Information Collection

Private Sector

IC 24482 under ICR 202212-2060-019 · OMB 2060-0347.

Documents and Forms

Documents and forms in this information collection
Document NameDocument Type
Form 5900-19
Private Sector
Form and Instruction
5900-19 Online Partnership Agreement Orgnaizations that Own
5900-19_CI Online Partnership.docx

www.energystar.gov
Form and Instruction
5900-22 Statement of Energy Design Intent
5900-22 Statement of Energy Design Intent .pdf

portfoliomanager.energystar.gov
Form and Instruction
5900-89 Statement of Energy Performance -Plants
5900-89 Statement of Energy Performance .pdf
Form and Instruction
5900-195 Online Partnership Agreement Service and Product Provide
5900-195 Online Partnership Agreement Service and Product Providers.pdf
Form and Instruction
5900-197 ENERGY STAR Application for Certification
5900-197_Application for Certification.pdf
Form and Instruction
5900-198 Statement of Energy Improvement
5900-198 Statement_Energy_Improvement 2016.pdf
Form and Instruction
5900-262 Challenge for Industry Recognition
5900-262 Challenge for Industry Recognition Application.pdf
Form and Instruction
5900-263 Challenge for Industry Registration Form
5900-263 Challenge for Industry Registration Form.docx
Form and Instruction
5900-265 Plant Award Specification Sheet
5900-265 Plant Award Specification Sheet.pdf
Form and Instruction
5900-264 Plant Award Application Letter
5900-264 Plant Award Application Letter.pdf
Form and Instruction
5900-382 ENERGY STAR Certfication Audit Form
5900-382 ENERGY STAR Certification Audit Form.pdf
Form and Instruction
5900-383 Professional Engineer Verificaiton Checklist
5900-383 Professional Engineer Verification Checklist.pdf
Form and Instruction
5900-387 Challenge for Industry Professional Engineer Verfication
5900-387 Challenge for Industry Professional Engineer Verification Checklist.pdf
Form
5900-436 IEQ Measurement Form
5900-436 Indoor Environmental Quality Measurement Form for ENERGY STAR Building Verification Site Visit.pdf
Form and Instruction
5900-441 Award Application Data Innovation
5900-441 ENERGY STAR Partner of the year Award Application - Data Innovation.pdf
Form and Instruction
5900-442 Partner of the Year Applicaiton
5900-442 ENERGY STAR Partner of the Year Award Application  - Service and Product Provider.pdf
Form and Instruction
5900-443 Sustained Excellence Award Application
5900-443 ENERGY STAR Partner of the Year Award Application - Sustained Excellence Energy Management.pdf
Form and Instruction
5900-444 Partner of the Year Award Application
5900-444 ENERGY STAR Partner of the Year Award Application - Energy Management.pdf
Form and Instruction
5900-445 Partner of the Year Award Suppl.
5900-445 ENERGY STAR Partner of the Year Award Supplemental.pdf
Form and Instruction
5900-622 ENERGY STAR Partner of the Year Award Application - Indu
5900-622 ENERGY STAR Partner of the Year Award Application - Industry.pdf
Form and Instruction
5900-623 ENERGY STAR NextGen Application
5900-623 ENERGY STAR NextGen Application.pdf
Form and Instruction

Information Collection (IC) Details

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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 5900-19 Online Partnership Agreement Orgnaizations that Own 5900-19_CI Online Partnership.docx www.energystar.gov Yes Yes Fillable Printable
Form and Instruction 5900-22 Statement of Energy Design Intent 5900-22 Statement of Energy Design Intent .pdf https://portfoliomanager.energystar.gov Yes Yes Fillable Printable
Form and Instruction 5900-89 Statement of Energy Performance -Plants 5900-89 Statement of Energy Performance .pdf Yes Yes Fillable Printable
Form and Instruction 5900-195 Online Partnership Agreement Service and Product Providers 5900-195 Online Partnership Agreement Service and Product Providers.pdf Yes Yes Fillable Fileable
Form and Instruction 5900-197 ENERGY STAR Application for Certification 5900-197_Application for Certification.pdf Yes Yes Fillable Printable
Form and Instruction 5900-198 Statement of Energy Improvement 5900-198 Statement_Energy_Improvement 2016.pdf Yes Yes Fillable Printable
Form and Instruction 5900-262 Challenge for Industry Recognition 5900-262 Challenge for Industry Recognition Application.pdf Yes Yes Fillable Fileable
Form and Instruction 5900-263 Challenge for Industry Registration Form 5900-263 Challenge for Industry Registration Form.docx Yes Yes Fillable Fileable
Form and Instruction 5900-265 Plant Award Specification Sheet 5900-265 Plant Award Specification Sheet.pdf Yes Yes Fillable Fileable
Form and Instruction 5900-264 Plant Award Application Letter 5900-264 Plant Award Application Letter.pdf Yes Yes Fillable Fileable Signable
Form and Instruction 5900-382 ENERGY STAR Certfication Audit Form 5900-382 ENERGY STAR Certification Audit Form.pdf Yes Yes Fillable Fileable
Form and Instruction 5900-383 Professional Engineer Verificaiton Checklist 5900-383 Professional Engineer Verification Checklist.pdf Yes Yes Fillable Fileable Signable
Form 5900-387 Challenge for Industry Professional Engineer Verfication Checklist 5900-387 Challenge for Industry Professional Engineer Verification Checklist.pdf Yes Yes Fillable Fileable Signable
Form and Instruction 5900-436 IEQ Measurement Form 5900-436 Indoor Environmental Quality Measurement Form for ENERGY STAR Building Verification Site Visit.pdf Yes Yes Fillable Printable
Form and Instruction 5900-441 Award Application Data Innovation 5900-441 ENERGY STAR Partner of the year Award Application - Data Innovation.pdf Yes Yes Fillable Fileable
Form and Instruction 5900-442 Partner of the Year Applicaiton 5900-442 ENERGY STAR Partner of the Year Award Application  - Service and Product Provider.pdf Yes Yes Fillable Fileable
Form and Instruction 5900-443 Sustained Excellence Award Application 5900-443 ENERGY STAR Partner of the Year Award Application - Sustained Excellence Energy Management.pdf Yes Yes Fillable Fileable
Form and Instruction 5900-444 Partner of the Year Award Application 5900-444 ENERGY STAR Partner of the Year Award Application - Energy Management.pdf Yes Yes Fillable Fileable
Form and Instruction 5900-445 Partner of the Year Award Suppl. 5900-445 ENERGY STAR Partner of the Year Award Supplemental.pdf Yes Yes Fillable Fileable
Form and Instruction 5900-622 ENERGY STAR Partner of the Year Award Application - Industry 5900-622 ENERGY STAR Partner of the Year Award Application - Industry.pdf Yes Yes Fillable Fileable Signable
Form and Instruction 5900-623 ENERGY STAR NextGen Application 5900-623 ENERGY STAR NextGen Application.pdf Yes Yes Fillable Fileable Signable

Federal Enterprise Architecture Business Reference Module


table that charts list of burden
  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 228,495 0 43,260 -16,086 0 201,321
Annual IC Time Burden (Hours) 115,249 0 200 -14,426 0 129,475
Annual IC Cost Burden (Dollars) 4,009,962 0 190,947 1,865 0 3,817,150

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.