Information Collection

Partnership Agreements

IC 196467 under ICR 201512-2060-007 · OMB 2060-0528.

⚠️ Notice: This information collection may be referencing outdated material.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 5900-33 Partnership Agreements Form and Instruction
5900-33 Manufacturing Partner Partnership Agreement Manufacturer-Brand Owner.docx www.energystar.gov/join Form and Instruction
5900-33 Retail Partnership Partnership Agreement Retailer.docx www.energystar.gov/join Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Partnership Agreements	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

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	5900-33	Manufacturing Partner	Partnership Agreement Manufacturer-Brand Owner.docx	http://www.energystar.gov/join	Yes	Yes	Fillable Fileable Signable
Form and Instruction	5900-33	Retail Partnership	Partnership Agreement Retailer.docx	http://www.energystar.gov/join	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: 280	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	280	180	100
Annual IC Time Burden (Hours)	1,722	-473	2,195
Annual IC Cost Burden (Dollars)	181,465	181,189	276

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.