Table of Forms

List of forms for the DOE ICR package titled “Programs for Improving Energy Efficiency in Residential Buildings”.

Zero Energy Ready Home Program. Forms in yellow are new or revised compared to the forms prepared for this ICR package in 2015 and were not submitted to OMB before.

Electronic File name (Adobe PDF format)	Form Name	First line on top of form, and URL if available	DOE Form number
registration1	Partner Agreement Form	Register for the DOE Zero Energy Ready Home, http://www5.eere.energy.gov/buildings/residential/register/	DOE HQ F 413.4
ZERH Verifier PA Final_0.pdf	VERIFIER PARTNER AGREEMENT	VERIFIER PARTNER AGREEMENT, http://energy.gov/sites/prod/files/2014/10/f18/ZERH%20Verifier%20PA%20Final_0.pdf	instruction form for form# DOE HQ F413.4.
ZERH Training PA Final_0 (1).pdf	TRAINING PARTNER AGREEMENT	TRAINING PARTNER AGREEMENT, http://energy.gov/eere/buildings/doe-zero-energy-ready-home-partner-central	instruction form for form# DOE HQ F413.4.
zerh_innovation_partner_agreement_9-15-15.pdf	INNOVATION PARTNER AGREEMENT	INNOVATION PARTNER AGREEMENT, http://energy.gov/eere/buildings/doe-zero-energy-ready-home-partner-central	instruction form for form# DOE HQ F413.4..
ZERH Arch Designer PA Final_0.pdf	ARCHITECT / DESIGNER PARTNER AGREEMENT	ARCHITECT / DESIGNER PARTNER AGREEMENT, http://energy.gov/eere/buildings/doe-zero-energy-ready-home-partner-central	instruction form for form# DOE HQ F413.4.
ZERH Builder PA Final.pdf	BUILDER PARTNER AGREEMENT	BUILDER PARTNER AGREEMENT, http://energy.gov/eere/buildings/downloads/zerh-builder-partnership-agreement	instruction form for form# DOE HQ F413.4.
zerh_lender_pa_011615.pdf	LENDER PARTNER AGREEMENT	LENDER PARTNER AGREEMENT, http://energy.gov/eere/buildings/doe-zero-energy-ready-home-partner-central	instruction form for form# DOE HQ F413.4.
ZERH Logo Use Guidelines.pdf	ZERH Logo Use Guidelines	Guidelines for Correctly Using the DOE Zero Energy Ready Home Name and Logo, http://energy.gov/eere/buildings/downloads/guidelines-correctly-using-doe-zero-energy-ready-home-name-and-logo	instruction form for form# DOE HQ F413.4.
Remrate	Challenge Home Registry Report	DOE Zero Energy Ready Home, (software)	DOE HQ F 413.5
ZERH EvaluationForm	Training Evaluation Form	DOE Zero Energy Ready Home Training Evaluation Form, (paper)	DOE HQ F 413.6
2015 ZERO HIA Application Package 2-25-14 v2.pdf	Housing Innovation Award Application	2015 Housing Innovation Awards Application Package, http://energy.gov/eere/buildings/housing-innovation-awards (note: form not currently posted – only live during awards cycle)	DOE HQ F 413.7
Tour of Zero Form	Tour of Zero application Form	DOE Zero Energy Ready Home Tour of Zero Form	DOE HQ F 413.8
Case Study Form	Case Study Form	DOE Zero Energy Ready Home Case Study Form	DOE HQ F 413.9
ZERH Trainer Qualifications Form	Training Qualification Form	Zero Energy Ready Home Qualified Instructor Application Form	DOE HQ F 413.11
RERH ZERH Checklists	Renewable Energy Ready Checklist	DOE Zero Energy Ready Home Consolidated Renewable Energy Ready Checklist, http://energy.gov/eere/buildings/downloads/doe-zero-energy-ready-home-pv-ready-checklist	DOE HQ F 413.12
RTZ registration	Student Home Design Competition Form	2015 Race to Zero Student Design Competition - Start Your Registration	DOE HQ F 413.13
QM Checklist.pdf	QA/QC Checklist	DOE Zero Energy Ready Home Recommended Quality Management Provisions	DOE HQ F 413.35

Home Energy Score Program.

Electronic File name (Adobe PDF format)	Form Name	First line on top of form	DOE Form number
HES_Partnership_Agreement_100814_Dec2014 update for ICR	Partnership Agreement	Home Energy Score Partnership Agreement for Participating Organizations	DOE HQ F 413.26
Home Energy Score Partner Implementation Plan Template 7-28-14_Dec2014 update for ICR	Implementation Plan Template	Home Energy Score Partner Implementation Template	DOE HQ F 413.24
1.2 - Assessor Info Template v 2014 OMB & EE Form version	Assessor Information Collection Form	{Insert Partner Name} Assessor Candidate Info	DOE HQ F 413.27
A5 - Tool Data Collection v 2014 OMB & EE Form version	Home Energy Scoring Tool Data Collection Form	Home Energy Scoring Tool Data Collection Sheet	DOE HQ F 413.25
HEScore Data Entry Guidelines (002).pdf	Home Energy Score Data Entry Guidelines	Home Energy Score Data Entry Guidelines	instruction form for form# DOE HQ F413.25.
This is a non-DOE web site URL, not a form. https://www.nterlearning.org/web/guest/course-details?cid=4501	Assessor Training and Certification Procedures	Home Energy Score- Qualified Assessor 2015	None, not a DOE form

HPwES list of forms.

Electronic File name (Adobe PDF format)	Form Name	First line on top of form	DOE Form number
EEPS_Partnership_Agreement (2)	Partnership Agreement	Instructions for Partnering with ENERGY STAR® As an Energy Efficiency Program Sponsor	DOE HQ F 413.28
HPwES Sponsor Implementation Plan Template_052314	Implementation Plan Template	Home Performance with ENERGY STAR Implementation Plan Template for Prospective Program Sponsors	DOE HQ F 413.29
Quarterly_Reporting_Template_2014_Q1	HPwES Sponsor Quarterly Reporting Template	HPwES Sponsor Quarterly Reporting form	DOE HQ F 413.30
HPwES_Annual_Report_2014	HPwES Sponsor Annual Reporting Template	About the Home Performance with ENERGY STAR Annual Report	DOE HQ F 413.31
2015 POY Program Delivery App_HPwES 7-16_0	Partner of the Year Application Template	2015 ENERGY STAR® POY Award Application for Energy Efficiency Program Delivery	DOE HQ F 413.32
POY2016_HPwESContractoroftheYear_MK	Partner of the Year Award Application Contractor of the Year	2016 ENERGY STAR® POY, Contractor of the Year – Home Performance with ENERGY STAR® Program http://www.energystar.gov/about/awards/2016-energy-star-awards-applications	DOE HQ F 413.34

BBRP list of forms. Portions marked in yellow is a revised DOE form that that needs to replace a previous DOE form.

Electronic File name (MS Word or Excel)	Form Name	First line on top of form	DOE Form number
ICR_BB_MembershipForm_MASTER_8-21-14_1.5.15	Membership Form	Membership Form	DOE HQ F 413.16
ICR_Optional Benchmark Metric Data Collection Form_1.5.15	Benchmarking Data Collection Form	Better Building Residential Network  **Optional** Benchmarking Data Collection Form	DOE HQ F 413.17
ICR_Template_Better Buildings Residential Network Reporting - FINAL_1.5.15	Annual Progress Form	Reporting and Benefits Template,	DOE HQ F 413.18
ICR_BBRP Solution Center_Decision Tool Questionnaire_12-18-14_1.5.15	Better Buildings Residential Program Solution Center Decision Tool Questionnaire	Program and Market Qualities Questionnaire	DOE HQ F 413.19
User Survey, ICR_BBRP Solution Center_Survey_10-15-14_1.5.15	Solution Center Online User Survey	User Survey,	DOE HQ F 413.20
ICR_BBRP Solution Center Rating  Comment Form_12-18-14_1.5.15	The Solution Center Rating & Comment Form	Rating and Comment Form,	DOE HQ F 413.21