Third Party Certified Product Information

EPA's ENERGY STAR Product Labeling (Renewal)

Documents and Forms

Document Name Document Type
Form 5900-251 Third Party Certified Product Information Form and Instruction
5900-251 ENERGY STAR Verification Testing Summary Report 5900-251_Verification_Testing_SummaryReport_REVISED042221.xlsm Form and Instruction
5900-252 ENERGY STAR Failure Report 5900-0252_ENERGY_STAR_Failure_Report_0.xlsm Form and Instruction
5900-253 List of Products not eligible for ENERGY STAR form 5900-253_ENERGY_STAR_Ineligible_Product_Form.xlsx Form and Instruction
PFN-TBD Product Development Form PFN-3400-4_Product Development Form.xlsx Form and Instruction

Information Collection (IC) Details

IC Title:	Third Party Certified Product Information	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	5900-251	ENERGY STAR Verification Testing Summary Report	5900-251_Verification_Testing_SummaryReport_REVISED042221.xlsm	Yes	Yes	Fillable Fileable
Form and Instruction	5900-252	ENERGY STAR Failure Report	5900-0252_ENERGY_STAR_Failure_Report_0.xlsm	Yes	Yes	Fillable Fileable
Form and Instruction	5900-253	List of Products not eligible for ENERGY STAR form	5900-253_ENERGY_STAR_Ineligible_Product_Form.xlsx	Yes	Yes	Fillable Fileable
Form and Instruction	PFN-TBD	Product Development Form	PFN-3400-4_Product Development Form.xlsx	Yes	Yes	Fillable Printable

Line of Business: Environmental Management

Subfunction: Pollution Prevention and Control

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 40	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	40	-376	416
Annual IC Time Burden (Hours)	1,955	-1,790	3,745
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.