Programs for Improving Energy Efficiency in Residential Buildings

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 413.35 QA/QC Checklist	Form	New	Available
Form 413.17 Benchmark Data Collection	Form	New	Available
Form DOE HQ F 413.33 HPwES - Housing Innovation Award Application	Form and Instruction	New	Available
Form DOE HQ F 413.32 Energy Star Award Application	Form and Instruction	New	Available
Form DOE HQ F 413.31 HPwES - Sponsor Annual Reporting	Form and Instruction	New	Available
Form DOE HQ F 413.30 HPwES - Sponsor Quarterly Reporting	Form and Instruction	New	Available
Form DOE HQ F 413.29 HPwES - Implementation Plan Template for Prospective Program Sponsors	Form and Instruction	New	Available
Form DOE HQ F 413.28 Partnership Agremeent with Energy Star	Form and Instruction	New	Available
Form DOE HQ F 413.27 Assessor Candidate Info	Form and Instruction	New	Available
Form DOE HQ F 413.26 Home Energy Score - Partnership Agreement for Participating Organizations	Form and Instruction	New	Available
Form DOE HQ F 413.25 Home Energy Score - Home Energy Scoring Tool Data Collection Sheet	Form and Instruction	New	Available
Form DOE HQ F 413.24 Home Energy Score - Partner Implementation Template	Form and Instruction	New	Repair queued
Form DOE HQ F 413.21 BB-RPSC - Rating and Comment	Form and Instruction	New	Available
Form DOE HQ F 413.20 BB-RPSC - User Survey	Form and Instruction	New	Available
Form DOE HQ F 413.19 BB-RPSC - Program and Market Qualities Questionnaire	Form and Instruction	New	Available
Form DOE HQ F 413.18 BB-BBRN - Reporting and Benefits Template	Form and Instruction	New	Available
Form DOE HQ F 413.16 BB-BBRN - Membership Form	Form and Instruction	New	Available
Form DOE HQ F 413.15 Race to Zero Student Design Competition Registration - Checkout Page	Form and Instruction	New	Available
Form DOE HQ F 413.14 Race to Zero Student Design Competition Registration - Initial Page	Form and Instruction	New	Available
Form DOE HQ F 413.13 Race to Zero Student Design Competition Registration - Personal Info	Form and Instruction	New	Available
Form DOE HQ F 413.12 Zero Energy Ready Home Consolidated Renewable Energy Ready Checklist	Form and Instruction	New	Available
Form DOE HQ F 413.11 Zero Energy Ready Home Qualified Instructor Application	Form and Instruction	New	Available
Form DOE HQ F 413.10 Zero Energy Ready Home Utility Bill Data Collection	Form and Instruction	New	Available
Form DOE HQ F 413.9 Zero Energy Ready Home Case Study	Form and Instruction	New	Available
Form DOE HQ F 413.8 Zero Energy Ready Home Tour of Zero	Form and Instruction	New	Available
Form DOE HQ F 413.7 Zero Energy Ready Home Housing Innovation Awards Application	Form and Instruction	New	Available
Form DOE HQ F 413.6 Zero Energy Ready home Training Evaluation	Form and Instruction	New	Available
Form DOE HQ F 413.5 Zero Energy Ready Home - Certification	Form and Instruction	New	Available
Form DOE HQ F 413.4 Zero Energy Ready Home Registration	Form and Instruction	New	Available
form number tables final.docx	Supplementary Document	Uploaded 2016-10-05	Available
2015-05-20_30 Day FRN (Published).pdf	Supplementary Document	Uploaded 2015-06-11	Available
2014-05-15_60 Day FRN (Published).pdf	Supplementary Document	Uploaded 2015-06-11	Available
2015-05-20_Supporting Statement Appx_FINAL.doc	Supplementary Document	Uploaded 2015-06-11	Available
Supporting Statement final-OMB.doc	Supporting Statement A	Uploaded 2016-10-05	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
216775	Programs for Improving Energy Efficiency in Residential Buildings	Form	New	QA/QC Checklist
216775	Programs for Improving Energy Efficiency in Residential Buildings	Form	New	Benchmark Data Collection
216775	Programs for Improving Energy Efficiency in Residential Buildings	Form and Instruction	New	HPwES - Housing Innovation Award Application
216775	Programs for Improving Energy Efficiency in Residential Buildings	Form and Instruction	New	Energy Star Award Application
216775	Programs for Improving Energy Efficiency in Residential Buildings	Form and Instruction	New	HPwES - Sponsor Annual Reporting
216775	Programs for Improving Energy Efficiency in Residential Buildings	Form and Instruction	New	HPwES - Sponsor Quarterly Reporting
216775	Programs for Improving Energy Efficiency in Residential Buildings	Form and Instruction	New	HPwES - Implementation Plan Template for Prospective Program Sponsors
216775	Programs for Improving Energy Efficiency in Residential Buildings	Form and Instruction	New	Partnership Agremeent with Energy Star
216775	Programs for Improving Energy Efficiency in Residential Buildings	Form and Instruction	New	Assessor Candidate Info
216775	Programs for Improving Energy Efficiency in Residential Buildings	Form and Instruction	New	Home Energy Score - Partnership Agreement for Participating Organizations
216775	Programs for Improving Energy Efficiency in Residential Buildings	Form and Instruction	New	Home Energy Score - Home Energy Scoring Tool Data Collection Sheet
216775	Programs for Improving Energy Efficiency in Residential Buildings	Form and Instruction	New	Home Energy Score - Partner Implementation Template
216775	Programs for Improving Energy Efficiency in Residential Buildings	Form and Instruction	New	BB-RPSC - Rating and Comment
216775	Programs for Improving Energy Efficiency in Residential Buildings	Form and Instruction	New	BB-RPSC - User Survey
216775	Programs for Improving Energy Efficiency in Residential Buildings	Form and Instruction	New	BB-RPSC - Program and Market Qualities Questionnaire
216775	Programs for Improving Energy Efficiency in Residential Buildings	Form and Instruction	New	BB-BBRN - Reporting and Benefits Template
216775	Programs for Improving Energy Efficiency in Residential Buildings	Form and Instruction	New	BB-BBRN - Membership Form
216775	Programs for Improving Energy Efficiency in Residential Buildings	Form and Instruction	New	Race to Zero Student Design Competition Registration - Checkout Page
216775	Programs for Improving Energy Efficiency in Residential Buildings	Form and Instruction	New	Race to Zero Student Design Competition Registration - Initial Page
216775	Programs for Improving Energy Efficiency in Residential Buildings	Form and Instruction	New	Race to Zero Student Design Competition Registration - Personal Info
216775	Programs for Improving Energy Efficiency in Residential Buildings	Form and Instruction	New	Zero Energy Ready Home Consolidated Renewable Energy Ready Checklist
216775	Programs for Improving Energy Efficiency in Residential Buildings	Form and Instruction	New	Zero Energy Ready Home Qualified Instructor Application
216775	Programs for Improving Energy Efficiency in Residential Buildings	Form and Instruction	New	Zero Energy Ready Home Utility Bill Data Collection
216775	Programs for Improving Energy Efficiency in Residential Buildings	Form and Instruction	New	Zero Energy Ready Home Case Study
216775	Programs for Improving Energy Efficiency in Residential Buildings	Form and Instruction	New	Zero Energy Ready Home Tour of Zero
216775	Programs for Improving Energy Efficiency in Residential Buildings	Form and Instruction	New	Zero Energy Ready Home Housing Innovation Awards Application
216775	Programs for Improving Energy Efficiency in Residential Buildings	Form and Instruction	New	Zero Energy Ready home Training Evaluation
216775	Programs for Improving Energy Efficiency in Residential Buildings	Form and Instruction	New	Zero Energy Ready Home - Certification
216775	Programs for Improving Energy Efficiency in Residential Buildings	Form and Instruction	New	Zero Energy Ready Home Registration
216775	Programs for Improving Energy Efficiency in Residential Buildings	Instruction	New

ICR Details

OMB Control No: 1910-5184	ICR Reference No: 201504-1910-004
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: DOE/DOEOA	Agency Tracking No: Chirs Early (EE)
Title: Programs for Improving Energy Efficiency in Residential Buildings
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 10/07/2016
Retrieve Notice of Action (NOA)	Date Received in OIRA: 06/15/2015
Terms of Clearance: In accordance with 5 CFR 1320, the information collection is approved for three years with the following terms of clearance: DOE will work with survey respondents to ensure that the appropriate level of instruction is provided for the surveys to reduce respondent burden and obtain consistent responses across the survey frame.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	10/31/2019	36 Months From Approved
Responses	46,759	0	0
Time Burden (Hours)	22,859	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: The Building Technologies Office in the Department of Energy has four programs that encourage and assist the organizations that volunteer to participate in them to build and renovate new and existing buildings to use less energy.

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Authorizing Statute(s): US Code: 42 USC 16191 Name of Law: Energy Efficiency
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	79 FR 27867	05/15/2014
30-day Notice:	Federal Register Citation:	Citation Date:
	80 FR 28988	05/20/2015
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
Programs for Improving Energy Efficiency in Residential Buildings	DOE HQ F 413.18, DOE HQ F 413.20, DOE HQ F 413.21, DOE HQ F 413.25, DOE HQ F 413.26, DOE HQ F 413.27, DOE HQ F 413.28, DOE HQ F 413.29, DOE HQ F 413.30, DOE HQ F 413.32, DOE HQ F 413.33, DOE HQ F 413.4, DOE HQ F 413.6, DOE HQ F 413.7, DOE HQ F 413.11, DOE HQ F 413.13, DOE HQ F 413.15, DOE HQ F 413.16, DOE HQ F 413.5, DOE HQ F 413.8, DOE HQ F 413.9, DOE HQ F 413.10, DOE HQ F 413.12, DOE HQ F 413.14, DOE HQ F 413.19, DOE HQ F 413.24, DOE HQ F 413.31, 413.17, 413.35	Zero Energy Ready Home Registration ,   Zero Energy Ready Home - Certification ,   Zero Energy Ready home Training Evaluation ,   Zero Energy Ready Home Housing Innovation Awards Application ,   Zero Energy Ready Home Tour of Zero ,   Zero Energy Ready Home Case Study ,   Zero Energy Ready Home Utility Bill Data Collection ,   Zero Energy Ready Home Qualified Instructor Application ,   Zero Energy Ready Home Consolidated Renewable Energy Ready Checklist ,   Race to Zero Student Design Competition Registration - Personal Info ,   Race to Zero Student Design Competition Registration - Initial Page ,   Race to Zero Student Design Competition Registration - Checkout Page ,   BB-BBRN - Membership Form ,   BB-BBRN - Reporting and Benefits Template ,   BB-RPSC - Program and Market Qualities Questionnaire ,   BB-RPSC - User Survey ,   BB-RPSC - Rating and Comment ,   Home Energy Score - Partner Implementation Template ,   Home Energy Score - Home Energy Scoring Tool Data Collection Sheet ,   Home Energy Score - Partnership Agreement for Participating Organizations ,   Assessor Candidate Info ,   Partnership Agremeent with Energy Star ,   HPwES - Implementation Plan Template for Prospective Program Sponsors ,   HPwES - Sponsor Quarterly Reporting ,   HPwES - Sponsor Annual Reporting ,   Energy Star Award Application ,   HPwES - Housing Innovation Award Application ,   Benchmark Data Collection ,   QA/QC Checklist

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ICR Summary of Burden

table that charts list of burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	46,759	0	0	46,759	0	0
Annual Time Burden (Hours)	22,859	0	0	22,859	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: This is a new collection.

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Annual Cost to Federal Government: $218,220

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 06/15/2015

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