Information Collection

Superior Energy Performance

IC 214346 under ICR 201412-1910-003 · OMB 1910-5177.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1910-5177 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form DOE HQ F 413 Superior Energy Performance	Form and Instruction
DOE HQ F 413 Superior Energy Performance Enrollment DOE HQ F 413_SEP Enrollment Form_2015-03-31.docx	Form and Instruction
DOE HQ F 413.1 Superior Energy Performance Application DOE HQ F 413.1_SEP Application Form_2015-03-31.pdf	Form and Instruction
DOE HQ F 413.2 Superior Energy Performance Improvement Report DOE HQ F 413.2_SEP Energy Performance Improvement Report_2015-03-31.xlsx	Form and Instruction
DOE HQ F 413.3 Superior Energy Performance Voluntary Cost Benefit DOE HQ F 413.3_SEP Voluntary Cost Benefit Forms_2015-03-31.xlsx	Form and Instruction

IC Title:

Superior Energy Performance

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	DOE HQ F 413	Superior Energy Performance Enrollment	DOE HQ F 413_SEP Enrollment Form_2015-03-31.docx	Yes	Yes	Fillable Fileable
Form and Instruction	DOE HQ F 413.1	Superior Energy Performance Application	DOE HQ F 413.1_SEP Application Form_2015-03-31.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	DOE HQ F 413.2	Superior Energy Performance Improvement Report	DOE HQ F 413.2_SEP Energy Performance Improvement Report_2015-03-31.xlsx	Yes	Yes	Fillable Fileable
Form and Instruction	DOE HQ F 413.3	Superior Energy Performance Voluntary Cost Benefit	DOE HQ F 413.3_SEP Voluntary Cost Benefit Forms_2015-03-31.xlsx	Yes	Yes	Fillable Fileable

Line of Business: Energy

Subfunction: Energy Resource Management

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 475

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	475	475
Annual IC Time Burden (Hours)	650	650
Annual IC Cost Burden (Dollars)	0	0

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.