Information Collection

Energy Star Program in the Residential Sector: States and Locals

IC 191109 under ICR 201907-2060-003 · OMB 2060-0586.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2060-0586 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 5900-421 Quarterly Report Energy Star Program in the Residential Sector: States and Locals	Form and Instruction
Form 5900-421 Energy Star Program in the Residential Sector: States and Locals	Form and Instruction
5900-421 Quarterly Report 2020.07 ENERGY STAR ICR Forms_Quarterly Report.docx	Form and Instruction
5900-421 Homes Quarterly Report Quarterly Report.docx www.energystar.gov/index.cfm?fuseaction=host.loginform	Form and Instruction

IC Title:

Energy Star Program in the Residential Sector: States and Locals

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 and Instruction	5900-421				Yes	Yes	Fillable Fileable

Line of Business: Environmental Management

Subfunction: Pollution Prevention and Control

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 20

Number of Respondents for Small Entity: 5

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	22	-304	-456	782
Annual IC Time Burden (Hours)	56	-337	-505	898
Annual IC Cost Burden (Dollars)	0	0	0	0

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.

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