Information Collection

Compliance Statement Energy/Water Conservation Standards for Applicances

IC 23396 under ICR 200609-1910-005 · OMB 1910-1400.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1910-1400 can be found here:

Documents and Forms

Document Name Document Type
Form Appendix A to Subp Compliance Statement Energy/Water Conservation Standards for Applicances Form and Instruction
Appendix A to Subp Compliance Statement and Certification Report Appendix A to Subpart F of Part 430 05 31 07.pdf Form and Instruction
10 CFR 430 62 (2) Submission of Data 05 31 07.pdf Submission Statement of Data 10 CFR Part 430.62 IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Compliance Statement Energy/Water Conservation Standards for Applicances	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 10 CFR 430

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	Appendix A to Subpart F of Part 430	Compliance Statement and Certification Report	Appendix A to Subpart F of Part 430 05 31 07.pdf		Yes	Yes	Fillable Fileable

Line of Business: Energy

Subfunction: Energy Conservation and Preparedness

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 284	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	284	0	284
Annual IC Time Burden (Hours)	4,504	3,157	1,347
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
Submission Statement of Data 10 CFR Part 430.62	10 CFR 430 62 (2) Submission of Data 05 31 07.pdf	05/31/2007

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.