Information Collection

Energy Star Program in the Residential Sector: States and Locals

IC 191109 under ICR 200910-2060-009 · OMB 2060-0586.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2060-0586 can be found here:

Documents and Forms

Document Name Document Type
Form 5900-181 Energy Star Program in the Residential Sector: States and Locals Form
5900-181 Home Performance Reporting Template for Sponsors HPwES Reporting Template 06-14- 07.xls energystar.gov Form
5900-186 Home Performance Program Plan Template Home Performance Program Plan Template.doc energystar.gov Form and Instruction
5900-183 HVAC QI Partnership Agreement ENERGY STAR HVAC QI Partnership Agreement.doc energystar.gov Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Energy Star Program in the Residential Sector: States and Locals	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	5900-181	Home Performance Reporting Template for Sponsors	HPwES Reporting Template 06-14- 07.xls	energystar.gov	Yes	Yes	Fillable Fileable
Form and Instruction	5900-186	Home Performance Program Plan Template	Home Performance Program Plan Template.doc	energystar.gov	Yes	No	Printable Only
Form and Instruction	5900-183	HVAC QI Partnership Agreement	ENERGY STAR HVAC QI Partnership Agreement.doc	energystar.gov	Yes	No	Fillable Printable

Line of Business: Environmental Management

Subfunction: Pollution Prevention and Control

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 102	Number of Respondents for Small Entity: 80

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 80 %

	Approved	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	184	37	147
Annual IC Time Burden (Hours)	3,574	718	2,856
Annual IC Cost Burden (Dollars)	150	11	139

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.