Compliance Statement Energy/Water Conservation Standards for Appliances

Forms and Documents

Document Name	Status
Form DOE F 220.4 Compliance Statement Energy/Water Conservation Standards for Appliances Form and Instruction	Modified
30 Day FRN (Published) 2-28-14.pdf Supplementary Document	2014-11-21
60 Day FRN (Publlished) 12-24-13.pdf Supplementary Document	2014-02-27
2014-11-20_Supporting_Statement_A_FINAL_v2.docx Supporting Statement A	2014-11-21

IC Document Collections

IC ID	Document Title	Status
23396	Compliance Statement Energy/Water Conservation Standards for Appliances Form and Instruction	Modified

ICR Details

OMB Control No: 1910-1400	ICR Reference No: 201402-1910-002
Status: Historical Active	Previous ICR Reference No: 201101-1910-004
Agency/Subagency: DOE/DOEOA	Agency Tracking No: Ashley Armstrong (EERE)
Title: Compliance Statement Energy/Water Conservation Standards for Appliances
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 11/24/2014
	Date Received in OIRA: 02/28/2014
Terms of Clearance: In accordance with 5 CFR 1320, the information collection is approved for three years.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	11/30/2017	36 Months From Approved	11/30/2014
Responses	20,000	0	2,916
Time Burden (Hours)	68,000	0	58,320
Cost Burden (Dollars)	6,800,000	0	0

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Abstract: DOE is revising, expanding, and renewing the information DOE is collecting on the energy and water efficiency of consumer products and commercial equipment manufactured for distribution in commerce in the United States. This collection would cover all covered products and equipment subject to DOE's regulatory requirements described in 10 CFR Parts 429, 430, and 431.

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Authorizing Statute(s): US Code: 42 USC 6291 Name of Law: Energy Conservation for Consumer Products other tthan Automobiles
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	78 FR 77669	12/24/2013
30-day Notice:	Federal Register Citation:	Citation Date:
	79 FR 11426	02/28/2014
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Compliance Statement Energy/Water Conservation Standards for Appliances	DOE F 220.49, DOE F 220.50, DOE F 220.38, DOE F 220.54, DOE F 220.39, DOE F 220.40, DOE F 220.41, DOE F 220.42, DOE F 220.43, DOE F 220.44, DOE F 220.45, DOE F 220.46, DOE F 220.47, DOE F 220.48, DOE F 220.4, DOE F 220.5, DOE F 220.51, DOE F 220.52, DOE F 220.55, DOE F 220.56, DOE F 220.57, DOE F 220.58, DOE F 220.11, DOE F 220.3, DOE F 220.59, DOE F 220.60, DOE F 220.62, DOE F 220.63, DOE F 220.64, DOE F 220.65, DOE F 220.15, DOE F 220.24, DOE F 220.25, DOE F 220.27, DOE F 220.28, DOE F 220.29, DOE F 220.30, DOE F 220.15, DOE F 220.16, DOE F 220.20, DOE F 220.35, DOE F 220.36, DOE F 220.37, DOE F 220.53, DOE F 220.1, DOE F 220.2, DOE F 220.2, DOE F 220.6, DOE F 220.17, DOE F 220.18, DOE F 220.19, DOE F 220.21, DOE F 220.22, DOE F 220.23, DOE F 220.26, DOE F 220.1, DOE F 220.7, DOE F 220.8, DOE F 220.9, DOE F 220.10, DOE F 220.12, DOE F 220.13, DOE F 220.14, DOE F 220.32, DOE F 220.34	Small Duct, High Velocity Air Conditioners and Heat Pumps ,   Space-Constrained Air Conditioners and Heat Pumps ,   Direct Heating Equipment ,   Initial Certification for General Service Fluorescent Lamps v 4.5 ,   Incandescent Reflector Lamps ,   Water Closet ,   Ceiling Fan Light Kits with Sockets for Other than Mediul Screw Base Lamps or Pin-Based Fluorescent Lamps ,   Torchieres ,   Low-Voltage, Dry-Type Distribution Transformers Based on KVA Grouping ,   Medium-Voltage, Dry-Type Distribution Transformers Based on Basic Model ,   Dehumidifiers ,   Class A External Power Supplies Other Than Switch-Selectable Single-Voltage External Power Supplies - Basic Model ,   Class A External Power Supplies Other Than Switch-Selectable Single-Voltage External Power Supplies - Design Family ,   Switch-Selectable Single-Voltage External Power Supplies - Basic Model ,   General Service Fluorescent Lamps v 4.4 ,   Single Package Vertical Air Conditioners and Heat Pumps ,   Package Terminal Air Conditioners and Heat Pumps ,   Commercial Electric Storage Water Heaters ,   Commercial Gas-Fired and Oil-Fired Storage Water Heaters ,   Commerical Gas-Fried and Oil-Fired Instantaneous Water Heaters and Gas-Fired and Oil-Fired Hot Water Supply Boilers ,   Commercial Unfired Hot Water Storage Tanks ,   Automatic Commercial Ice Makers ,   Commerical Clothes Washers ,   Liquid-Immersed Distribution Transformers Based on Basic Model ,   Liquid-Immersed Distribution Transformers Based on KVA Grouping ,   Low-Voltage, Dry-Type Distribution Transformers Based on Basic Model ,   Room Air Conditioners v 4.2 ,   Residential Refrigerators, Refrigerator-Freezers, and Freezers v 4.4 ,   Room Air Conditioners v 4.3 ,   Residential Water Heaters ,   General Service Incandescent Lamps ,   Faucets ,   Showerheads ,   Urinals ,   Ceiling Fans ,   Ceiling Fan Light Kits with Sockets for Medium Screw Base Lamps or with Pin-Based Sockets for Fluorescent Lamps ,   Bare or Covered (No Reflector) Medium Base Compact Fluorescent Lamps ,   Candelabra Base Incandescent Lamps and Intermediate Base Incandescent Lamps ,   Dishwashers ,   Residential Refrigerators, Refrigerators-Freezers, and Freezers v.4.3 ,   Residential Furnaces ,   Residential Clothes Washers ,   Residential Clothes Dryers ,   Residential Gas Cooking Products ,   Pool Heaters ,   Flourescent Lamp Ballasts ,   Residential Central Air Conditioners and Heat Pumps v 4.3 ,   Medium-Voltage, Dry-Type Distribution Transformers Based on KVA Grouping ,   Commercial Unit Heaters ,   Commercial Pre-Rinse Spray Valves ,   Refrigerated Bottled or Canned Beverage Vending Machines ,   Panels for Walk-In Coolers and Freezers ,   Doors for Walk-In Coolers and Freezers ,   Refrigeration Systems for Walk-In Coolers and Freezers ,   Metal Halide Lamp Ballasts and Fixtures ,   General Purpose Electric Motors (Subtype I) (Manufactured on or after December 19, 2010) ,   General Purpose Electric Motors (Subtype III) (Manufactured on or after December 19, 2010) ,   NEMA Design B General Purpose Electric Motors (Manufactured on or after Devember 19, 2010) ,   Illuminated Exit Signs ,   Commercial Refrigeration Equipment - Single Compartment ,   Commercial Refrigeration Equipment - Multiple Compartments ,   Commercial Warm Air Furnaces ,   Commercial Packages Boilers ,   Commercial Package Air Conditioners and Heat Pumps ,   Traffic Signal Modules and Pedestrian Modules

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ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	20,000	2,916	0	0	17,084	0
Annual Time Burden (Hours)	68,000	58,320	0	0	9,680	0
Annual Cost Burden (Dollars)	6,800,000	0	0	0	6,800,000	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: Based upon the number of respondents and responses form the previous approval period, DOE estimates an increase in the burden for the collection.

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Annual Cost to Federal Government: $0

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 02/28/2014

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