Compliance Statement Energy/Water Conservation Standards for Appliances

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form DOE F 220.65 NEMA Design B General Purpose Electric Motors (Manufactured on or after Devember 19, 2010)	Form and Instruction	Modified	Available
Form DOE F 220.64 General Purpose Electric Motors (Subtype III) (Manufactured on or after December 19, 2010)	Form and Instruction	Modified	Available
Form DOE F 220.63 General Purpose Electric Motors (Subtype I) (Manufactured on or after December 19, 2010)	Form and Instruction	Modified	Available
Form DOE F 220.62 Metal Halide Lamp Ballasts and Fixtures	Form and Instruction	Modified	Available
Form DOE F 220.60 Refrigeration Systems for Walk-In Coolers and Freezers	Form and Instruction	Modified	Available
Form DOE F 220.59 Doors for Walk-In Coolers and Freezers	Form and Instruction	Modified	Available
Form DOE F 220.58 Panels for Walk-In Coolers and Freezers	Form and Instruction	Modified	Available
Form DOE F 220.57 Refrigerated Bottled or Canned Beverage Vending Machines	Form and Instruction	Modified	Available
Form DOE F 220.56 Commercial Pre-Rinse Spray Valves	Form and Instruction	Modified	Available
Form DOE F 220.55 Commercial Unit Heaters	Form and Instruction	Modified	Available
Form DOE F 220.54 Traffic Signal Modules and Pedestrian Modules	Form and Instruction	Modified	Available
Form DOE F 220.53 Illuminated Exit Signs	Form and Instruction	Modified	Available
Form DOE F 220.52 Medium-Voltage, Dry-Type Distribution Transformers Based on KVA Grouping	Form and Instruction	Modified	Available
Form DOE F 220.51 Medium-Voltage, Dry-Type Distribution Transformers Based on Basic Model	Form and Instruction	Modified	Available
Form DOE F 220.50 Low-Voltage, Dry-Type Distribution Transformers Based on KVA Grouping	Form and Instruction	Modified	Available
Form DOE F 220.49 Low-Voltage, Dry-Type Distribution Transformers Based on Basic Model	Form and Instruction	Modified	Available
Form DOE F 220.48 Liquid-Immersed Distribution Transformers Based on KVA Grouping	Form and Instruction	Modified	Available
Form DOE F 220.47 Liquid-Immersed Distribution Transformers Based on Basic Model	Form and Instruction	Modified	Available
Form DOE F 220.46 Commerical Clothes Washers	Form and Instruction	Modified	Available
Form DOE F 220.45 Automatic Commercial Ice Makers	Form and Instruction	Modified	Available
Form DOE F 220.44 Commercial Unfired Hot Water Storage Tanks	Form and Instruction	Modified	Available
Form DOE F 220.43 Commerical Gas-Fried and Oil-Fired Instantaneous Water Heaters and Gas-Fired and Oil-Fired Hot Water Supply Boilers	Form and Instruction	Modified	Available
Form DOE F 220.42 Commercial Gas-Fired and Oil-Fired Storage Water Heaters	Form and Instruction	Modified	Available
Form DOE F 220.41 Commercial Electric Storage Water Heaters	Form and Instruction	Modified	Available
Form DOE F 220.40 Package Terminal Air Conditioners and Heat Pumps	Form and Instruction	Modified	Available
Form DOE F 220.39 Single Package Vertical Air Conditioners and Heat Pumps	Form and Instruction	Modified	Available
Form DOE F 220.38 Commercial Package Air Conditioners and Heat Pumps	Form and Instruction	Modified	Available
Form DOE F 220.37 Commercial Packages Boilers	Form and Instruction	Modified	Available
Form DOE F 220.36 Commercial Warm Air Furnaces	Form and Instruction	Modified	Available
Form DOE F 220.35 Commercial Refrigeration Equipment - Multiple Compartments	Form and Instruction	Modified	Available
Form DOE F 220.34 Commercial Refrigeration Equipment - Single Compartment	Form and Instruction	Modified	Available
Form DOE F 220.32 Candelabra Base Incandescent Lamps and Intermediate Base Incandescent Lamps	Form and Instruction	Modified	Available
Form DOE F 220.30 Switch-Selectable Single-Voltage External Power Supplies - Basic Model	Form and Instruction	Modified	Available
Form DOE F 220.29 Class A External Power Supplies Other Than Switch-Selectable Single-Voltage External Power Supplies - Design Family	Form and Instruction	Modified	Available
Form DOE F 220.28 Class A External Power Supplies Other Than Switch-Selectable Single-Voltage External Power Supplies - Basic Model	Form and Instruction	Modified	Available
Form DOE F 220.27 Dehumidifiers	Form and Instruction	Modified	Available
Form DOE F 220.26 Bare or Covered (No Reflector) Medium Base Compact Fluorescent Lamps	Form and Instruction	Modified	Available
Form DOE F 220.25 Torchieres	Form and Instruction	Modified	Available
Form DOE F 220.24 Ceiling Fan Light Kits with Sockets for Other than Mediul Screw Base Lamps or Pin-Based Fluorescent Lamps	Form and Instruction	Modified	Available
Form DOE F 220.23 Ceiling Fan Light Kits with Sockets for Medium Screw Base Lamps or with Pin-Based Sockets for Fluorescent Lamps	Form and Instruction	Modified	Available
Form DOE F 220.22 Ceiling Fans	Form and Instruction	Modified	Available
Form DOE F 220.21 Urinals	Form and Instruction	Modified	Available
Form DOE F 220.20 Water Closet	Form and Instruction	Modified	Available
Form DOE F 220.19 Showerheads	Form and Instruction	Modified	Available
Form DOE F 220.18 Faucets	Form and Instruction	Modified	Available
Form DOE F 220.17 General Service Incandescent Lamps	Form and Instruction	Modified	Available
Form DOE F 220.16 Incandescent Reflector Lamps	Form and Instruction	Modified	Available
Form DOE F 220.15 General Service Fluorescent Lamps v 4.4	Form and Instruction	Modified	Available
Form DOE F 220.15 Initial Certification for General Service Fluorescent Lamps v 4.5	Form and Instruction	Modified	Available
Form DOE F 220.14 Flourescent Lamp Ballasts	Form and Instruction	Modified	Available
Form DOE F 220.13 Pool Heaters	Form and Instruction	Modified	Available
Form DOE F 220.12 Residential Gas Cooking Products	Form and Instruction	Modified	Available
Form DOE F 220.11 Direct Heating Equipment	Form and Instruction	Modified	Available
Form DOE F 220.10 Residential Clothes Dryers	Form and Instruction	Modified	Available
Form DOE F 220.9 Residential Clothes Washers	Form and Instruction	Modified	Available
Form DOE F 220.8 Dishwashers	Form and Instruction	Modified	Available
Form DOE F 220.7 Residential Furnaces	Form and Instruction	Modified	Available
Form DOE F 220.6 Residential Water Heaters	Form and Instruction	Modified	Available
Form DOE F 220.5 Space-Constrained Air Conditioners and Heat Pumps	Form and Instruction	Modified	Available
Form DOE F 220.4 Small Duct, High Velocity Air Conditioners and Heat Pumps	Form and Instruction	Modified	Available
Form DOE F 220.3 Residential Central Air Conditioners and Heat Pumps v 4.3	Form and Instruction	Modified	Available
Form DOE F 220.2 Room Air Conditioners v 4.3	Form and Instruction	Modified	Available
Form DOE F 220.2 Room Air Conditioners v 4.2	Form and Instruction	Modified	Available
Form DOE F 220.1 Residential Refrigerators, Refrigerator-Freezers, and Freezers v 4.4	Form and Instruction	Modified	Available
Form DOE F 220.1 Residential Refrigerators, Refrigerators-Freezers, and Freezers v.4.3	Form and Instruction	Modified	Available
ICR_60_Day_Comment_Summary_Responses_1.31.18_Final.docx	Supplementary Document	Uploaded 2018-01-31	Available
ICR_60_Day_Comment_Summary_Responses_11-29-2017.docx	Supplementary Document	Uploaded 2017-12-04	Available
30 day published FRN 12-4-17.pdf	Supplementary Document	Uploaded 2017-12-04	Available
60 day published FRN 8-21-17.pdf	Supplementary Document	Uploaded 2017-11-30	Available
PRA_Supporting_Statement 1910-1400_1.31.18_Final.docx	Supporting Statement A	Uploaded 2018-01-31	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
23396	Compliance Statement Energy/Water Conservation Standards for Appliances	Form and Instruction	Modified	NEMA Design B General Purpose Electric Motors (Manufactured on or after Devember 19, 2010)
23396	Compliance Statement Energy/Water Conservation Standards for Appliances	Form and Instruction	Modified	General Purpose Electric Motors (Subtype III) (Manufactured on or after December 19, 2010)
23396	Compliance Statement Energy/Water Conservation Standards for Appliances	Form and Instruction	Modified	General Purpose Electric Motors (Subtype I) (Manufactured on or after December 19, 2010)
23396	Compliance Statement Energy/Water Conservation Standards for Appliances	Form and Instruction	Modified	Metal Halide Lamp Ballasts and Fixtures
23396	Compliance Statement Energy/Water Conservation Standards for Appliances	Form and Instruction	Modified	Refrigeration Systems for Walk-In Coolers and Freezers
23396	Compliance Statement Energy/Water Conservation Standards for Appliances	Form and Instruction	Modified	Doors for Walk-In Coolers and Freezers
23396	Compliance Statement Energy/Water Conservation Standards for Appliances	Form and Instruction	Modified	Panels for Walk-In Coolers and Freezers
23396	Compliance Statement Energy/Water Conservation Standards for Appliances	Form and Instruction	Modified	Refrigerated Bottled or Canned Beverage Vending Machines
23396	Compliance Statement Energy/Water Conservation Standards for Appliances	Form and Instruction	Modified	Commercial Pre-Rinse Spray Valves
23396	Compliance Statement Energy/Water Conservation Standards for Appliances	Form and Instruction	Modified	Commercial Unit Heaters
23396	Compliance Statement Energy/Water Conservation Standards for Appliances	Form and Instruction	Modified	Traffic Signal Modules and Pedestrian Modules
23396	Compliance Statement Energy/Water Conservation Standards for Appliances	Form and Instruction	Modified	Illuminated Exit Signs
23396	Compliance Statement Energy/Water Conservation Standards for Appliances	Form and Instruction	Modified	Medium-Voltage, Dry-Type Distribution Transformers Based on KVA Grouping
23396	Compliance Statement Energy/Water Conservation Standards for Appliances	Form and Instruction	Modified	Medium-Voltage, Dry-Type Distribution Transformers Based on Basic Model
23396	Compliance Statement Energy/Water Conservation Standards for Appliances	Form and Instruction	Modified	Low-Voltage, Dry-Type Distribution Transformers Based on KVA Grouping
23396	Compliance Statement Energy/Water Conservation Standards for Appliances	Form and Instruction	Modified	Low-Voltage, Dry-Type Distribution Transformers Based on Basic Model
23396	Compliance Statement Energy/Water Conservation Standards for Appliances	Form and Instruction	Modified	Liquid-Immersed Distribution Transformers Based on KVA Grouping
23396	Compliance Statement Energy/Water Conservation Standards for Appliances	Form and Instruction	Modified	Liquid-Immersed Distribution Transformers Based on Basic Model
23396	Compliance Statement Energy/Water Conservation Standards for Appliances	Form and Instruction	Modified	Commerical Clothes Washers
23396	Compliance Statement Energy/Water Conservation Standards for Appliances	Form and Instruction	Modified	Automatic Commercial Ice Makers
23396	Compliance Statement Energy/Water Conservation Standards for Appliances	Form and Instruction	Modified	Commercial Unfired Hot Water Storage Tanks
23396	Compliance Statement Energy/Water Conservation Standards for Appliances	Form and Instruction	Modified	Commerical Gas-Fried and Oil-Fired Instantaneous Water Heaters and Gas-Fired and Oil-Fired Hot Water Supply Boilers
23396	Compliance Statement Energy/Water Conservation Standards for Appliances	Form and Instruction	Modified	Commercial Gas-Fired and Oil-Fired Storage Water Heaters
23396	Compliance Statement Energy/Water Conservation Standards for Appliances	Form and Instruction	Modified	Commercial Electric Storage Water Heaters
23396	Compliance Statement Energy/Water Conservation Standards for Appliances	Form and Instruction	Modified	Package Terminal Air Conditioners and Heat Pumps
23396	Compliance Statement Energy/Water Conservation Standards for Appliances	Form and Instruction	Modified	Single Package Vertical Air Conditioners and Heat Pumps
23396	Compliance Statement Energy/Water Conservation Standards for Appliances	Form and Instruction	Modified	Commercial Package Air Conditioners and Heat Pumps
23396	Compliance Statement Energy/Water Conservation Standards for Appliances	Form and Instruction	Modified	Commercial Packages Boilers
23396	Compliance Statement Energy/Water Conservation Standards for Appliances	Form and Instruction	Modified	Commercial Warm Air Furnaces
23396	Compliance Statement Energy/Water Conservation Standards for Appliances	Form and Instruction	Modified	Commercial Refrigeration Equipment - Multiple Compartments
23396	Compliance Statement Energy/Water Conservation Standards for Appliances	Form and Instruction	Modified	Commercial Refrigeration Equipment - Single Compartment
23396	Compliance Statement Energy/Water Conservation Standards for Appliances	Form and Instruction	Modified	Candelabra Base Incandescent Lamps and Intermediate Base Incandescent Lamps
23396	Compliance Statement Energy/Water Conservation Standards for Appliances	Form and Instruction	Modified	Switch-Selectable Single-Voltage External Power Supplies - Basic Model
23396	Compliance Statement Energy/Water Conservation Standards for Appliances	Form and Instruction	Modified	Class A External Power Supplies Other Than Switch-Selectable Single-Voltage External Power Supplies - Design Family
23396	Compliance Statement Energy/Water Conservation Standards for Appliances	Form and Instruction	Modified	Class A External Power Supplies Other Than Switch-Selectable Single-Voltage External Power Supplies - Basic Model
23396	Compliance Statement Energy/Water Conservation Standards for Appliances	Form and Instruction	Modified	Dehumidifiers
23396	Compliance Statement Energy/Water Conservation Standards for Appliances	Form and Instruction	Modified	Bare or Covered (No Reflector) Medium Base Compact Fluorescent Lamps
23396	Compliance Statement Energy/Water Conservation Standards for Appliances	Form and Instruction	Modified	Torchieres
23396	Compliance Statement Energy/Water Conservation Standards for Appliances	Form and Instruction	Modified	Ceiling Fan Light Kits with Sockets for Other than Mediul Screw Base Lamps or Pin-Based Fluorescent Lamps
23396	Compliance Statement Energy/Water Conservation Standards for Appliances	Form and Instruction	Modified	Ceiling Fan Light Kits with Sockets for Medium Screw Base Lamps or with Pin-Based Sockets for Fluorescent Lamps
23396	Compliance Statement Energy/Water Conservation Standards for Appliances	Form and Instruction	Modified	Ceiling Fans
23396	Compliance Statement Energy/Water Conservation Standards for Appliances	Form and Instruction	Modified	Urinals
23396	Compliance Statement Energy/Water Conservation Standards for Appliances	Form and Instruction	Modified	Water Closet
23396	Compliance Statement Energy/Water Conservation Standards for Appliances	Form and Instruction	Modified	Showerheads
23396	Compliance Statement Energy/Water Conservation Standards for Appliances	Form and Instruction	Modified	Faucets
23396	Compliance Statement Energy/Water Conservation Standards for Appliances	Form and Instruction	Modified	General Service Incandescent Lamps
23396	Compliance Statement Energy/Water Conservation Standards for Appliances	Form and Instruction	Modified	Incandescent Reflector Lamps
23396	Compliance Statement Energy/Water Conservation Standards for Appliances	Form and Instruction	Modified	General Service Fluorescent Lamps v 4.4
23396	Compliance Statement Energy/Water Conservation Standards for Appliances	Form and Instruction	Modified	Initial Certification for General Service Fluorescent Lamps v 4.5
23396	Compliance Statement Energy/Water Conservation Standards for Appliances	Form and Instruction	Modified	Flourescent Lamp Ballasts
23396	Compliance Statement Energy/Water Conservation Standards for Appliances	Form and Instruction	Modified	Pool Heaters
23396	Compliance Statement Energy/Water Conservation Standards for Appliances	Form and Instruction	Modified	Residential Gas Cooking Products
23396	Compliance Statement Energy/Water Conservation Standards for Appliances	Form and Instruction	Modified	Direct Heating Equipment
23396	Compliance Statement Energy/Water Conservation Standards for Appliances	Form and Instruction	Modified	Residential Clothes Dryers
23396	Compliance Statement Energy/Water Conservation Standards for Appliances	Form and Instruction	Modified	Residential Clothes Washers
23396	Compliance Statement Energy/Water Conservation Standards for Appliances	Form and Instruction	Modified	Dishwashers
23396	Compliance Statement Energy/Water Conservation Standards for Appliances	Form and Instruction	Modified	Residential Furnaces
23396	Compliance Statement Energy/Water Conservation Standards for Appliances	Form and Instruction	Modified	Residential Water Heaters
23396	Compliance Statement Energy/Water Conservation Standards for Appliances	Form and Instruction	Modified	Space-Constrained Air Conditioners and Heat Pumps
23396	Compliance Statement Energy/Water Conservation Standards for Appliances	Form and Instruction	Modified	Small Duct, High Velocity Air Conditioners and Heat Pumps
23396	Compliance Statement Energy/Water Conservation Standards for Appliances	Form and Instruction	Modified	Residential Central Air Conditioners and Heat Pumps v 4.3
23396	Compliance Statement Energy/Water Conservation Standards for Appliances	Form and Instruction	Modified	Room Air Conditioners v 4.3
23396	Compliance Statement Energy/Water Conservation Standards for Appliances	Form and Instruction	Modified	Room Air Conditioners v 4.2
23396	Compliance Statement Energy/Water Conservation Standards for Appliances	Form and Instruction	Modified	Residential Refrigerators, Refrigerator-Freezers, and Freezers v 4.4
23396	Compliance Statement Energy/Water Conservation Standards for Appliances	Form and Instruction	Modified	Residential Refrigerators, Refrigerators-Freezers, and Freezers v.4.3
23396	Compliance Statement Energy/Water Conservation Standards for Appliances	Other-Link to All Collection Instruments	Modified

ICR Details

OMB Control No: 1910-1400	ICR Reference No: 201711-1910-002
Status: Historical Active	Previous ICR Reference No: 201402-1910-002
Agency/Subagency: DOE/DOEOA	Agency Tracking No: Ashley Armstrong (EERE)
Title: Compliance Statement Energy/Water Conservation Standards for Appliances
Type of Information Collection: Reinstatement with change of a previously approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 02/26/2018
Retrieve Notice of Action (NOA)	Date Received in OIRA: 12/05/2017
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	02/28/2021	36 Months From Approved
Responses	20,000	0	0
Time Burden (Hours)	775,000	0	0
Cost Burden (Dollars)	77,500,000	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:
	82 FR 161	08/22/2017
30-day Notice:	Federal Register Citation:	Citation Date:
	82 FR 231	12/04/2017
Did the Agency receive public comments on this ICR? Yes

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

table that charts list of burden

IC Title	Form No.	Form Name
Compliance Statement Energy/Water Conservation Standards for Appliances	DOE F 220.35, DOE F 220.36, DOE F 220.6, DOE F 220.37, DOE F 220.53, DOE F 220.1, DOE F 220.2, DOE F 220.2, 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 220.50, 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 220.59, DOE F 220.60, DOE F 220.62, DOE F 220.63, DOE F 220.4, DOE F 220.5, DOE F 220.11, DOE F 220.24, DOE F 220.25, DOE F 220.3, DOE F 220.64, DOE F 220.65, DOE F 220.15, 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 220.32, DOE F 220.34, DOE F 220.8, DOE F 220.54, DOE F 220.38, DOE F 220.39, DOE F 220.40, DOE F 220.1, DOE F 220.7, DOE F 220.9, DOE F 220.10, DOE F 220.12, DOE F 220.13, DOE F 220.14, 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 220.41, DOE F 220.48, DOE F 220.49	Residential Refrigerators, Refrigerators-Freezers, and Freezers v.4.3 ,   Residential Refrigerators, Refrigerator-Freezers, and Freezers v 4.4 ,   Room Air Conditioners v 4.2 ,   Room Air Conditioners v 4.3 ,   Residential Central Air Conditioners and Heat Pumps v 4.3 ,   Small Duct, High Velocity Air Conditioners and Heat Pumps ,   Space-Constrained Air Conditioners and Heat Pumps ,   Residential Water Heaters ,   Residential Furnaces ,   Dishwashers ,   Residential Clothes Washers ,   Residential Clothes Dryers ,   Direct Heating Equipment ,   Residential Gas Cooking Products ,   Pool Heaters ,   Flourescent Lamp Ballasts ,   Initial Certification for General Service Fluorescent Lamps v 4.5 ,   General Service Fluorescent Lamps v 4.4 ,   Incandescent Reflector Lamps ,   General Service Incandescent Lamps ,   Faucets ,   Showerheads ,   Water Closet ,   Urinals ,   Ceiling Fans ,   Ceiling Fan Light Kits with Sockets for Medium Screw Base Lamps or with Pin-Based Sockets for Fluorescent Lamps ,   Ceiling Fan Light Kits with Sockets for Other than Mediul Screw Base Lamps or Pin-Based Fluorescent Lamps ,   Torchieres ,   Bare or Covered (No Reflector) Medium Base Compact Fluorescent Lamps ,   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 ,   Candelabra Base Incandescent Lamps and Intermediate Base Incandescent Lamps ,   Commercial Refrigeration Equipment - Single Compartment ,   Commercial Refrigeration Equipment - Multiple Compartments ,   Commercial Warm Air Furnaces ,   Commercial Packages Boilers ,   Commercial Package Air Conditioners and Heat Pumps ,   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 ,   Low-Voltage, Dry-Type Distribution Transformers Based on KVA Grouping ,   Medium-Voltage, Dry-Type Distribution Transformers Based on Basic Model ,   Medium-Voltage, Dry-Type Distribution Transformers Based on KVA Grouping ,   Illuminated Exit Signs ,   Traffic Signal Modules and Pedestrian Modules ,   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)

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ICR Summary of Burden

table that charts list 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	0	0	0	0	20,000
Annual Time Burden (Hours)	775,000	0	0	0	707,000	68,000
Annual Cost Burden (Dollars)	77,500,000	0	0	0	70,700,000	6,800,000

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:

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Annual Cost to Federal Government: $490,250

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

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     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: 12/05/2017

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