Information Collection

Energy Star Program in the Residential Sector: Households

IC 191110 under ICR 201302-2060-005 · 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⚠️ Notice: This information collection may be referencing outdated material.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 5900-184 Energy Star Program in the Residential Sector: Households Form
5900-184 Energy Use Authorization Form EnergyUseReleaseForm.doc www.energystar.gov Form
5900-179 Home Improvement Profile Form ENERGY STAR HIP Profile.docx www.energystar.gov Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Energy Star Program in the Residential Sector: Households	Agency IC Tracking Number:

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	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	5900-184	Energy Use Authorization Form	EnergyUseReleaseForm.doc	www.energystar.gov	No	No	Paper Only
Form and Instruction	5900-179	Home Improvement Profile Form	ENERGY STAR HIP Profile.docx	www.energystar.gov	Yes	Yes	Fillable Fileable

Line of Business: Environmental Management

Subfunction: Pollution Prevention and Control

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 120,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 99 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	121,025	69,015	52,010
Annual IC Time Burden (Hours)	36,063	20,463	15,600
Annual IC Cost Burden (Dollars)	450	10	440

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.