Information Collection

Partnership Applications

IC 196467 under ICR 202111-2060-004 · OMB 2060-0528.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2060-0528 can be found here:

Documents and Forms

Documents and forms in this information collection
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

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:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	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

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 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	250	250
Annual IC Time Burden (Hours)	1,507	1,507
Annual IC Cost Burden (Dollars)	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.