Information Collection

Energy Star Program in the Residential Sector: Private Sector

IC 44052 under ICR 202401-2060-010 · OMB 2060-0586.

Documents and Forms

Documents and forms in this information collection
Document NameDocument Type
Form 5900-188
Energy Star Program in the Residential Sector: Private Sector
Form and Instruction
5900-188 Online Partnership Agreement Residential Builder
5900-188 Verification Org Flow.pdf

energystar.secure.force.com/opa/opahome
Form and Instruction
5900-188 Online Partnership Agreement Residential Verification Or
5900-188 Builder Flow.pdf

energystar.secure.force.com/opa/opahome
Form and Instruction
5900-266 ENERGY STAR Multifamily High Rise Project Application
5900-266 ENERGY STAR Multifamily High Rise Project Application, Version 1.8.pdf

www.energystar.gov/ia/partners/bldrs_lenders_raters/downloads/mfhr/ENERGY_STAR_MFHR_Project_Application_Version_1p8_Jul2
Form and Instruction
5900-268 Performance Path Calculator
5900-268_ Performance Path Calculator _Guidance Documents _ ENERGY STAR.pdf

www.energystar.gov/index.cfm?c=bldrs_lenders_raters.nh_mfhr_guidance
Form and Instruction
5900-269 MFHR Testing & Verification Worksheets
5900-269 ENERGY STAR MFHR T&V Worksheets_V1.7_BLANK.xlsm

www.energystar.gov/index.cfm?c=bldrs_lenders_raters.nh_mfhr_guidance
Form and Instruction
5900-270 ENERGY STAR Multifamily High Rise Submittal Validation F
5900-270 ENERGY STAR Multifamily High Rise Submittal Validation Form V1.4.pdf

www.energystar.gov/ia/partners/bldrs_lenders_raters/downloads/mfhr/ENERGY_STAR_MFHR_Submittal_Validation_Form_Version_1p
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
5900-422 ENERGY STAR MULTIFAMILY HIGH RISE PROGRAM Photo Template
5900-422_ENERGY STAR MULTIFAMILY HIGH RISE PROGRAM Photo Template _ ENERGY STAR.pdf

www.energystar.gov/index.cfm?c=bldrs_lenders_raters.nh_mfhr_guidance
Form and Instruction
5900-423 Application for EPA Recognition: Home Certification Orga
5900-422_ENERGY STAR MULTIFAMILY HIGH RISE PROGRAM Photo Template _ ENERGY STAR.pdf
Form and Instruction
5900-425 Core Application for EPA Recognition: HVAC Quality insta
5900-424 HQUITO App.docx
Form and Instruction
5900-426 HVAC Commissioning Checklist
5900-426 HVAC Commissioning Checklist ENERGY STAR Certified Homes, Version 3 _ 3.1 (Rev. 08).pdf

www.energystar.gov/ia/partners/bldrs_lenders_raters/downloads/HVAC_Commissioning_Checklist_v99_nohighlight_2015-09-15_cl
Form and Instruction
5900-427 HVAC Design Report
5900-427 HVAC_Design_Report_v100_2015-011-20_clean_fillable.pdf
Form and Instruction
5900-428 HVAC Design Report
5900-428 National Rater Field Checklist ENERGY STAR Certified Homes_Rev10.pdf

www.energystar.gov/sites/default/files/asset/document/National%20Rater%20Field%20Checklist%20ENERGY%20STAR%20Certified%2
Form and Instruction
5900-429 Rater Design Review Checklist
5900-429 National Rater Design Review Checklist_Rev 13.pdf
Form and Instruction
5900-446 ENERGY STAR Awards Application - Homebuilders
5900-446 2024ESAwards_PART1-APP Homebuilder.docx

www.energystar.gov/awards
Form and Instruction
5900-447 ENERGY STAR Awards Application - Raters
5900-447 2024ESAwards_PART 1-APP Energy Rating Company (1).docx

www.energystar.gov/awards
Form and Instruction

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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 5900-188 Online Partnership Agreement Residential Builder 5900-188 Verification Org Flow.pdf https://energystar.secure.force.com/opa/opahome Yes Yes Fillable Fileable Signable
Form and Instruction 5900-188 Online Partnership Agreement Residential Verification Organization 5900-188 Builder Flow.pdf https://energystar.secure.force.com/opa/opahome Yes Yes Fillable Fileable Signable
Form and Instruction 5900-266 ENERGY STAR Multifamily High Rise Project Application 5900-266 ENERGY STAR Multifamily High Rise Project Application, Version 1.8.pdf https://www.energystar.gov/ia/partners/bldrs_lenders_raters/downloads/mfhr/ENERGY_STAR_MFHR_Project_Application_Version_1p8_Jul2017_fillable_508.pdf?50c1-1f3c Yes Yes Fillable Fileable Signable
Form and Instruction 5900-268 Performance Path Calculator 5900-268_ Performance Path Calculator _Guidance Documents _ ENERGY STAR.pdf https://www.energystar.gov/index.cfm?c=bldrs_lenders_raters.nh_mfhr_guidance Yes Yes Fillable Fileable Signable
Form and Instruction 5900-269 MFHR Testing & Verification Worksheets 5900-269 ENERGY STAR MFHR T&V Worksheets_V1.7_BLANK.xlsm https://www.energystar.gov/index.cfm?c=bldrs_lenders_raters.nh_mfhr_guidance Yes Yes Fillable Fileable Signable
Form and Instruction 5900-270 ENERGY STAR Multifamily High Rise Submittal Validation Form 5900-270 ENERGY STAR Multifamily High Rise Submittal Validation Form V1.4.pdf https://www.energystar.gov/ia/partners/bldrs_lenders_raters/downloads/mfhr/ENERGY_STAR_MFHR_Submittal_Validation_Form_Version_1p4_508.pdf?faf2-7ca1 Yes Yes Fillable Fileable Signable
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 Signable
Form and Instruction 5900-422 ENERGY STAR MULTIFAMILY HIGH RISE PROGRAM Photo Template 5900-422_ENERGY STAR MULTIFAMILY HIGH RISE PROGRAM Photo Template _ ENERGY STAR.pdf https://www.energystar.gov/index.cfm?c=bldrs_lenders_raters.nh_mfhr_guidance Yes Yes Fillable Fileable Signable
Form and Instruction 5900-423 Application for EPA Recognition: Home Certification Organization 5900-422_ENERGY STAR MULTIFAMILY HIGH RISE PROGRAM Photo Template _ ENERGY STAR.pdf Yes Yes Fillable Fileable Signable
Form and Instruction 5900-425 Core Application for EPA Recognition: HVAC Quality installation Oversight Organization 5900-424 HQUITO App.docx Yes Yes Fillable Fileable Signable
Form and Instruction 5900-426 HVAC Commissioning Checklist 5900-426 HVAC Commissioning Checklist ENERGY STAR Certified Homes, Version 3 _ 3.1 (Rev. 08).pdf https://www.energystar.gov/ia/partners/bldrs_lenders_raters/downloads/HVAC_Commissioning_Checklist_v99_nohighlight_2015-09-15_clean_fillable.pdf?107d-a78c Yes Yes Fillable Fileable Signable
Form and Instruction 5900-427 HVAC Design Report 5900-427 HVAC_Design_Report_v100_2015-011-20_clean_fillable.pdf Yes Yes Fillable Fileable Signable
Form and Instruction 5900-428 HVAC Design Report 5900-428 National Rater Field Checklist ENERGY STAR Certified Homes_Rev10.pdf https://www.energystar.gov/sites/default/files/asset/document/National%20Rater%20Field%20Checklist%20ENERGY%20STAR%20Certified%20Homes_Rev10.pdf Yes Yes Paper Only
Form and Instruction 5900-429 Rater Design Review Checklist 5900-429 National Rater Design Review Checklist_Rev 13.pdf Yes Yes Fillable Fileable Signable
Form and Instruction 5900-446 ENERGY STAR Awards Application - Homebuilders 5900-446 2024ESAwards_PART1-APP Homebuilder.docx https://www.energystar.gov/awards Yes Yes Fillable Fileable Signable
Form and Instruction 5900-447 ENERGY STAR Awards Application - Raters 5900-447 2024ESAwards_PART 1-APP Energy Rating Company (1).docx https://www.energystar.gov/awards 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 323,537 0 16,435 24,900 0 282,202
Annual IC Time Burden (Hours) 208,759 0 12,312 18,656 0 177,791
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Documents for IC
table that charts IC Documents
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            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.