Information Collection

GreenChill Advanced Refrigeration Partnership Program

IC 191862 under ICR 202303-2060-006 · OMB 2060-0702.

Documents and Forms

Documents and forms in this information collection
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

IC Title:

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	5900-214	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 %

table that charts list of burden
	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

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.