Information Collection

Partnership Applications

IC 196467 under ICR 202510-2060-001 · OMB 2060-0528.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 5900-33 ENERGY STAR Partnership Agreement Partnership Applications	Form and Instruction
Form 5900-34 ENERGY STAR Participation Form - Product Brand Owner Partnership Applications	Form and Instruction
Form 5900-33 ENERGY STAR Participation Form - Retailer Partnership Applications	Form and Instruction
Form 5900-33 ENERGY STAR Participation Form - EEPS Partnership Applications	Form and Instruction
5900-33 ENERGY STAR Partnership Agreement 5900-33_ENERGY STAR Partnership Agreement_6.pdf	Form and Instruction
5900-34 ENERGY STAR Participation Form - Product Brand Owner 5900-33_ENERGY_STAR_Participation_Form_Prod_Brand_Owner_.pdf	Form and Instruction
5900-33 ENERGY STAR Participation Form - Retailer 5900-33_ENERGY STAR Participation Form_Retailer_4_0.pdf	Form and Instruction
5900-33 ENERGY STAR Participation Form - EEPS 5900-33_ENERGY_STAR_Participation_Form_EEPS_2_0.pdf	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.	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	5900-33	Yes	Yes	Fillable Fileable
Form and Instruction	5900-34	Yes	Yes	Fillable Fileable
Form and Instruction	5900-33	Yes	Yes	Fillable Fileable
Form and Instruction	5900-33	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: 278

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	278	28	250
Annual IC Time Burden (Hours)	1,636	129	1,507
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.

Something went wrong when downloading this file. If you have any questions, please send an email to [email protected].