Compliance Statement Energy/Water Conservation Standards for Appliances

Compliance Statement Energy/Water Conservation Standards for Appliances

TEMPLATE_Faucets_v3.0.xls

Compliance Statement Energy/Water Conservation Standards for Appliances

OMB: 1910-1400

Document [xlsx]
Download: xlsx | pdf

Overview

Input
Faucet Type Description
Instructions


Sheet 1: Input


Product Type:
Faucets



Version 3.0
Overall Status No Data



































Manufacturer:



















Type manufacturer name in the box above








































If Applicable: Third Party Representative
























If applicable, enter the name of the third party representative in the box above








































Compliance Statement - (Appendix A to Subpart F of 10 CFR Part 430)







































This compliance statement and all certification reports submitted are in accordance with 10 CFR Part 430 (Energy or Water Conservation Program for Consumer Products) and the Energy Policy and Conservation Act, as amended. The compliance statement is signed by a responsible official of the above named company. The basic model(s) listed in certification reports comply with the applicable energy conservation standard or water (in the case of faucets, showerheads, water closets, and urinals) conservation standard. All testing on which the certification reports are based was conducted in conformance with applicable test requirements prescribed in 10 CFR Part 430 subpart B. All information reported in the certification report(s) is true, accurate, and complete. The company is aware of the penalties associated with violations of the Act, the regulations thereunder, and is also aware of the provisions contained in 18 U.S.C. 1001, which prohibits knowingly making false statements to the Federal Government.




















�Type your full name in the box to signify compliance






















Must enter name













� Enter your email address


Must enter email address















�Certification Report














· Please enter your data in the columns shaded in gray below, using a separate line for each model. · Click on the column heading or any cell for instructions on how to complete that cell. · Cells highlighted in yellow indicate an "Error." "Error" means that information is missing or there is an issue with the entry. · If the "Status" for a row is "Error," you can see an explanation in the columns to the right of the Status column. · Reports submitted with errors cannot be processed and will be returned for resubmission.
The cells below provide an explanation for "Errors". The cells below provide an explanation for "Errors". The cells below provide an explanation for "Errors". The cells below provide an explanation for "Errors".


· FOR EACH ROW, MAKE ENTRIES ONLY IN EITHER THE "PER MINUTE" OR "PER CYCLE" SET OF COLUMNS!



· To review the effective dates of current standards for consumer products and certain commercial and industrial equipment click here





























Line No. Manufacturer Brand Model Action Faucet Type Explanation of 'Other' Faucet Type Maximum Flow Rate (gal/min) Maximum Flow Rate (liter/min) Optional Maximum Flow Rate (gal/cycle) Maximum Flow Rate (liter/cycle) Optional Status
Manu-facturer Status Brand Status Model Status Action Status Faucet Type Status Explanation of 'Other' Faucet Type Status Maximum Flow Rate (gal/min) Status Maximum Flow Rate (liter/min) Status Maximum Flow Rate (gal/cycle) Status Maximum Flow Rate (liter/cycle) Status


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Sheet 2: Faucet Type Description

The following is a description of each faucet type:


Faucet Type Faucet Type Description
1 Lavatory faucets
2 Lavatory replacement aerators
3 Kitchen faucets
4 Kitchen replacement aerators
5 Metering Faucets
Other Other faucets not listed above (if you enter "Other", you must provide a rationale in the 'Explanation of "Other" Faucet Type' column on the "Input" sheet).

Sheet 3: Instructions

Instructions for CCMS Reporting Templates













Use your mouse, the "Tab" key and arrows on your keyboard to navigate through the fillable fields in the template. If all fields have been completed correctly the "Overall Status" indicator on the top right corner of the template will show "ok." If this indicator reads "Error," look for incomplete/incorrect field entry explanations by comparing the mirrored cells on the right of your template screen with your report entries. Call 505-663-1302 ext 101 for additional assistance.














Step 1 Enter the manufacturer's name










Type manufacturer name in the box above

















































Step 2 Enter the full name of the third party representative if "applicable" in the cell above "If applicable, enter the name of the third party representative in the box above"


If Applicable: Third Party Representative








If applicable, enter the name of the third party representative in the box above







































Step 3 Enter your full name in the cell above "Must enter name." Be certain that your are aware of the provisions contained in 18 U.S.C. 1001 before entering your name.

Type your full name in the box to signify compliance








Must enter name

















































Awareness Statement








































































































Step 4 Enter your contact email address to the left of "Must enter email address."


Enter your email address
Must enter email address





















































Step 5 Starting on line No. 1, begin entering applicable data in each field. When you have chosen a field, an instruction box will display. Each template has different product type standards. Although all product template instructions are similar, your product template may display different data entry fields from the examples below. If the status at the end of the line reads "Error," review your data to verify entries and check the explanation table to the right of the data entry table for an error description. Lines with an "ok" status have been completed correctly.






































































Step 6 Save the template to a local drive for safekeeping. You will upload this template later to DOE via the CCMS application.
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File Typeapplication/vnd.ms-excel
AuthorBruce Miller
Last Modified ByBruce Miller
File Modified2010-05-20
File Created2007-08-23

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