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Compliance Statement Energy/Water Conservation Standards for Appliances
 
No Modified
 
Mandatory
 
10 CFR 429

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Link to All Collection Instruments _Link to All Collection Instruments.docx https://www.regulations.doe.gov/ccms/templates/product_templates Yes Yes Fillable Fileable
Form and Instruction DOE F 220.1 Residential Refrigerators, Refrigerators-Freezers, and Freezers v.4.3 DOE F 220.1_TEMPLATE_Residential_Refrigerators_Refrigerator-Freezers_Freezers_v4.3.xlsx https://www.regulations.doe.gov/ccms/templates Yes Yes Fillable Fileable
Form and Instruction DOE F 220.1 Residential Refrigerators, Refrigerator-Freezers, and Freezers v 4.4 DOE F 220.1_TEMPLATE_Residential_Refrigerators_Refrigerator-Freezers_Freezers_v4.4.xlsx https://www.regulations.doe.gov/ccms/templates Yes Yes Fillable Fileable
Form and Instruction DOE F 220.2 Room Air Conditioners v 4.2 DOE F 220.2_TEMPLATE_Room_Air_Conditioners_v4.2.xlsx https://www.regulations.doe.gov/ccms/templates Yes Yes Fillable Fileable
Form and Instruction DOE F 220.2 Room Air Conditioners v 4.3 DOE F 220.2_TEMPLATE_Room_Air_Conditioners_v4.3.xlsx https://www.regulations.doe.gov/ccms/templates Yes Yes Fillable Fileable
Form and Instruction DOE F 220.3 Residential Central Air Conditioners and Heat Pumps v 4.3 DOE F 220.3_TEMPLATE_Residential_Central_AC_and_HP_v4.3.xlsx https://www.regulations.doe.gov/ccms/templates Yes Yes Fillable Fileable
Form and Instruction DOE F 220.4 Small Duct, High Velocity Air Conditioners and Heat Pumps DOE F 220.4_TEMPLATE_Small_Duct_High_Velocity_AC_and_HP_v4.3.xlsx https://www.regulations.doe.gov/ccms/templates Yes Yes Fillable Fileable
Form and Instruction DOE F 220.5 Space-Constrained Air Conditioners and Heat Pumps DOE F 220.5_TEMPLATE_Space-Constrained_AC_and_HP_v4.3.xlsx https://www.regulations.doe.gov/ccms/templates Yes Yes Fillable Fileable
Form and Instruction DOE F 220.6 Residential Water Heaters DOE F 220.6_TEMPLATE_Residential_Water_Heaters_v4.3.xlsx https://www.regulations.doe.gov/ccms/templates Yes Yes Fillable Fileable
Form and Instruction DOE F 220.7 Residential Furnaces DOE F 220.7_TEMPLATE_Residential_Furnaces_v4.3.xlsx https://www.regulations.doe.gov/ccms/templates Yes Yes Fillable Fileable
Form and Instruction DOE F 220.8 Dishwashers DOE F 220.8_TEMPLATE_Dishwashers_v4.3.xlsx https://www.regulations.doe.gov/ccms/templates Yes Yes Fillable Fileable
Form and Instruction DOE F 220.9 Residential Clothes Washers DOE F 220.9_TEMPLATE_Residential_Clothes_Washers_v4.2.xlsx https://www.regulations.doe.gov/ccms/templates Yes Yes Fillable Fileable
Form and Instruction DOE F 220.10 Residential Clothes Dryers DOE F 220.10_TEMPLATE_Residential_Clothes_Dryers_v4.2.xlsx https://www.regulations.doe.gov/ccms/templates Yes Yes Fillable Fileable
Form and Instruction DOE F 220.11 Direct Heating Equipment DOE F 220.11_TEMPLATE_Direct_Heating_Equipment_v4.3.xlsx https://www.regulations.doe.gov/ccms/templates Yes Yes Fillable Fileable
Form and Instruction DOE F 220.12 Residential Gas Cooking Products DOE F 220.12_TEMPLATE_Residential_Gas_Cooking_Products_v4.3.xlsx https://www.regulations.doe.gov/ccms/templates Yes Yes Fillable Fileable
Form and Instruction DOE F 220.13 Pool Heaters DOE F 220.13_TEMPLATE_Pool_Heaters_v4.2.xlsx https://www.regulations.doe.gov/ccms/templates Yes Yes Fillable Fileable
Form and Instruction DOE F 220.14 Flourescent Lamp Ballasts DOE F 220.14_TEMPLATE_Fluorescent_Lamp_Ballasts_v4_3.xlsx https://www.regulations.doe.gov/ccms/templates Yes Yes Fillable Fileable
Form and Instruction DOE F 220.15 Initial Certification for General Service Fluorescent Lamps v 4.5 DOE F 220.15_TEMPLATE_General_Service_Fluorescent_Lamps_New_Basic_Model_Filing_Only_v4_5.xlsx https://www.regulations.doe.gov/ccms/templates Yes Yes Fillable Fileable
Form and Instruction DOE F 220.15 General Service Fluorescent Lamps v 4.4 DOE F 220.15_TEMPLATE_General_Service_Fluorescent_Lamps_v4_4.xlsx https://www.regulations.doe.gov/ccms/templates Yes Yes Fillable Fileable
Form and Instruction DOE F 220.16 Incandescent Reflector Lamps DOE F 220.16_TEMPLATE_Incandescent_Reflector_Lamps_v4.3.xlsx https://www.regulations.doe.gov/ccms/templates Yes Yes Fillable Fileable
Form and Instruction DOE F 220.17 General Service Incandescent Lamps DOE F 220.17_TEMPLATE_General_Service_Incandescent_Lamps_v4.3.xlsx https://www.regulations.doe.gov/ccms/templates Yes Yes Fillable Fileable
Form and Instruction DOE F 220.18 Faucets DOE F 220.18_TEMPLATE_Faucets_v4.2.xlsx https://www.regulations.doe.gov/ccms/templates Yes Yes Fillable Fileable
Form and Instruction DOE F 220.19 Showerheads DOE F 220.19_TEMPLATE_Showerheads_v4.2.xlsx https://www.regulations.doe.gov/ccms/templates Yes Yes Fillable Fileable
Form and Instruction DOE F 220.20 Water Closet DOE F 220.20_TEMPLATE_Water_Closets_v4.2.xlsx https://www.regulations.doe.gov/ccms/templates Yes Yes Fillable Fileable
Form and Instruction DOE F 220.21 Urinals DOE F 220.21_TEMPLATE_Urinals_v4.2.xlsx https://www.regulations.doe.gov/ccms/templates Yes Yes Fillable Fileable
Form and Instruction DOE F 220.22 Ceiling Fans DOE F 220.22_TEMPLATE_Ceiling_Fans_v4.3.xlsx https://www.regulations.doe.gov/ccms/templates Yes Yes Fillable Fileable
Form and Instruction DOE F 220.23 Ceiling Fan Light Kits with Sockets for Medium Screw Base Lamps or with Pin-Based Sockets for Fluorescent Lamps DOE F 220.23_TEMPLATE_Ceiling_Fan_Light_Kits_MSB_or_PBF_Lamps_v4.3.xlsx https://www.regulations.doe.gov/ccms/templates Yes Yes Fillable Fileable
Form and Instruction DOE F 220.24 Ceiling Fan Light Kits with Sockets for Other than Mediul Screw Base Lamps or Pin-Based Fluorescent Lamps DOE F 220.24_TEMPLATE_Ceiling_Fan_Light_Kits_Other_Than_MSB_or_PBF_v4.3.xlsx https://www.regulations.doe.gov/ccms/templates Yes Yes Fillable Fileable
Form and Instruction DOE F 220.25 Torchieres DOE F 220.25_TEMPLATE_Torchieres_v4.2.xlsx https://www.regulations.doe.gov/ccms/templates Yes Yes Fillable Fileable
Form and Instruction DOE F 220.26 Bare or Covered (No Reflector) Medium Base Compact Fluorescent Lamps DOE F 220.26_TEMPLATE_Medium_Base_Compact_Fluorescent_Lamps_v4.3.xlsx https://www.regulations.doe.gov/ccms/templates Yes Yes Fillable Fileable
Form and Instruction DOE F 220.27 Dehumidifiers DOE F 220.27_TEMPLATE_Dehumidifiers_v4 3.xlsx https://www.regulations.doe.gov/ccms/templates Yes Yes Fillable Fileable
Form and Instruction DOE F 220.28 Class A External Power Supplies Other Than Switch-Selectable Single-Voltage External Power Supplies - Basic Model DOE F 220.28_TEMPLATE_Class_A_External_Power_Supplies_Basic_Model_v4.3.xlsx https://www.regulations.doe.gov/ccms/templates Yes Yes Fillable Fileable
Form and Instruction DOE F 220.29 Class A External Power Supplies Other Than Switch-Selectable Single-Voltage External Power Supplies - Design Family DOE F 220.29_TEMPLATE_Class_A_External_Power_Supplies_Design_Family_v4.3.xlsx https://www.regulations.doe.gov/ccms/templates Yes Yes Fillable Fileable
Form and Instruction DOE F 220.30 Switch-Selectable Single-Voltage External Power Supplies - Basic Model DOE F 220.30_TEMPLATE_Switch-Selectable_External_Power_Supplies_Basic_Model_v4.3.xlsx https://www.regulations.doe.gov/ccms/templates Yes Yes Fillable Fileable
Form and Instruction DOE F 220.32 Candelabra Base Incandescent Lamps and Intermediate Base Incandescent Lamps DOE F 220.32_TEMPLATE_Candelabra_and_Intermed_Base_Incandes_Lamps_v4.2.xlsx https://www.regulations.doe.gov/ccms/templates Yes Yes Fillable Fileable
Form and Instruction DOE F 220.34 Commercial Refrigeration Equipment - Single Compartment DOE F 220.34_Copy of TEMPLATE_Commercial_Refrigeration_Equipment_Single_Compartment_v4 3.xlsx Yes Yes Fillable Fileable
Form and Instruction DOE F 220.35 Commercial Refrigeration Equipment - Multiple Compartments DOE F 220.35_Copy of TEMPLATE_Commercial_Refrigeration_Equipment_Multiple_Compartments_v4 3.xlsx https://www.regulations.doe.gov/ccms/templates Yes Yes Fillable Fileable
Form and Instruction DOE F 220.36 Commercial Warm Air Furnaces DOE F 220.36_TEMPLATE_Commercial_Warm_Air_Furnaces_v4.4.xlsx https://www.regulations.doe.gov/ccms/templates Yes Yes Fillable Fileable
Form and Instruction DOE F 220.37 Commercial Packages Boilers DOE F 220.37_Copy of TEMPLATE_Commercial_Packaged_Boilers_v4 4.xlsx https://www.regulations.doe.gov/ccms/templates Yes Yes Fillable Fileable
Form and Instruction DOE F 220.38 Commercial Package Air Conditioners and Heat Pumps DOE F 220.38_Copy of TEMPLATE_Commercial_Package_AC_and_HP_v4 2.xlsx https://www.regulations.doe.gov/ccms/templates Yes Yes Fillable Fileable
Form and Instruction DOE F 220.39 Single Package Vertical Air Conditioners and Heat Pumps DOE F 220.39_Copy of TEMPLATE_Single_Package_Vertical_AC_and_HP_v4 2.xlsx https://www.regulations.doe.gov/ccms/templates Yes Yes Fillable Fileable
Form and Instruction DOE F 220.40 Package Terminal Air Conditioners and Heat Pumps DOE F 220.40_TEMPLATE_Package_Terminal_AC_and_HP_v4.5.xlsx https://www.regulations.doe.gov/ccms/templates Yes Yes Fillable Fileable
Form and Instruction DOE F 220.41 Commercial Electric Storage Water Heaters DOE F 220.41_TEMPLATE_Commercial_Electric_Storage_Water_Heaters_v4.3.xlsx https://www.regulations.doe.gov/ccms/templates Yes Yes Fillable Fileable
Form and Instruction DOE F 220.42 Commercial Gas-Fired and Oil-Fired Storage Water Heaters DOE F 220.42_TEMPLATE_Commercial_Gas_and_Oil_Fired_Storage_Water_Heaters_v4.3.xlsx https://www.regulations.doe.gov/ccms/templates Yes Yes Fillable Fileable
Form and Instruction DOE F 220.43 Commerical Gas-Fried and Oil-Fired Instantaneous Water Heaters and Gas-Fired and Oil-Fired Hot Water Supply Boilers DOE F 220.43_TEMPLATE_Commercial_Instantaneous_WH_and_Hot_Water_Supply_Boilers_v4.3.xlsx https://www.regulations.doe.gov/ccms/templates Yes Yes Fillable Fileable
Form and Instruction DOE F 220.44 Commercial Unfired Hot Water Storage Tanks DOE F 220.44_TEMPLATE_Commercial_Unfired_Hot_Water_Storage_Tanks_v4.3.xlsx https://www.regulations.doe.gov/ccms/templates Yes Yes Fillable Fileable
Form and Instruction DOE F 220.45 Automatic Commercial Ice Makers DOE F 220.45_TEMPLATE_Automatic_Commercial_Ice_Makers_v4.3.xlsx https://www.regulations.doe.gov/ccms/templates Yes Yes Fillable Fileable
Form and Instruction DOE F 220.46 Commerical Clothes Washers DOE F 220.46_TEMPLATE_Commercial_Clothes_Washers_v4.2.xlsx https://www.regulations.doe.gov/ccms/templates Yes Yes Fillable Fileable
Form and Instruction DOE F 220.47 Liquid-Immersed Distribution Transformers Based on Basic Model DOE F 220.47_TEMPLATE_Distribution_Transformers_Liquid_Immersed_Basic_Model_v4.3.xlsx https://www.regulations.doe.gov/ccms/templates Yes Yes Fillable Fileable
Form and Instruction DOE F 220.48 Liquid-Immersed Distribution Transformers Based on KVA Grouping DOE F 220.48_TEMPLATE_Distribution_Transformers_Liquid_Immersed_kVA_Group_v4.3.xlsx https://www.regulations.doe.gov/ccms/templates Yes Yes Fillable Fileable
Form and Instruction DOE F 220.49 Low-Voltage, Dry-Type Distribution Transformers Based on Basic Model DOE F 220.49_TEMPLATE_Distribution_Transformers_Low-Voltage_Dry-Type_Basic_Model_v4.3.xlsx https://www.regulations.doe.gov/ccms/templates Yes Yes Fillable Fileable
Form and Instruction DOE F 220.50 Low-Voltage, Dry-Type Distribution Transformers Based on KVA Grouping DOE F 220.50_TEMPLATE_Distribution_Transformers_Low-Voltage_Dry-Type_kVA_Group_v4.3.xlsx https://www.regulations.doe.gov/ccms/templates Yes Yes Fillable Fileable
Form and Instruction DOE F 220.51 Medium-Voltage, Dry-Type Distribution Transformers Based on Basic Model DOE F 220.51_TEMPLATE_Distribution_Transformers_Medium-Voltage_Dry-Type_Basic_Model_v4.3.xlsx https://www.regulations.doe.gov/ccms/templates Yes Yes Fillable Fileable
Form and Instruction DOE F 220.52 Medium-Voltage, Dry-Type Distribution Transformers Based on KVA Grouping DOE F 220.52_TEMPLATE_Distribution_Transformers_Medium-Voltage_Dry-Type_kVA_Group_v4.3.xlsx https://www.regulations.doe.gov/ccms/templates Yes Yes Fillable Fileable
Form and Instruction DOE F 220.53 Illuminated Exit Signs DOE F 220.53_TEMPLATE_Illuminated_Exit_Signs_v4.2.xlsx https://www.regulations.doe.gov/ccms/templates Yes Yes Fillable Fileable
Form and Instruction DOE F 220.54 Traffic Signal Modules and Pedestrian Modules DOE F 220.54_TEMPLATE_Traffic_Signal_and_Pedestrian_Modules_v4.2.xlsx https://www.regulations.doe.gov/ccms/templates Yes Yes Fillable Fileable
Form and Instruction DOE F 220.55 Commercial Unit Heaters DOE F 220.55_TEMPLATE_Commercial_Unit_Heaters_v4.3.xlsx https://www.regulations.doe.gov/ccms/templates Yes Yes Fillable Fileable
Form and Instruction DOE F 220.56 Commercial Pre-Rinse Spray Valves DOE F 220.56_TEMPLATE_Commercial_Pre-Rinse_Spray_Valves_v4.2.xlsx https://www.regulations.doe.gov/ccms/templates Yes Yes Fillable Fileable
Form and Instruction DOE F 220.57 Refrigerated Bottled or Canned Beverage Vending Machines DOE F 220.57_TEMPLATE_Refrigerated_Beverage_Vending_Machines_v4.2.xlsx https://www.regulations.doe.gov/ccms/templates Yes Yes Fillable Fileable
Form and Instruction DOE F 220.58 Panels for Walk-In Coolers and Freezers DOE F 220.58_TEMPLATE_Walk-In_Coolers_and_Freezers_Panels_v4.4.xlsx https://www.regulations.doe.gov/ccms/templates Yes Yes Fillable Fileable
Form and Instruction DOE F 220.59 Doors for Walk-In Coolers and Freezers DOE F 220.59_TEMPLATE_Walk-In_Coolers_and_Freezers_Doors_v4 6.xlsx https://www.regulations.doe.gov/ccms/templates Yes Yes Fillable Fileable
Form and Instruction DOE F 220.60 Refrigeration Systems for Walk-In Coolers and Freezers DOE F 220.60_TEMPLATE_Walk-In_Coolers_and_Freezers_Refrigeration_Systems_v4 3.xlsx https://www.regulations.doe.gov/ccms/templates Yes Yes Fillable Fileable
Form and Instruction DOE F 220.62 Metal Halide Lamp Ballasts and Fixtures DOE F 220.62_TEMPLATE_Metal_Halide_Lamp_Ballasts_and_Fixtures_v4.2.xlsx https://www.regulations.doe.gov/ccms/templates Yes Yes Fillable Fileable
Form and Instruction DOE F 220.63 General Purpose Electric Motors (Subtype I) (Manufactured on or after December 19, 2010) DOE F 220.63_TEMPLATE_General_Purpose_Electric_Motors_Subtype_I_eff_Dec_19_2010_v4.2.xlsx https://www.regulations.doe.gov/ccms/templates Yes Yes Fillable Fileable
Form and Instruction DOE F 220.64 General Purpose Electric Motors (Subtype III) (Manufactured on or after December 19, 2010) DOE F 220.64_TEMPLATE_General_Purpose_Electric_Motors_Subtype_II_eff_Dec_19_2010_v4.2.xlsx https://www.regulations.doe.gov/ccms/templates Yes Yes Fillable Fileable
Form and Instruction DOE F 220.65 NEMA Design B General Purpose Electric Motors (Manufactured on or after Devember 19, 2010) DOE F 220.65_TEMPLATE_NEMA_Design_B_General_Purpose_Electric_Motors_eff_Dec_19_2010_v4.2.xlsx https://www.regulations.doe.gov/ccms/templates Yes Yes Fillable Fileable

Energy Energy Conservation and Preparedness

 

2,000 0
   
Private Sector Businesses or other for-profits
 
   100 %

  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 20,000 0 0 0 20,000 0
Annual IC Time Burden (Hours) 775,000 0 0 707,000 68,000 0
Annual IC Cost Burden (Dollars) 77,500,000 0 0 70,700,000 6,800,000 0

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