Information Collection

Superior Energy Performance

IC 214346 under ICR 202602-1910-002 · OMB 1910-5177.

Documents and Forms

Document Name Document Type
Form DOE F 413.39 50001 Ready Self-Attestation Form Superior Energy Performance Form and Instruction
Form DOE HQ F 413.41 50001 Ready Energy Performance Improvement Report Superior Energy Performance Form and Instruction
Form DOE F 413.45 ISO 50001 Certification Multisite Attestation Form Superior Energy Performance Form and Instruction
Form DOE F 413.44 ISO 50001 Certification Attestation Form Superior Energy Performance Form and Instruction
DOE F 413.39 50001 Ready Self-Attestation Form DOE F 413.39 50001 Ready Self-Attestation Form.docx Form and Instruction
DOE HQ F 413.41 50001 Ready Energy Performance Improvement Report DOE HQ F 413.41 50001 Ready Energy Performance Improvement Report.xlsx Form and Instruction
DOE F 413.45 ISO 50001 Certification Multisite Attestation Form DOE ISO 50001 Certification Recognition Attestation Form_Multisite 2025.docx Form and Instruction
DOE F 413.44 ISO 50001 Certification Attestation Form DOE ISO 50001 Certification Recognition Attestation Form_Single Site 2025.docx Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Superior Energy Performance	Agency IC Tracking Number:	Pamela de los Reyes

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	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	DOE F 413.39	50001 Ready Self-Attestation Form	DOE F 413.39 50001 Ready Self-Attestation Form.docx	Yes	Yes	Fillable Fileable
Form and Instruction	DOE HQ F 413.41	50001 Ready Energy Performance Improvement Report	DOE HQ F 413.41 50001 Ready Energy Performance Improvement Report.xlsx	Yes	Yes	Fillable Fileable
Form and Instruction	DOE F 413.45	ISO 50001 Certification Multisite Attestation Form	DOE ISO 50001 Certification Recognition Attestation Form_Multisite 2025.docx	Yes	Yes	Fillable Fileable
Form and Instruction	DOE F 413.44	ISO 50001 Certification Attestation Form	DOE ISO 50001 Certification Recognition Attestation Form_Single Site 2025.docx	Yes	Yes	Fillable Fileable

Line of Business: Energy

Subfunction: Energy Resource Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 400	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	400	-50	450
Annual IC Time Burden (Hours)	300	-150	450
Annual IC Cost Burden (Dollars)	20,424	-11,028	31,452

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.

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