Information Collection

Compliance Statement Energy/Water Conservation Standards for Appliances

IC 23396 under ICR 201007-1910-001 · 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⚠️ Notice: This information collection may be referencing outdated material.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
TEMPLATE_Ceiling_Fan_Light_Kits_v3.0.xls Other-Report
TEMPLATE_Ceiling_Fans_v3.0.xls Other-Report
TEMPLATE_Central_AC_&_Central_AC_Heat_Pumps_v3.0.xls Other-Report
TEMPLATE_Clothes_Dryers_v3.0.xls Other-Report
TEMPLATE_Clothes_Washers_v3.0.xls Other-Report
TEMPLATE_Dehumidifiers_v3.0.xls Other-Report
TEMPLATE_Direct_Heating_Equipment_v3.0.xls Other-Report
TEMPLATE_Dishwashers_v3.0.xls Other-Report
TEMPLATE_Electric_Motors_v3.0.xls Other-report
TEMPLATE_External_Power_Supplies_v3.0.xls Other-report
TEMPLATE_Faucets_v3.0.xls Other-report
TEMPLATE_Furnaces_v3.0.xls Other-report
TEMPLATE_General_Service_Fluorescent_Lamps_v3.0.xls Other-report
TEMPLATE_Incandescent_Reflector_Lamps_v3.0.xls Other-report
TEMPLATE_Medium_Base_Compact_Fluorescent_Lamps_v3.0.xls Other-report
TEMPLATE_Pool_Heaters_v3.0.xls Other-report
TEMPLATE_Refrigerators_Refrigerator-Freezers_Freezers_v3.0.xls Other-report
TEMPLATE_Room_Air_Conditioners_v3.0.xls Other-report
TEMPLATE_Showerheads_v3.0.xls Other-report
TEMPLATE_Torchieres_v3.0.xls Other-report
TEMPLATE_Urinals_v3.0.xls Other-report
TEMPLATE_Water_Closets_v3.0.xls Other-report
TEMPLATE_Water_Heaters_v3.0.xls Other-report

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Compliance Statement Energy/Water Conservation Standards for Appliances	Agency IC Tracking Number:	Ashley Armstrong

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 10 CFR 429

Information Collection Instruments:

Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-report	TEMPLATE_Water_Closets_v3.0.xls	Yes	Yes	Fillable Printable
Other-report	TEMPLATE_Water_Heaters_v3.0.xls	Yes	Yes	Fillable Printable
Other-Report	TEMPLATE_Ceiling_Fan_Light_Kits_v3.0.xls	Yes	Yes	Fillable Printable
Other-Report	TEMPLATE_Ceiling_Fans_v3.0.xls	Yes	Yes	Fillable Printable
Other-Report	TEMPLATE_Central_AC_&_Central_AC_Heat_Pumps_v3.0.xls	Yes	Yes	Fillable Printable
Other-Report	TEMPLATE_Clothes_Dryers_v3.0.xls	Yes	Yes	Fillable Printable
Other-Report	TEMPLATE_Clothes_Washers_v3.0.xls	Yes	Yes	Fillable Printable
Other-Report	TEMPLATE_Dehumidifiers_v3.0.xls	Yes	Yes	Fillable Printable
Other-Report	TEMPLATE_Direct_Heating_Equipment_v3.0.xls	Yes	Yes	Fillable Printable
Other-Report	TEMPLATE_Dishwashers_v3.0.xls	Yes	Yes	Fillable Printable
Other-report	TEMPLATE_Electric_Motors_v3.0.xls	Yes	Yes	Fillable Printable
Other-report	TEMPLATE_External_Power_Supplies_v3.0.xls	Yes	Yes	Fillable Printable
Other-report	TEMPLATE_Faucets_v3.0.xls	Yes	Yes	Fillable Printable
Other-report	TEMPLATE_Furnaces_v3.0.xls	Yes	Yes	Fillable Printable
Other-report	TEMPLATE_General_Service_Fluorescent_Lamps_v3.0.xls	Yes	Yes	Fillable Printable
Other-report	TEMPLATE_Incandescent_Reflector_Lamps_v3.0.xls	Yes	Yes	Fillable Printable
Other-report	TEMPLATE_Medium_Base_Compact_Fluorescent_Lamps_v3.0.xls	Yes	Yes	Fillable Printable
Other-report	TEMPLATE_Pool_Heaters_v3.0.xls	Yes	Yes	Fillable Printable
Other-report	TEMPLATE_Refrigerators_Refrigerator-Freezers_Freezers_v3.0.xls	Yes	Yes	Fillable Printable
Other-report	TEMPLATE_Room_Air_Conditioners_v3.0.xls	Yes	Yes	Fillable Printable
Other-report	TEMPLATE_Showerheads_v3.0.xls	Yes	Yes	Fillable Printable
Other-report	TEMPLATE_Torchieres_v3.0.xls	Yes	Yes	Fillable Printable
Other-report	TEMPLATE_Urinals_v3.0.xls	Yes	Yes	Fillable Printable

Federal Enterprise Architecture Business Reference Module

Line of Business: Energy

Subfunction: Energy Conservation and Preparedness

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 2,916	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	2,916	2,632	284
Annual IC Time Burden (Hours)	58,320	53,816	4,504
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.