Superior Energy Performance

Superior Energy Performance 50001™ and 50001 Ready

Documents and Forms

Document Name Document Type
Form DOE HQ F 413.37 Superior Energy Performance Form and Instruction
DOE HQ F 413.37 SEP 50001 Application DOE F 413.37 SEP_50001_Application.docx Form and Instruction
DOE HQ F 413.2 SEP 50001 Energy Performance Improvement Report DOE F 413.2 SEP 50001 Energy Performance Improvement Report.xlsx Form and Instruction
DOE HQ F 413.40 SEP 50001 Scorecard Declaration DOE HQ F 413.40 SEP_50001_Scorecard_Declaration.xlsx Form and Instruction
DOE F 413.39 50001 Ready Self-Attestation Form DOE F 413.39 50001 Ready Self-Attestation Form.docx Form and Instruction
DOE HQ F 413.41 50001 Ready Energy Performance Improvement Report DOE HQ F 413.41 50001 Ready Energy Performance Improvement Report.xlsx Form and Instruction

Information Collection (IC) Details

IC Title:	Superior Energy Performance	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	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	DOE HQ F 413.37	SEP 50001 Application	DOE F 413.37 SEP_50001_Application.docx	Yes	Yes	Fillable Fileable
Form and Instruction	DOE HQ F 413.2	SEP 50001 Energy Performance Improvement Report	DOE F 413.2 SEP 50001 Energy Performance Improvement Report.xlsx	Yes	Yes	Fillable Fileable
Form and Instruction	DOE HQ F 413.40	SEP 50001 Scorecard Declaration	DOE HQ F 413.40 SEP_50001_Scorecard_Declaration.xlsx	Yes	Yes	Fillable Fileable
Form and Instruction	DOE F 413.39	50001 Ready Self-Attestation Form	DOE F 413.39 50001 Ready Self-Attestation Form.docx	Yes	Yes	Fillable Fileable
Form and Instruction	DOE HQ F 413.41	50001 Ready Energy Performance Improvement Report	DOE HQ F 413.41 50001 Ready Energy Performance Improvement Report.xlsx	Yes	Yes	Fillable Fileable

Line of Business: Energy

Subfunction: Energy Resource Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 450	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	450	217	233
Annual IC Time Burden (Hours)	450	117	333
Annual IC Cost Burden (Dollars)	31,452	12,785	18,667

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.