Superior Energy Performance 50001™ and 50001 Ready

Forms and Documents

Document Name	Status
Form DOE HQ F 413.37 Superior Energy Performance Form and Instruction	Modified
Supporting Statement B 1910-5177.docx Supporting Statement B	2021-10-27
60 Day FRN.pdf Supplementary Document	2021-10-27
Supporting Statement A 1910-5177.docx Supporting Statement A	2021-10-29

IC Document Collections

IC ID	Document Title	Status
214346	Superior Energy Performance Form and Instruction	Modified

ICR Details

OMB Control No: 1910-5177	ICR Reference No: 202110-1910-007
Status: Received in OIRA	Previous ICR Reference No: 201804-1910-002
Agency/Subagency: DOE/DOEOA	Agency Tracking No: Pamela de los Reyes
Title: Superior Energy Performance 50001™ and 50001 Ready
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 10/29/2021

	Requested	Previously Approved
Expiration Date	36 Months From Approved	10/31/2021
Responses	450	233
Time Burden (Hours)	450	333
Cost Burden (Dollars)	31,452	18,667

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Abstract: DOE seeks to drive greater voluntary energy efficiency in the commercial and industrial marketplace to create cost savings and thereby improve participants’ competitiveness. SEP and 50001 Ready benefits include increased and sustained energy savings, associated cost savings, and DOE recognition. This collection enables DOE to deliver these benefits to industrial, commercial, and institutional facilities.

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Authorizing Statute(s): EO: EO 13624 Name/Subject of EO: Accelerating Investment in Industrial Energy Efficiency
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	86 FR 35497	07/06/2021
30-day Notice:	Federal Register Citation:	Citation Date:
	86 FR 12345	10/29/2021
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Superior Energy Performance	DOE HQ F 413.2, DOE HQ F 413.40, DOE F 413.39, DOE HQ F 413.41, DOE HQ F 413.37	SEP 50001 Application ,   SEP 50001 Energy Performance Improvement Report ,   SEP 50001 Scorecard Declaration ,   50001 Ready Self-Attestation Form ,   50001 Ready Energy Performance Improvement Report

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ICR Summary of Burden

	Total Request	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	450	233	0	0	217	0
Annual Time Burden (Hours)	450	333	0	0	117	0
Annual Cost Burden (Dollars)	31,452	18,667	0	0	12,785	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $31,924

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     Yes

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 10/29/2021

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