alliance.org	Form
5900-06 Outreach Partnership Commitment Form Outreach Partnership Commitment Form.docx www.energystar.gov	Form
5900-188 Home Energy Rater Partnership Agreement Raters and Providers Partnership Agreement.docx www.energystar.gov	Form and Instruction
5900-176 Thermal Enclosure System Rater Checklist Thermal Enclosure Checklist.docx www.energystar.gov	Form
5900-178 Water Management System Builder Checklist Water Management Checklist.docx www.energystar.gov	Form
5900-271 HVAC System QI Rater Checklist HVAC QI Rater Checklist.docx www.energystar.gov	Form
5900-17 HPwES Program Sponsor Partnership Agreement HPwES_Partnership_Agreement.pdf www.energystar.gov	Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

Energy Star Program in the Residential Sector: Private Sector

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	5900-269	MFHR Testing and Verification Worksheets	MFHR T&V Worksheets_Version_1.4.xls	www.energystar.gov	Yes	Yes	Fillable Fileable
Form	5900-272	ENERGY STAR Certified Homes Energy Efficiency Program Sponsors	EEPS Commitment Form_New Homes.docx	www.energystar.gov	Yes	Yes	Fillable Fileable
Form and Instruction	5900-33	Energy Efficiency Program Sponsor Partnership Agreement	EEPS_Partnership_Agreement.docx	www.energystar.gov	Yes	Yes	Fillable Fileable
Form	5900-180	Installation Commissioning Report	ESQI_commissionreport.xls	www.energystar.gov	Yes	Yes	Fillable Fileable
Form and Instruction	5900-188	Home Builder Partnership Agreement	Home Builders and Plants_Partnership Agreement.docx	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
Form	5900-175	HVAC System QI Contractor Checklist	HVAC QI Contractor Checklist.docx	www.energystar.gov	Yes	No	Printable Only
Form	5900-183	HVAC QI Program Partnership Agreement	HVAC QI Sponsor Partnership Agreement.docx	www.energystar.gov	Yes	Yes	Fillable Fileable
Form	5900-08	Lender Partnership Agreement	Lender_partnership_agreement.docx	www.energystar.gov	Yes	Yes	Fillable Fileable
Form and Instruction	5900-172	Site Installation Checklist	Manufactured Home Completion Report.doc	www.research-alliance.org	Yes	Yes	Fillable Fileable
Form	5900-267	MFHR Developer Participation Agreement	MFHR Developer Participation Agreement _V1.0.docx	www.energystar.gov	Yes	Yes	Fillable Fileable
Form and Instruction	5900-268	MFHR Performance Path Calculator	MFHR Performance Path Calculator_V1.2.xls	www.energystar.gov	Yes	Yes	Fillable Fileable
Form	5900-266	MFHR Project Application	MFHR Project Application_V1.1.docx	www.energystar.gov	Yes	Yes	Fillable Fileable
Form	5900-270	MFHR Submittal Validation Form	MFHR Submittal Validation Form_V1.0.docx	www.energystar.gov	Yes	Yes	Fillable Fileable
Form and Instruction	5900-189	Modular Home Completion Report	Modular Home Completion.Report.v2.5.docx	www.research-alliance.org	Yes	Yes	Fillable Fileable
Form and Instruction	5900-188	Partnership Agreement	Architects-HPD Partnership Agreement.docx	www.energystar.gov	Yes	Yes	Fillable Fileable
Form	5900-194	Modular Plant Qualification Form	Modular Plant Qualification Form.docx	www.research-alliance.org	Yes	Yes	Fillable Fileable
Form	5900-06	Outreach Partnership Commitment Form	Outreach Partnership Commitment Form.docx	www.energystar.gov	Yes	Yes	Fillable Fileable
Form and Instruction	5900-188	Home Energy Rater Partnership Agreement	Raters and Providers Partnership Agreement.docx	www.energystar.gov	Yes	Yes	Fillable Fileable
Form	5900-176	Thermal Enclosure System Rater Checklist	Thermal Enclosure Checklist.docx	www.energystar.gov	Yes	No	Printable Only
Form	5900-178	Water Management System Builder Checklist	Water Management Checklist.docx	www.energystar.gov	Yes	No	Printable Only
Form	5900-271	HVAC System QI Rater Checklist	HVAC QI Rater Checklist.docx	www.energystar.gov	Yes	No	Printable Only
Form	5900-17	HPwES Program Sponsor Partnership Agreement	HPwES_Partnership_Agreement.pdf	www.energystar.gov	Yes	Yes	Fillable Fileable

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: 11,450

Number of Respondents for Small Entity: 8,600

Affected Public: Private Sector

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

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	164,567	82,672	-7,422	89,317
Annual IC Time Burden (Hours)	147,006	112,563	-127,341	161,784
Annual IC Cost Burden (Dollars)	150	-631	-16,068	16,849

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.