GreenChill Advanced Refrigeration Partnership Program

Green Chill Advanced Refrigeration Partnership (Renewal)

Documents and Forms

Document Name Document Type
Form 5900-214 GreenChill Advanced Refrigeration Partnership Program Form and Instruction
5900-214 GreenChill Advanced Refrigeration Partnership Agreement 5900-214, Supermarket-GreenChillPartnershipAgreement_2023.docx Form and Instruction
5900-214 GreenChill Advanced Refrigeration Partnership Agreement 5900-214, Chemical-GreenChillPartnershipAgreement_2023.docx Form and Instruction
5900-213 GreenChill Installed Refrigerant and Emissions Corporate 5900-213, FINAL_InstalledRefrigerant-Emissions_ReportingForm_RY2022.xlsx Form and Instruction
5900-591 Refrigeration System Manufacturers Corporate Reporting F 5900-591, SystemManufacturers_ReportingForm_RY2021.docx Form and Instruction
5900-592 Corporate Refrigerant Management Plan Template for Green 5900-592, GreenChill_Supermarket_RefMgmtPlan_SUGGESTED-TEMPLATE_2022.docx Form and Instruction

Information Collection (IC) Details

IC Title:	GreenChill Advanced Refrigeration Partnership Program	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	5900-214	GreenChill Advanced Refrigeration Partnership Agreement for [Refrigeration Systems Manufacturers / Chemical Manufacturers / Supermarket Partners]	5900-214, Supermarket-GreenChillPartnershipAgreement_2023.docx	Yes	Yes	Fillable Fileable Signable
Form and Instruction	5900-214	GreenChill Advanced Refrigeration Partnership Agreement for [Chemical Manufacturers]	5900-214, Chemical-GreenChillPartnershipAgreement_2023.docx	Yes	Yes	Fillable Fileable Signable
Form and Instruction	5900-213	GreenChill Installed Refrigerant and Emissions Corporate Report for Food Retail	5900-213, FINAL_InstalledRefrigerant-Emissions_ReportingForm_RY2022.xlsx	Yes	Yes	Fillable Fileable Signable
Form and Instruction	5900-591	Refrigeration System Manufacturers Corporate Reporting Form	5900-591, SystemManufacturers_ReportingForm_RY2021.docx	Yes	Yes	Fillable Fileable Signable
Form and Instruction	5900-592	Corporate Refrigerant Management Plan Template for GreenChill Partners	5900-592, GreenChill_Supermarket_RefMgmtPlan_SUGGESTED-TEMPLATE_2022.docx	Yes	Yes	Fillable Fileable Signable

Line of Business: Environmental Management

Subfunction: Environmental Monitoring and Forecasting

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 37	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	37	-195	232
Annual IC Time Burden (Hours)	473	-2,135	2,608
Annual IC Cost Burden (Dollars)	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.