Information Collection

Compliance Statement Energy/Water Conservation Standards for Appliances

IC 23396 under ICR 201101-1910-004 · OMB 1910-1400.

Documents and Forms

Documents and forms in this information collection
Document NameDocument Type
Form DOE New
Commercial Packaged Boilers Compliance Statement Energy/Water Conservation Standards for Appliances
Form and Instruction
Form DOE New
Intermed Base Incandes Lamps Compliance Statement Energy/Water Conservation Standards for Appliances
Form and Instruction
Form DOE New
Commercial Prerince Spray Valves Compliance Statement Energy/Water Conservation Standards for Appliances
Form and Instruction
Form DOE New
Commercial Unit Heaters Compliance Statement Energy/Water Conservation Standards for Appliances
Form and Instruction
Form DOE New
Commercial Warm Air Furnaces Compliance Statement Energy/Water Conservation Standards for Appliances
Form and Instruction
Form DOE New
Dehumidifiers Compliance Statement Energy/Water Conservation Standards for Appliances
Form and Instruction
Form DOE New
Flourescent Lamp Ballasts Compliance Statement Energy/Water Conservation Standards for Appliances
Form and Instruction
Form DOE New
Illuminated Exit Signs Compliance Statement Energy/Water Conservation Standards for Appliances
Form and Instruction
Form DOE New
Refrig Beverage Vending Machine Compliance Statement Energy/Water Conservation Standards for Appliances
Form and Instruction
Form DOE New
Refrigerator Freezers Compliance Statement Energy/Water Conservation Standards for Appliances
Form and Instruction
Form DOE New
Residential Ceiling Fans Compliance Statement Energy/Water Conservation Standards for Appliances
Form and Instruction
Form DOE New
Residential Clothes Dryers Compliance Statement Energy/Water Conservation Standards for Appliances
Form and Instruction
Form DOE New
Direct Heating Equipment Compliance Statement Energy/Water Conservation Standards for Appliances
Form and Instruction
Form DOE New
Residential Dishwashers Compliance Statement Energy/Water Conservation Standards for Appliances
Form and Instruction
Form DOE New
Residential Faucets Compliance Statement Energy/Water Conservation Standards for Appliances
Form and Instruction
Form DOE New
Residential Furnaces Boilers Compliance Statement Energy/Water Conservation Standards for Appliances
Form and Instruction
Form DOE New
Gas Cooking Products Compliance Statement Energy/Water Conservation Standards for Appliances
Form and Instruction
Form DOE New
Residential Pool Heaters Compliance Statement Energy/Water Conservation Standards for Appliances
Form and Instruction
Form DOE New
Room Air Conditioners Compliance Statement Energy/Water Conservation Standards for Appliances
Form and Instruction
Form DOE New
Residential Showerheads Compliance Statement Energy/Water Conservation Standards for Appliances
Form and Instruction
Form DOE New
Small Duct High Velocity AC Compliance Statement Energy/Water Conservation Standards for Appliances
Form and Instruction
Form DOE New
Residential Space Constrained AC Compliance Statement Energy/Water Conservation Standards for Appliances
Form and Instruction
Form DOE New
Residential Torchieres Compliance Statement Energy/Water Conservation Standards for Appliances
Form and Instruction
Form DOE New
Residential Urinals Compliance Statement Energy/Water Conservation Standards for Appliances
Form and Instruction
Form DOE New
Residential Water Closets Compliance Statement Energy/Water Conservation Standards for Appliances
Form and Instruction
Form DOE New
Residential Water Heaters Compliance Statement Energy/Water Conservation Standards for Appliances
Form and Instruction
Form DOE New
Self Cont Comm Refrig Compliance Statement Energy/Water Conservation Standards for Appliances
Form and Instruction
Form DOE New
Traffic Signal Ped Modules Compliance Statement Energy/Water Conservation Standards for Appliances
Form and Instruction
DOE New Commercial Packaged Boilers
Copy of TEMPLATE_Commercial_Packaged_Boilers_v4 1.xls
Form and Instruction
DOE New Intermed Base Incandes Lamps
Copy of TEMPLATE_Candelabra__Intermed_Base_Incandes_Lamps_v4 1.xls
Form and Instruction
DOE New Commercial Prerince Spray Valves
Copy of TEMPLATE_Commercial_Prerinse_Spray_Valves_v4 1.xls
Form and Instruction
DOE New Commercial Unit Heaters
Copy of TEMPLATE_Commercial_Unit_Heaters_v4 1.xls
Form and Instruction
DOE New Commercial Warm Air Furnaces
Copy of TEMPLATE_Commercial_Warm_Air_Furnaces_v4 1.xls
Form and Instruction
DOE New Dehumidifiers
Copy of TEMPLATE_Dehumidifiers_v4 1.xls
Form and Instruction
DOE New Flourescent Lamp Ballasts
Copy of TEMPLATE_Flourescent_Lamp_Ballasts_v4 1.xls
Form and Instruction
DOE New Illuminated Exit Signs
Copy of TEMPLATE_Illuminated_Exit_Signs_v4 1.xls
Form and Instruction
DOE New Refrig Beverage Vending Machine
Copy of TEMPLATE_Refrig_Beverage_Vending_Machines_v4 1.xls
Form and Instruction
DOE New Refrigerator Freezers
Copy of TEMPLATE_Refrigerators_Refrigerator-Freezers_Freezers_v4 1.xls
Form and Instruction
DOE New Residential Ceiling Fans
Copy of TEMPLATE_Residential_Ceiling_Fans_v4 1.xls
Form and Instruction
DOE New Residential Clothes Dryers
Copy of TEMPLATE_Residential_Clothes_Dryers_v4 1.xls
Form and Instruction
DOE New Direct Heating Equipment
Copy of TEMPLATE_Residential_Direct_Heating_Equipment_v4 1.xls
Form and Instruction
DOE New Residential Dishwashers
Copy of TEMPLATE_Residential_Dishwashers_v4 1.xls
Form and Instruction
DOE New Residential Faucets
Copy of TEMPLATE_Residential_Faucets_v4 1.xls
Form and Instruction
DOE New Residential Furnaces Boilers
Copy of TEMPLATE_Residential_Furnaces_Boilers_v4 1.xls
Form and Instruction
DOE New Gas Cooking Products
Copy of TEMPLATE_Residential_Gas_Cooking_Products_v4 1.xls
Form and Instruction
DOE New Residential Pool Heaters
Copy of TEMPLATE_Residential_Pool_Heaters_v4 1.xls
Form and Instruction
DOE New Room Air Conditioners
Copy of TEMPLATE_Residential_Room_Air_Conditioners_v4 1.xls
Form and Instruction
DOE New Residential Showerheads
Copy of TEMPLATE_Residential_Showerheads_v4 1.xls
Form and Instruction
DOE New Small Duct High Velocity AC
Copy of TEMPLATE_Residential_Small_Duct_High_Velocity_AC_HP_v4 1.xls
Form and Instruction
DOE New Residential Space Constrained AC
Copy of TEMPLATE_Residential_Space-Constrained_AC_HP_v4 1.xls
Form and Instruction
DOE New Residential Torchieres
Copy of TEMPLATE_Residential_Torchieres_v4 1.xls
Form and Instruction
DOE New Residential Urinals
Copy of TEMPLATE_Residential_Urinals_v4 1.xls
Form and Instruction
DOE New Residential Water Closets
Copy of TEMPLATE_Residential_Water_Closets_v4 1.xls
Form and Instruction
DOE New Residential Water Heaters
Copy of TEMPLATE_Residential_Water_Heaters_v4 1.xls
Form and Instruction
DOE New Self Cont Comm Refrig
Copy of TEMPLATE_Self-Cont_Comm_Refrig_Refrig-Freezer_Freezer_v4 1.xls
Form and Instruction
DOE New Traffic Signal Ped Modules
Copy of TEMPLATE_Traffic_Signal_Ped_Modules_v4 1.xls
Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

layout table

Information Collection Instruments:
table that charts list of instruments
Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction DOE New Yes Yes Fillable Printable
Form and Instruction DOE New Yes Yes Fillable Printable
Form and Instruction DOE New Yes Yes Fillable Printable
Form and Instruction DOE New Yes Yes Fillable Printable
Form and Instruction DOE New Yes Yes Fillable Printable
Form and Instruction DOE New Yes Yes Fillable Printable
Form and Instruction DOE New Yes Yes Fillable Printable
Form and Instruction DOE New Yes Yes Fillable Printable
Form and Instruction DOE New Yes Yes Fillable Printable
Form and Instruction DOE New Yes Yes Fillable Printable
Form and Instruction DOE New Yes Yes Fillable Printable
Form and Instruction DOE New Yes Yes Fillable Printable
Form and Instruction DOE New Yes Yes Fillable Printable
Form and Instruction DOE New Yes Yes Fillable Printable
Form and Instruction DOE New Yes Yes Fillable Printable
Form and Instruction DOE New Yes Yes Fillable Printable
Form and Instruction DOE New Yes Yes Fillable Printable
Form and Instruction DOE New Yes Yes Fillable Printable
Form and Instruction DOE New Yes Yes Fillable Printable
Form and Instruction DOE New Yes Yes Fillable Printable
Form and Instruction DOE New Yes Yes Fillable Printable
Form and Instruction DOE New Yes Yes Fillable Printable
Form and Instruction DOE New Yes Yes Fillable Printable
Form and Instruction DOE New Yes Yes Fillable Printable
Form and Instruction DOE New Yes Yes Fillable Printable
Form and Instruction DOE New Yes Yes Fillable Printable
Form and Instruction DOE New Yes Yes Fillable Printable
Form and Instruction DOE New Yes Yes Fillable Printable

Federal Enterprise Architecture Business Reference Module


table that charts list of burden
  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 2,916 0 0 2,632 0 284
Annual IC Time Burden (Hours) 58,320 0 0 53,816 0 4,504
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Documents for IC
table that charts IC Documents
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.
Something went wrong when downloading this file. If you have any questions, please send an email to [email protected].