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Website Profile Page Template

OMB 190-5141

Expiration date: 8/31/2015

Background: DOE will highlight Better Buildings Challenge Partners with profile pages on the program website. Please complete the information below.

1. Organization Name

How would you like your organization to be referenced?

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2. Background

Provide 2-3 sentences of background information on your organization. Suggested maximum of 100 words.

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3. Energy Efficiency Goal

Define your organization’s goal for reducing energy intensity across your portfolio.

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4. Portfolio Square Footage Commitment

Provide the total square footage of buildings in your portfolio that are included in your commitment.

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5. Better Buildings Challenge Commitment

Describe your organization’s commitment to the Better Buildings Challenge, including any specific actions or measures that you will take in support of the Challenge. Suggested maximum of 300 words.

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6. Logo

Provide your organization’s logo as an attachment for placement on your profile page.

File type options: high resolution .eps, ai or .jpg

7. Photo

Provide up to three photos of your owned or leased buildings as attachments for placement on your profile page. Please include captions and attributions, if applicable, below.

File type options: high resolution .jpg or .tiff

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In furtherance of the objectives of the Better Buildings Challenge, the Department of Energy (DOE) intends to publicly post information submitted in response to this template on the Better Buildings Challenge website.  Information submitted to DOE will be handled in accordance with all applicable federal laws, rules, or regulations, including but not limited to the Trade Secrets Act, 18 U.S.C. §1905, and the Freedom of Information Act (FOIA), 5 U.S.C. §552, and DOE's implementing regulations at 10 CFR 1004.  Participation in the Better Buildings Challenge is voluntary.  Do not include any personal or confidential commercial and financial information in response to this template. Commercial and financial information is considered to be confidential when its release would be likely either to harm the submitter’s commercial interests or to affect the agency’s ability to obtain information in the future.  This statement serves as your written notice that DOE intends to publicly post this information.  By submitting information in response to this template, you are certifying that this information does not contain confidential commercial or financial information. 

Public reporting burden for this collection of information is estimated to average 30 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information.  Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to Office of the Chief Information Officer, Records Management Division, IM-23, Paperwork Reduction Project (1910-5141), U.S. Department of Energy, 1000 Independence Ave SW, Washington, DC, 20585-1290; and to the Office of Management and Budget (OMB), OIRA, Paperwork Reduction Project (1910-5141), Washington, DC  20503.