Information Collection

Energy Star Program in the Residential Sector: States and Locals

IC 191109 under ICR 202401-2060-010 · OMB 2060-0586.

Documents and Forms

Document Name Document Type
Form 5900-421 Energy Star Program in the Residential Sector: States and Locals Form and Instruction
5900-421 Quarterly Report 5900-421 Quarterly Report 5900-421 .docx www.energystar.gov/index.cfm?fuseaction=host.loginform Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Energy Star Program in the Residential Sector: States and Locals	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	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	5900-421	Quarterly Report	5900-421 Quarterly Report 5900-421 .docx	https://www.energystar.gov/index.cfm?fuseaction=host.loginform	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: 8	Number of Respondents for Small Entity: 2

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	25	1	2	22
Annual IC Time Burden (Hours)	65	4	5	56
Annual IC Cost Burden (Dollars)	0	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.