Information Collection

Home Performance with Energy Star

IC 239144 under ICR 202403-1910-001 · OMB 1910-5184.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form DOE F 413.28 Home Performance with Energy Star	Form and Instruction
DOE F 413.28 Partnership Agreement Partnership Agreement.pdf	Form and Instruction
DOE F 413.29 Implementation Plan Template DOE HQ F 413.29 Implementation Plan Template.docx	Form and Instruction
DOE F 413.30 HPwES Sponsor Biannual Report Template DOE HQ F 413.30 Sponsor Biannual Report Template.xlsm	Form and Instruction
DOE F 413.31 HPwES Sponsor Annual Report Template DOE HQ F 413.31 Sponsor Annual Report Template.xlsx	Form and Instruction
DOE F 413.32 Partner of the Year Application: Energy Efficiency Progr 413.32 2019ESAwards_PART 2-APP EnergyEfficiencyProgramDelivery.docx	Form and Instruction
DOE F 413.34 Home Performance with ENERGY STAR Contractor of the Year 413.34 2019ESAwards_PART 2-APP HPwESContractorOftheYear.docx	Form and Instruction

IC Title:

Agency IC Tracking Number:

Chris Early

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	DOE F 413.28	Partnership Agreement	Partnership Agreement.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	DOE F 413.29	Implementation Plan Template	DOE HQ F 413.29 Implementation Plan Template.docx	Yes	Yes	Fillable Fileable
Form and Instruction	DOE F 413.30	HPwES Sponsor Biannual Report Template	DOE HQ F 413.30 Sponsor Biannual Report Template.xlsm	Yes	Yes	Fillable Fileable
Form and Instruction	DOE F 413.31	HPwES Sponsor Annual Report Template	DOE HQ F 413.31 Sponsor Annual Report Template.xlsx	Yes	Yes	Fillable Fileable
Form and Instruction	DOE F 413.32	Partner of the Year Application: Energy Efficiency Program Delivery Template	413.32 2019ESAwards_PART 2-APP EnergyEfficiencyProgramDelivery.docx	Yes	Yes	Fillable Fileable
Form and Instruction	DOE F 413.34	Home Performance with ENERGY STAR Contractor of the Year Template	413.34 2019ESAwards_PART 2-APP HPwESContractorOftheYear.docx	Yes	Yes	Fillable Fileable

Line of Business: Energy

Subfunction: Energy Conservation and Preparedness

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 118

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	Program Change Due to Agency Discretion	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	153	-15	168
Annual IC Time Burden (Hours)	1,113	-30	1,143
Annual IC Cost Burden (Dollars)	83,402	7,427	75,975

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.