Partnership Applications

EPA's ENERGY STAR Product Labeling (Renewal)

Documents and Forms

Document Name Document Type
Form 5900-33 Partnership Applications Form and Instruction
5900-33 ENERGY STAR Partnership Agreement 5900-33_ENERGY STAR Partnership Agreement_6.pdf Form and Instruction
5900-34 ENERGY STAR Participation Form - Product Brand Owner 5900-33_ENERGY_STAR_Participation_Form_Prod_Brand_Owner_.pdf Form and Instruction
5900-33 ENERGY STAR Participation Form - Retailer 5900-33_ENERGY STAR Participation Form_Retailer_4_0.pdf Form and Instruction
5900-33 ENERGY STAR Participation Form - EEPS 5900-33_ENERGY_STAR_Participation_Form_EEPS_2_0.pdf Form and Instruction

Information Collection (IC) Details

IC Title:	Partnership Applications	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	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	5900-33	ENERGY STAR Partnership Agreement	5900-33_ENERGY STAR Partnership Agreement_6.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	5900-34	ENERGY STAR Participation Form - Product Brand Owner	5900-33_ENERGY_STAR_Participation_Form_Prod_Brand_Owner_.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	5900-33	ENERGY STAR Participation Form - Retailer	5900-33_ENERGY STAR Participation Form_Retailer_4_0.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	5900-33	ENERGY STAR Participation Form - EEPS	5900-33_ENERGY_STAR_Participation_Form_EEPS_2_0.pdf	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: 278	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	278	28	250
Annual IC Time Burden (Hours)	1,636	129	1,507
Annual IC Cost Burden (Dollars)	0	0	0

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.