Information Collection

Third Party Certified Product Information

IC 24770 under ICR 202510-2060-001 · OMB 2060-0528.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 5900-251 ENERGY STAR Verification Testing Summary Report Third Party Certified Product Information	Form and Instruction
Form 5900-252 ENERGY STAR Failure Report Third Party Certified Product Information	Form and Instruction
Form 5900-253 List of Products not eligible for ENERGY STAR form Third Party Certified Product Information	Form and Instruction
Form PFN-TBD Product Development Form Third Party Certified Product Information	Form and Instruction
5900-251 ENERGY STAR Verification Testing Summary Report 5900-251_Verification_Testing_SummaryReport_REVISED042221.xlsm	Form and Instruction
5900-252 ENERGY STAR Failure Report 5900-0252_ENERGY_STAR_Failure_Report_0.xlsm	Form and Instruction
5900-253 List of Products not eligible for ENERGY STAR form 5900-253_ENERGY_STAR_Ineligible_Product_Form.xlsx	Form and Instruction
PFN-TBD Product Development Form PFN-3400-4_Product Development Form.xlsx	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	5900-251	Yes	Yes	Fillable Fileable
Form and Instruction	5900-252	Yes	Yes	Fillable Fileable
Form and Instruction	5900-253	Yes	Yes	Fillable Fileable
Form and Instruction	PFN-TBD	Yes	Yes	Fillable Printable

Line of Business: Environmental Management

Subfunction: Pollution Prevention and Control

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 40

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	40	-376	416
Annual IC Time Burden (Hours)	1,955	-1,790	3,745
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.

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