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Partnership Applications
EPA's ENERGY STAR Product Labeling (Renewal)
OMB: 2060-0528
IC ID: 196467
OMB.report
EPA/OAR
OMB 2060-0528
ICR 202111-2060-004
IC 196467
( )
Documents and Forms
Document Name
Document Type
Form 5900-34
Partnership Applications
Form and Instruction
5900-34 Retailers Participation Form
ENERGY STAR Participation Form_Retailer.pdf
Form and Instruction
5900-33 Partnership Agreement
ENERGY STAR Partnership Agreement (2).pdf
Form and Instruction
5900-35 Participation Form EEPS
ENERGY_STAR_Participation_Form_EEPS.pdf
Form and Instruction
5900-33 Participation Form Brand Owner
ENERGY_STAR_Participation_Form_Prod_Brand_Owner.pdf
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Partnership Applications
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
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form and Instruction
5900-34
Retailers Participation Form
ENERGY STAR Participation Form_Retailer.pdf
Yes
Yes
Fillable Fileable
Form and Instruction
5900-33
Partnership Agreement
ENERGY STAR Partnership Agreement (2).pdf
Yes
Yes
Fillable Fileable
Form and Instruction
5900-35
Participation Form EEPS
ENERGY_STAR_Participation_Form_EEPS.pdf
Yes
Yes
Fillable Fileable
Form and Instruction
5900-33
Participation Form Brand Owner
ENERGY_STAR_Participation_Form_Prod_Brand_Owner.pdf
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:
250
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
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
250
0
0
0
0
250
Annual IC Time Burden (Hours)
1,507
0
0
0
0
1,507
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
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.