Information Collection

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

IC 45386 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⚠️ Notice: This information collection may be referencing outdated material.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 5900-19 ENERGY STAR Program in the Commercial and Industrial Sectors - Public Sector Entities	Form
5900-197 Data Checklist Data Checklist.pdf www.energystar.gov	Form
5900-33 EEPS Partnership Agreement 5900-33_EEPS_Partnership_Agreement_ICR_12_31_2015.docx www.energystar.gov/	Form and Instruction
5900-19 Attachment to C&I Partnership Letter 5900-19_C&I Partnership_Letter.doc www.energystar.gov/	Form
5900-375 Energy Data Verification Form 5900-375_Energy Data Verification Form_print ICR_12_31_2016.docx www.energystar.gov	Form and Instruction
5900-376 Final Team Energy Questionnaire 5900-376_Final Team Energy Questionnaire_print ICR_12_31_2015.doc www.energystar.gov	Form and Instruction
5900-377 Final Energy Questionnaire 5900-377_Final Energy Questionnaire_print ICR_12_31_2015.doc www.energystar.gov	Form and Instruction
5900-378 Final Team Water Questionnaire 5900-378_Final Team Water Questionnaire_12_31_2015.doc www.energystar.gov	Form and Instruction
5900-379 Final Water Questionnaire 5900-379_Final Water Questionnaire_12_31_2015.doc www.energystar.gov	Form and Instruction
5900-380 Team Registration 5900-380_Team-Registration_12_31_2015.xlsx www.energystar.gov	Form and Instruction
5900-381 Water Data Verification 5900-381_Water Data Verification Form_12_31_2015.docx www.energystar.gov	Form and Instruction
5900-382 Spot Audit Form 5900-382_Spot Audit Form_ print ICR_12_31_2015.docx www.energystar.gov	Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

ENERGY STAR Program in the Commercial and Industrial Sectors - Public 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.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	5900-19	Attachment to C&I Partnership Letter	5900-19_C&I Partnership_Letter.doc	https://www.energystar.gov/	Yes	Yes	Fillable Fileable
Form	5900-197	Data Checklist	Data Checklist.pdf	www.energystar.gov	Yes	Yes	Fillable Printable
Form and Instruction	5900-33	EEPS Partnership Agreement	5900-33_EEPS_Partnership_Agreement_ICR_12_31_2015.docx	http://www.energystar.gov/	Yes	Yes	Fillable Fileable
Form and Instruction	5900-375	Energy Data Verification Form	5900-375_Energy Data Verification Form_print ICR_12_31_2016.docx	www.energystar.gov	Yes	Yes	Fillable Fileable
Form and Instruction	5900-376	Final Team Energy Questionnaire	5900-376_Final Team Energy Questionnaire_print ICR_12_31_2015.doc	www.energystar.gov	Yes	Yes	Fillable Printable
Form and Instruction	5900-377	Final Energy Questionnaire	5900-377_Final Energy Questionnaire_print ICR_12_31_2015.doc	www.energystar.gov	Yes	Yes	Fillable Fileable
Form and Instruction	5900-378	Final Team Water Questionnaire	5900-378_Final Team Water Questionnaire_12_31_2015.doc	www.energystar.gov	Yes	Yes	Fillable Fileable
Form and Instruction	5900-379	Final Water Questionnaire	5900-379_Final Water Questionnaire_12_31_2015.doc	www.energystar.gov	Yes	Yes	Fillable Fileable
Form and Instruction	5900-380	Team Registration	5900-380_Team-Registration_12_31_2015.xlsx	www.energystar.gov	Yes	Yes	Fillable Fileable
Form and Instruction	5900-381	Water Data Verification	5900-381_Water Data Verification Form_12_31_2015.docx	www.energystar.gov	Yes	Yes	Fillable Fileable
Form and Instruction	5900-382	Spot Audit Form	5900-382_Spot Audit Form_ print ICR_12_31_2015.docx	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: 19,782

Number of Respondents for Small Entity: 1,029

Affected Public: State, Local, and Tribal Governments

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	111,632	-183	28,183	83,632
Annual IC Time Burden (Hours)	96,719	-155	23,907	72,967
Annual IC Cost Burden (Dollars)	2,678,316	9,990	98,226	2,570,100

Documents for IC

table that charts IC Documents
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.