Better Buildings, Better Plants Voluntary Pledge Program

OMB Control No. 1910-5141

Exp. Date XX/XX/XXXX

The Department of Energy (DOE) will highlight Better Buildings Challenge Partners with profile pages on the program website. Please complete the information below.

1. Organization Name

Confirm how you would like your organization to be referenced on the program website and other program material.

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2. Energy Efficiency Goal

Define your organization’s goal for reducing energy intensity across your portfolio. Include the percent reduction in energy intensity, the baseline year, and the year of completion (e.g., 20% Reduction in Energy Intensity by 2025, from a 2015 baseline).

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3. Portfolio Square Footage Commitment

Provide the total square footage of buildings in your portfolio that are included in your BBC commitment. For municipal partners with private sector commitments, include public and private sector sq. ft. commitments separately. For industrial partners, include the number of plants and total facilities. Multifamily partners should also include the number of units.

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4. Background

Provide 2-3 sentences of background information on your organization and its building portfolio (e.g., common building types), as well as any previous energy efficiency strategies or successes. Suggested maximum of 100 words.

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5. Strategy

Describe your organization’s commitment to the Better Buildings Challenge, including any specific actions or measures that you will take in order to meet the Challenge goal. Suggested maximum of 200 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

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7. Photo

Provide at least 1 vertical photo of your owned or leased buildings as attachments for placement on your profile page. Please include captions and attributions, if applicable, below. Additional photos are welcomed and may be used for other promotional purposes.

File type options: high resolution .jpg or .tiff

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This data is being collected to support the Department of Energy Better Buildings Initiative. The data you supply will be used for developing best practices to facilitate reductions in energy intensity by commercial, manufacturing, and community organizations.

Public reporting burden for this collection of information is estimated to average 0.5 hours 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, Enterprise Policy Development & Implementation Office, IM-22, 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.

Notwithstanding any other provision of the law, no person is required to respond to, nor shall any person be subject to a penalty for failure to comply with a collection of information subject to the requirements of the Paperwork Reduction Act unless that collection of information displays a currently valid OMB control number.

Submission of this data is voluntary.

Learn more at energy.gov/betterbuildingschallenge