Information Collection

Superior Energy Performance

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

Documents and Forms

Documents and forms in this information collection
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

IC Title:

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:

table that charts list of instruments
Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	DOE F 413.39	Yes	Yes	Fillable Fileable
Form and Instruction	DOE HQ F 413.41	Yes	Yes	Fillable Fileable
Form and Instruction	DOE F 413.45	Yes	Yes	Fillable Fileable
Form and Instruction	DOE F 413.44	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 %

table that charts list of burden
	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

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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