Information Collection

Third Party Certified Product Information

IC 24770 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⚠️ Notice: This information collection may be referencing outdated material.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 5900-252 Third Party Certified Product Information	Form and Instruction
5900-252 Failure Report ENERGY_STAR_Failure_Report (1).xlsm	Form and Instruction
5900-253 Ineligible Product Form ENERGY_STAR_Ineligible_Product_Form (1).xlsx	Form and Instruction
5900-251 Verification Testing Summary Report Verification_Testing_SummaryReport.xlsm	Form and Instruction

IC Title:

Third Party Certified Product Information

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	5900-252	Failure Report	ENERGY_STAR_Failure_Report (1).xlsm	Yes	Yes	Fillable Fileable
Form and Instruction	5900-253	Ineligible Product Form	ENERGY_STAR_Ineligible_Product_Form (1).xlsx	Yes	Yes	Fillable Fileable
Form and Instruction	5900-251	Verification Testing Summary Report	Verification_Testing_SummaryReport.xlsm	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: 416

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	416	416
Annual IC Time Burden (Hours)	3,745	3,745
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.