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Federal forms, ICRs, and supporting documents

Information Collection

Energy Star Program in the Residential Sector: Private Sector

IC 44052 under ICR 200910-2060-009 · OMB 2060-0586.

Documents and Forms
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Information Collection (IC) Details

View Information Collection (IC)

Energy Star Program in the Residential Sector: Private Sector
 
No Modified
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 5900-172 Site Installation Checklist for Energy Star Manufactured Homes Site Installation Checklist - Template.doc Yes No Printable Only
Form and Instruction 5900-189 Completion Report for Energy Star Modular Home Completion Report ENERGY STAR Modular Home (APR 09).doc Yes No Printable Only
Form and Instruction 5900-192 Performance Path Inspection Checklist for Energy Star Modular Home Inspection Checklist ENERGY STAR Modular Home - Performance.doc Yes No Printable Only
Form and Instruction 5900-193 Modular Home Certifier Applicaton Modular Certifier Application.doc Yes No Printable Only
Form and Instruction 5900-194 Qualification to Produce Energy Star Modular Homes Qualification to Produce ENERGY STAR Modular Homes (JUL 09).doc Yes No Printable Only
Form and Instruction 5900-190 Inspection Checklist Energy Star Modular Home (Prescrptive) Inspection Checklist ENERGY STAR Modular Home - Prescriptive.doc Yes No Printable Only
Form and Instruction 5900-191 Modular Home Rater Applicaton Modular Rater Application.doc Yes No Printable Only
Form and Instruction 5900-180 HVAC QI Commission Report ESQI_commissionreport_draft080509.xls energystar.gov Yes No Printable Only
Form 5900-181 HP w/ ES Sponsor Reporting Form HPwES Reporting Template 06-14- 07.xls energystar.gov Yes No Printable Only
Form 5900-187 HPw/ES Test Out Form Test-out Form.xls energystar.gov Yes No Printable Only
Form and Instruction 5900-186 HPw/ES 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 Printable Only
Form 5900-173 IAQ Checklist IAQ Checklist.doc energystar.gov/homes Yes No Fillable Printable
Form 5900-176 Thermal Bypass Checklist for Energy Star Homes Energy Star Home Thermal Bypass Checklist.doc energystar.gov/homes Yes No Fillable Printable
Form 5900-177 Quality Framing Checklist for Energy Star Homes ES Quality Framing Checklist.doc energystar.gov/homes Yes No Fillable Printable
Form 5900-178 Water Managed Construction Checklist for Energy Star Homes Water Managed Construction Checklist.doc energystar.gov Yes No Fillable Printable
Form 5900-175 HVAC QI Checklist for Contractors HVAC QI Contractor Checklist.doc energystar.gov Yes No Fillable Printable
Form 5900-174 HVAC QI Checklist for Verifiers HVAC QI Verifier Checklist.doc energystar.gov Yes No Fillable Printable
Form 5900-185 Home Performance Partnership Agreement for Contractors HPwES Pilot Contractor PA-07-20-09.doc energystar.gov Yes No Fillable Printable
Form and Instruction 5900-188 Energy Star Partnership Agreement for Architects/Designers Energy Star Architect Partnership Agreement.ppt energystar.gov/homes Yes Yes Fillable Fileable Signable

Environmental Management Pollution Prevention and Control

 

4,181 3,000
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   80 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 89,317 0 -8,534 -12,996 0 110,847
Annual IC Time Burden (Hours) 161,784 0 6,905 -20,570 0 175,449
Annual IC Cost Burden (Dollars) 16,849 0 8,993 -120,144 0 128,000

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            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.