Information Collection

ENERGY STAR Program in the Commercial and Industrial Sectors - Private Sector Entities

IC 24482 under ICR 201601-2060-002 · OMB 2060-0347.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2060-0347 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 5900-375 Energy Data Verification Form ENERGY STAR Program in the Commercial and Industrial Sectors - Private Sector Entities	Form and Instruction
Form 5900-21 Small Business Network Form ENERGY STAR Program in the Commercial and Industrial Sectors - Private Sector Entities	Form and Instruction
Form 5900-22 Statement of Energy Design Intent ENERGY STAR Program in the Commercial and Industrial Sectors - Private Sector Entities	Form
Form 5900-198 Statement of Energy Improvement ENERGY STAR Program in the Commercial and Industrial Sectors - Private Sector Entities	Form
Form 5900-89 Statement of Energy Performance - Plants ENERGY STAR Program in the Commercial and Industrial Sectors - Private Sector Entities	Form
Form 5900-195 SPP Partnership Agreement ENERGY STAR Program in the Commercial and Industrial Sectors - Private Sector Entities	Form and Instruction
Form 5900-33 EEPS Partnership Agreement ENERGY STAR Program in the Commercial and Industrial Sectors - Private Sector Entities	Form and Instruction
Form 5900-19 C&I Partnership Letter ENERGY STAR Program in the Commercial and Industrial Sectors - Private Sector Entities	Form
Form 5900-263 Challenge for Industry Registration Form ENERGY STAR Program in the Commercial and Industrial Sectors - Private Sector Entities	Form and Instruction
Form 5900-262 Challenge for Industry Online Recognition Application ENERGY STAR Program in the Commercial and Industrial Sectors - Private Sector Entities	Form and Instruction
Form 5900-265 EPI Award Specification Sheet ENERGY STAR Program in the Commercial and Industrial Sectors - Private Sector Entities	Form
Form 5900-264 EPI Award Application Letter ENERGY STAR Program in the Commercial and Industrial Sectors - Private Sector Entities	Form and Instruction
Form 5900-197 Data Checklist ENERGY STAR Program in the Commercial and Industrial Sectors - Private Sector Entities	Form
Form 5900-376 Final Team Energy Questoinnaire ENERGY STAR Program in the Commercial and Industrial Sectors - Private Sector Entities	Form and Instruction
Form 5900-377 Final Energy Questionnaire ENERGY STAR Program in the Commercial and Industrial Sectors - Private Sector Entities	Form and Instruction
Form 5900-378 Final Team Water Questionnaire ENERGY STAR Program in the Commercial and Industrial Sectors - Private Sector Entities	Form and Instruction
Form 5900-379 Final Water Questionnaire ENERGY STAR Program in the Commercial and Industrial Sectors - Private Sector Entities	Form and Instruction
Form 5900-380 Team Registration ENERGY STAR Program in the Commercial and Industrial Sectors - Private Sector Entities	Form and Instruction
Form 5900-381 Water Data Verification ENERGY STAR Program in the Commercial and Industrial Sectors - Private Sector Entities	Form and Instruction
Form 5900-382 Spot Audit Form ENERGY STAR Program in the Commercial and Industrial Sectors - Private Sector Entities	Form and Instruction
Form 5900-383 PE Verification Form ENERGY STAR Program in the Commercial and Industrial Sectors - Private Sector Entities	Form and Instruction
Form 5900-384 Letter of Intent_Architect of Record ENERGY STAR Program in the Commercial and Industrial Sectors - Private Sector Entities	Form and Instruction
Form 5900-385 Letter of Intent_Building Owner ENERGY STAR Program in the Commercial and Industrial Sectors - Private Sector Entities	Form and Instruction
Form 5900-386 Letter of Intent_Commercial Real Estate Developer ENERGY STAR Program in the Commercial and Industrial Sectors - Private Sector Entities	Form and Instruction
Form 5900-387 PE Verification Form ENERGY STAR Program in the Commercial and Industrial Sectors - Private Sector Entities	Form and Instruction
5900-21 Small Business Network Form 5900-21_Small Business Network.doc www.energystar.gov/	Form and Instruction
5900-22 Statement of Energy Design Intent 5900-22_Statement of Energy Design Intent.docx www.energystar.gov/	Form
5900-198 Statement of Energy Improvement 5900-198_Statement of Energy Improvement.doc	Form
5900-89 Statement of Energy Performance - Plants 5900-89_Statement of Energy Performance - Plants.doc	Form
5900-195 SPP Partnership Agreement 5900-195_SPP Partnership Agreement.docx www.energystar.gov	Form and Instruction
5900-33 EEPS Partnership Agreement 5900-33_EEPS_Partnership_Agreement_ICR_12_31_2015.docx www.energystar.gov/	Form and Instruction
5900-19 C&I Partnership Letter 5900-19_C&I Partnership_Letter.doc www.energystar.gov/	Form
5900-263 Challenge for Industry Registration Form 5900-263_ENERGY STAR - Challenge for Industry Registration Form.docx	Form and Instruction
5900-262 Challenge for Industry Online Recognition Application 5900-262_ENERGY STAR - Challenge for Industry Recognition Application.docx	Form and Instruction
5900-265 EPI Award Specification Sheet 5900-265_Plant Award Specification Sheet.doc	Form
5900-264 EPI Award Application Letter 5900-264_Plant Award Application Letter.doc	Form and Instruction
5900-197 Data Checklist 5900-197_Data Checklist Form.pdf	Form
5900-375 Energy Data Verification Form 5900-375_Energy Data Verification Form_print ICR_12_31_2016.docx	Form and Instruction
5900-376 Final Team Energy Questoinnaire 5900-376_Final Team Energy Questionnaire_print ICR_12_31_2015.doc	Form and Instruction
5900-377 Final Energy Questionnaire 5900-377_Final Energy Questionnaire_print ICR_12_31_2015.doc	Form and Instruction
5900-378 Final Team Water Questionnaire 5900-378_Final Team Water Questionnaire_12_31_2015.doc	Form and Instruction
5900-379 Final Water Questionnaire 5900-379_Final Water Questionnaire_12_31_2015.doc	Form and Instruction
5900-380 Team Registration 5900-380_Team-Registration_12_31_2015.xlsx	Form and Instruction
5900-381 Water Data Verification 5900-381_Water Data Verification Form_12_31_2015.docx	Form and Instruction
5900-382 Spot Audit Form 5900-382_Spot Audit Form_ print ICR_12_31_2015.docx	Form and Instruction
5900-383 PE Verification Form 5900-383_PE Verification Form Appendix 3_12_31_2015.docx	Form and Instruction
5900-384 Letter of Intent_Architect of Record 5900-384_Letter Of Intent_Architect Of Record_print ICR_12_31_2015.docx	Form and Instruction
5900-385 Letter of Intent_Building Owner 5900-385_Letter Of Intent_Building Owner_print ICR_12_31_2015.doc	Form and Instruction
5900-386 Letter of Intent_Commercial Real Estate Developer 5900-386_Letter Of Intent_Commercial Real Estate Developer_12_31_2015.doc	Form and Instruction
5900-387 PE Verification Form 5900-387_PE Verification Form_ICR Appendix 6_12_31_2015.pdf	Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

ENERGY STAR Program in the Commercial and Industrial Sectors - Private Sector Entities

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	5900-21	http://www.energystar.gov/	Yes	Yes	Fillable Fileable
Form	5900-22	http://www.energystar.gov/	Yes	Yes	Fillable Printable
Form	5900-198	www.energystar.gov	Yes	Yes	Fillable Printable
Form	5900-89	www.energystar.gov	Yes	No	Fillable Fileable
Form and Instruction	5900-195	https://www.energystar.gov	Yes	Yes	Fillable Fileable
Form and Instruction	5900-33	http://www.energystar.gov/	Yes	Yes	Fillable Fileable
Form	5900-19	https://www.energystar.gov/	Yes	Yes	Fillable Fileable
Form and Instruction	5900-263	www.energystar.gov	Yes	Yes	Fillable Fileable
Form and Instruction	5900-262	www.energystar.gov	Yes	Yes	Fillable Fileable
Form	5900-265	www.energystar.gov	Yes	No	Fillable Printable
Form and Instruction	5900-264	www.energystar.gov	Yes	Yes	Fillable Printable
Form	5900-197	www.energystar.gov	Yes	Yes	Fillable Fileable
Form and Instruction	5900-375	www.energystar.gov	Yes	No	Fillable Printable
Form and Instruction	5900-376	www.energystar.gov	Yes	Yes	Fillable Fileable
Form and Instruction	5900-377	www.energystar.gov	Yes	Yes	Fillable Fileable
Form and Instruction	5900-378	www.energystar.gov	Yes	Yes	Fillable Fileable
Form and Instruction	5900-379	www.energystar.gov	Yes	Yes	Fillable Fileable
Form and Instruction	5900-380	www.energystar.gov	Yes	Yes	Fillable Fileable
Form and Instruction	5900-381	www.energystar.gov	Yes	Yes	Fillable Fileable
Form and Instruction	5900-382	www.energystar.gov	Yes	Yes	Fillable Fileable
Form and Instruction	5900-383	www.energystar.gov	Yes	Yes	Fillable Fileable
Form and Instruction	5900-384	www.energystar.gov	Yes	Yes	Fillable Fileable
Form and Instruction	5900-385	www.energystar.gov	Yes	Yes	Fillable Fileable
Form and Instruction	5900-386	www.energystar.gov	Yes	Yes	Fillable Fileable
Form and Instruction	5900-387	www.energystar.gov	Yes	Yes	Fillable Fileable

Federal Enterprise Architecture Business Reference Module

Line of Business: Environmental Management

Subfunction: Pollution Prevention and Control

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 31,733

Number of Respondents for Small Entity: 1,650

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Not-for-profit institutions, Farms

Percentage of Respondents Reporting Electronically: 99 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	173,995	-148	39,071	135,072
Annual IC Time Burden (Hours)	157,365	-136	35,959	121,542
Annual IC Cost Burden (Dollars)	8,149,411	89,910	311,421	7,748,080

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
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Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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