Partner of the Year Award Applicaiton

EPA's ENERGY STAR Product Labeling (Renewal)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2060-0528 can be found here:

Documents and Forms

Document Name Document Type
Form 5900-34 Partner of the Year Award Applicaiton Form and Instruction
5900-34 Partner of the Year Awards POY Product Brand Owner.docx www.energystar.gov/awards Form and Instruction
500-34 Partner of the Year Awards POY Program Delivery.docx www.energystar.gov/awards Form and Instruction
5900-34 Partner of the Year Award POY Retailer.doc www.energystar.gov/awards Form and Instruction

Information Collection (IC) Details

IC Title:	Partner of the Year Award Applicaiton	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	5900-34	Partner of the Year Awards	POY Product Brand Owner.docx	http://www.energystar.gov/awards	Yes	Yes	Fillable Fileable Signable
Form and Instruction	500-34	Partner of the Year Awards	POY Program Delivery.docx	http://www.energystar.gov/awards	Yes	Yes	Fillable Fileable Signable
Form and Instruction	5900-34	Partner of the Year Award	POY Retailer.doc	http://www.energystar.gov/awards	Yes	Yes	Fillable Fileable Signable

Line of Business: Environmental Management

Subfunction: Pollution Prevention and Control

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 57	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	57	-83	140
Annual IC Time Burden (Hours)	4,159	-2,015	6,174
Annual IC Cost Burden (Dollars)	378,953	368,951	10,002

Documents for IC

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.