Information Collection

Compliance Statement Energy/Water Conservation Standards for Appliances

IC 23396 under ICR 201711-1910-002 · 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⚠️ Notice: This information collection may be referencing outdated material.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

Documents and forms in this information collection
Document Name	Document Type
_Link to All Collection Instruments.docx www.regulations.doe.gov/ccms/templates/product_templates	Other-Link to All Collection Instrum
DOE F 220.1 Residential Refrigerators, Refrigerators-Freezers, and F DOE F 220.1_TEMPLATE_Residential_Refrigerators_Refrigerator-Freezers_Freezers_v4.3.xlsx www.regulations.doe.gov/ccms/templates	Form and Instruction
DOE F 220.1 Residential Refrigerators, Refrigerator-Freezers, and Fr DOE F 220.1_TEMPLATE_Residential_Refrigerators_Refrigerator-Freezers_Freezers_v4.4.xlsx www.regulations.doe.gov/ccms/templates	Form and Instruction
DOE F 220.2 Room Air Conditioners v 4.2 DOE F 220.2_TEMPLATE_Room_Air_Conditioners_v4.2.xlsx www.regulations.doe.gov/ccms/templates	Form and Instruction
DOE F 220.2 Room Air Conditioners v 4.3 DOE F 220.2_TEMPLATE_Room_Air_Conditioners_v4.3.xlsx www.regulations.doe.gov/ccms/templates	Form and Instruction
DOE F 220.3 Residential Central Air Conditioners and Heat Pumps v 4. DOE F 220.3_TEMPLATE_Residential_Central_AC_and_HP_v4.3.xlsx www.regulations.doe.gov/ccms/templates	Form and Instruction
DOE F 220.4 Small Duct, High Velocity Air Conditioners and Heat Pump DOE F 220.4_TEMPLATE_Small_Duct_High_Velocity_AC_and_HP_v4.3.xlsx www.regulations.doe.gov/ccms/templates	Form and Instruction
DOE F 220.5 Space-Constrained Air Conditioners and Heat Pumps DOE F 220.5_TEMPLATE_Space-Constrained_AC_and_HP_v4.3.xlsx www.regulations.doe.gov/ccms/templates	Form and Instruction
DOE F 220.6 Residential Water Heaters DOE F 220.6_TEMPLATE_Residential_Water_Heaters_v4.3.xlsx www.regulations.doe.gov/ccms/templates	Form and Instruction
DOE F 220.7 Residential Furnaces DOE F 220.7_TEMPLATE_Residential_Furnaces_v4.3.xlsx www.regulations.doe.gov/ccms/templates	Form and Instruction
DOE F 220.8 Dishwashers DOE F 220.8_TEMPLATE_Dishwashers_v4.3.xlsx www.regulations.doe.gov/ccms/templates	Form and Instruction
DOE F 220.9 Residential Clothes Washers DOE F 220.9_TEMPLATE_Residential_Clothes_Washers_v4.2.xlsx www.regulations.doe.gov/ccms/templates	Form and Instruction
DOE F 220.10 Residential Clothes Dryers DOE F 220.10_TEMPLATE_Residential_Clothes_Dryers_v4.2.xlsx www.regulations.doe.gov/ccms/templates	Form and Instruction
DOE F 220.11 Direct Heating Equipment DOE F 220.11_TEMPLATE_Direct_Heating_Equipment_v4.3.xlsx www.regulations.doe.gov/ccms/templates	Form and Instruction
DOE F 220.12 Residential Gas Cooking Products DOE F 220.12_TEMPLATE_Residential_Gas_Cooking_Products_v4.3.xlsx www.regulations.doe.gov/ccms/templates	Form and Instruction
DOE F 220.13 Pool Heaters DOE F 220.13_TEMPLATE_Pool_Heaters_v4.2.xlsx www.regulations.doe.gov/ccms/templates	Form and Instruction
DOE F 220.14 Flourescent Lamp Ballasts DOE F 220.14_TEMPLATE_Fluorescent_Lamp_Ballasts_v4_3.xlsx www.regulations.doe.gov/ccms/templates	Form and Instruction
DOE F 220.15 Initial Certification for General Service Fluorescent La DOE F 220.15_TEMPLATE_General_Service_Fluorescent_Lamps_New_Basic_Model_Filing_Only_v4_5.xlsx www.regulations.doe.gov/ccms/templates	Form and Instruction
DOE F 220.15 General Service Fluorescent Lamps v 4.4 DOE F 220.15_TEMPLATE_General_Service_Fluorescent_Lamps_v4_4.xlsx www.regulations.doe.gov/ccms/templates	Form and Instruction
DOE F 220.16 Incandescent Reflector Lamps DOE F 220.16_TEMPLATE_Incandescent_Reflector_Lamps_v4.3.xlsx www.regulations.doe.gov/ccms/templates	Form and Instruction
DOE F 220.17 General Service Incandescent Lamps DOE F 220.17_TEMPLATE_General_Service_Incandescent_Lamps_v4.3.xlsx www.regulations.doe.gov/ccms/templates	Form and Instruction
DOE F 220.18 Faucets DOE F 220.18_TEMPLATE_Faucets_v4.2.xlsx www.regulations.doe.gov/ccms/templates	Form and Instruction
DOE F 220.19 Showerheads DOE F 220.19_TEMPLATE_Showerheads_v4.2.xlsx www.regulations.doe.gov/ccms/templates	Form and Instruction
DOE F 220.20 Water Closet DOE F 220.20_TEMPLATE_Water_Closets_v4.2.xlsx www.regulations.doe.gov/ccms/templates	Form and Instruction
DOE F 220.21 Urinals DOE F 220.21_TEMPLATE_Urinals_v4.2.xlsx www.regulations.doe.gov/ccms/templates	Form and Instruction
DOE F 220.22 Ceiling Fans DOE F 220.22_TEMPLATE_Ceiling_Fans_v4.3.xlsx www.regulations.doe.gov/ccms/templates	Form and Instruction
DOE F 220.23 Ceiling Fan Light Kits with Sockets for Medium Screw Bas DOE F 220.23_TEMPLATE_Ceiling_Fan_Light_Kits_MSB_or_PBF_Lamps_v4.3.xlsx www.regulations.doe.gov/ccms/templates	Form and Instruction
DOE F 220.24 Ceiling Fan Light Kits with Sockets for Other than Mediu DOE F 220.24_TEMPLATE_Ceiling_Fan_Light_Kits_Other_Than_MSB_or_PBF_v4.3.xlsx www.regulations.doe.gov/ccms/templates	Form and Instruction
DOE F 220.25 Torchieres DOE F 220.25_TEMPLATE_Torchieres_v4.2.xlsx www.regulations.doe.gov/ccms/templates	Form and Instruction
DOE F 220.26 Bare or Covered (No Reflector) Medium Base Compact Fluor DOE F 220.26_TEMPLATE_Medium_Base_Compact_Fluorescent_Lamps_v4.3.xlsx www.regulations.doe.gov/ccms/templates	Form and Instruction
DOE F 220.27 Dehumidifiers DOE F 220.27_TEMPLATE_Dehumidifiers_v4 3.xlsx www.regulations.doe.gov/ccms/templates	Form and Instruction
DOE F 220.28 Class A External Power Supplies Other Than Switch-Select DOE F 220.28_TEMPLATE_Class_A_External_Power_Supplies_Basic_Model_v4.3.xlsx www.regulations.doe.gov/ccms/templates	Form and Instruction
DOE F 220.29 Class A External Power Supplies Other Than Switch-Select DOE F 220.29_TEMPLATE_Class_A_External_Power_Supplies_Design_Family_v4.3.xlsx www.regulations.doe.gov/ccms/templates	Form and Instruction
DOE F 220.30 Switch-Selectable Single-Voltage External Power Supplies DOE F 220.30_TEMPLATE_Switch-Selectable_External_Power_Supplies_Basic_Model_v4.3.xlsx www.regulations.doe.gov/ccms/templates	Form and Instruction
DOE F 220.32 Candelabra Base Incandescent Lamps and Intermediate Base DOE F 220.32_TEMPLATE_Candelabra_and_Intermed_Base_Incandes_Lamps_v4.2.xlsx www.regulations.doe.gov/ccms/templates	Form and Instruction
DOE F 220.34 Commercial Refrigeration Equipment - Single Compartment DOE F 220.34_Copy of TEMPLATE_Commercial_Refrigeration_Equipment_Single_Compartment_v4 3.xlsx	Form and Instruction
DOE F 220.35 Commercial Refrigeration Equipment - Multiple Compartmen DOE F 220.35_Copy of TEMPLATE_Commercial_Refrigeration_Equipment_Multiple_Compartments_v4 3.xlsx www.regulations.doe.gov/ccms/templates	Form and Instruction
DOE F 220.36 Commercial Warm Air Furnaces DOE F 220.36_TEMPLATE_Commercial_Warm_Air_Furnaces_v4.4.xlsx www.regulations.doe.gov/ccms/templates	Form and Instruction
DOE F 220.37 Commercial Packages Boilers DOE F 220.37_Copy of TEMPLATE_Commercial_Packaged_Boilers_v4 4.xlsx www.regulations.doe.gov/ccms/templates	Form and Instruction
DOE F 220.38 Commercial Package Air Conditioners and Heat Pumps DOE F 220.38_Copy of TEMPLATE_Commercial_Package_AC_and_HP_v4 2.xlsx www.regulations.doe.gov/ccms/templates	Form and Instruction
DOE F 220.39 Single Package Vertical Air Conditioners and Heat Pumps DOE F 220.39_Copy of TEMPLATE_Single_Package_Vertical_AC_and_HP_v4 2.xlsx www.regulations.doe.gov/ccms/templates	Form and Instruction
DOE F 220.40 Package Terminal Air Conditioners and Heat Pumps DOE F 220.40_TEMPLATE_Package_Terminal_AC_and_HP_v4.5.xlsx www.regulations.doe.gov/ccms/templates	Form and Instruction
DOE F 220.41 Commercial Electric Storage Water Heaters DOE F 220.41_TEMPLATE_Commercial_Electric_Storage_Water_Heaters_v4.3.xlsx www.regulations.doe.gov/ccms/templates	Form and Instruction
DOE F 220.42 Commercial Gas-Fired and Oil-Fired Storage Water Heaters DOE F 220.42_TEMPLATE_Commercial_Gas_and_Oil_Fired_Storage_Water_Heaters_v4.3.xlsx www.regulations.doe.gov/ccms/templates	Form and Instruction
DOE F 220.43 Commerical Gas-Fried and Oil-Fired Instantaneous Water H DOE F 220.43_TEMPLATE_Commercial_Instantaneous_WH_and_Hot_Water_Supply_Boilers_v4.3.xlsx www.regulations.doe.gov/ccms/templates	Form and Instruction
DOE F 220.44 Commercial Unfired Hot Water Storage Tanks DOE F 220.44_TEMPLATE_Commercial_Unfired_Hot_Water_Storage_Tanks_v4.3.xlsx www.regulations.doe.gov/ccms/templates	Form and Instruction
DOE F 220.45 Automatic Commercial Ice Makers DOE F 220.45_TEMPLATE_Automatic_Commercial_Ice_Makers_v4.3.xlsx www.regulations.doe.gov/ccms/templates	Form and Instruction
DOE F 220.46 Commerical Clothes Washers DOE F 220.46_TEMPLATE_Commercial_Clothes_Washers_v4.2.xlsx www.regulations.doe.gov/ccms/templates	Form and Instruction
DOE F 220.47 Liquid-Immersed Distribution Transformers Based on Basic DOE F 220.47_TEMPLATE_Distribution_Transformers_Liquid_Immersed_Basic_Model_v4.3.xlsx www.regulations.doe.gov/ccms/templates	Form and Instruction
DOE F 220.48 Liquid-Immersed Distribution Transformers Based on KVA G DOE F 220.48_TEMPLATE_Distribution_Transformers_Liquid_Immersed_kVA_Group_v4.3.xlsx www.regulations.doe.gov/ccms/templates	Form and Instruction
DOE F 220.49 Low-Voltage, Dry-Type Distribution Transformers Based on DOE F 220.49_TEMPLATE_Distribution_Transformers_Low-Voltage_Dry-Type_Basic_Model_v4.3.xlsx www.regulations.doe.gov/ccms/templates	Form and Instruction
DOE F 220.50 Low-Voltage, Dry-Type Distribution Transformers Based on DOE F 220.50_TEMPLATE_Distribution_Transformers_Low-Voltage_Dry-Type_kVA_Group_v4.3.xlsx www.regulations.doe.gov/ccms/templates	Form and Instruction
DOE F 220.51 Medium-Voltage, Dry-Type Distribution Transformers Based DOE F 220.51_TEMPLATE_Distribution_Transformers_Medium-Voltage_Dry-Type_Basic_Model_v4.3.xlsx www.regulations.doe.gov/ccms/templates	Form and Instruction
DOE F 220.52 Medium-Voltage, Dry-Type Distribution Transformers Based DOE F 220.52_TEMPLATE_Distribution_Transformers_Medium-Voltage_Dry-Type_kVA_Group_v4.3.xlsx www.regulations.doe.gov/ccms/templates	Form and Instruction
DOE F 220.53 Illuminated Exit Signs DOE F 220.53_TEMPLATE_Illuminated_Exit_Signs_v4.2.xlsx www.regulations.doe.gov/ccms/templates	Form and Instruction
DOE F 220.54 Traffic Signal Modules and Pedestrian Modules DOE F 220.54_TEMPLATE_Traffic_Signal_and_Pedestrian_Modules_v4.2.xlsx www.regulations.doe.gov/ccms/templates	Form and Instruction
DOE F 220.55 Commercial Unit Heaters DOE F 220.55_TEMPLATE_Commercial_Unit_Heaters_v4.3.xlsx www.regulations.doe.gov/ccms/templates	Form and Instruction
DOE F 220.56 Commercial Pre-Rinse Spray Valves DOE F 220.56_TEMPLATE_Commercial_Pre-Rinse_Spray_Valves_v4.2.xlsx www.regulations.doe.gov/ccms/templates	Form and Instruction
DOE F 220.57 Refrigerated Bottled or Canned Beverage Vending Machines DOE F 220.57_TEMPLATE_Refrigerated_Beverage_Vending_Machines_v4.2.xlsx www.regulations.doe.gov/ccms/templates	Form and Instruction
DOE F 220.58 Panels for Walk-In Coolers and Freezers DOE F 220.58_TEMPLATE_Walk-In_Coolers_and_Freezers_Panels_v4.4.xlsx www.regulations.doe.gov/ccms/templates	Form and Instruction
DOE F 220.59 Doors for Walk-In Coolers and Freezers DOE F 220.59_TEMPLATE_Walk-In_Coolers_and_Freezers_Doors_v4 6.xlsx www.regulations.doe.gov/ccms/templates	Form and Instruction
DOE F 220.60 Refrigeration Systems for Walk-In Coolers and Freezers DOE F 220.60_TEMPLATE_Walk-In_Coolers_and_Freezers_Refrigeration_Systems_v4 3.xlsx www.regulations.doe.gov/ccms/templates	Form and Instruction
DOE F 220.62 Metal Halide Lamp Ballasts and Fixtures DOE F 220.62_TEMPLATE_Metal_Halide_Lamp_Ballasts_and_Fixtures_v4.2.xlsx www.regulations.doe.gov/ccms/templates	Form and Instruction
DOE F 220.63 General Purpose Electric Motors (Subtype I) (Manufacture DOE F 220.63_TEMPLATE_General_Purpose_Electric_Motors_Subtype_I_eff_Dec_19_2010_v4.2.xlsx www.regulations.doe.gov/ccms/templates	Form and Instruction
DOE F 220.64 General Purpose Electric Motors (Subtype III) (Manufactu DOE F 220.64_TEMPLATE_General_Purpose_Electric_Motors_Subtype_II_eff_Dec_19_2010_v4.2.xlsx www.regulations.doe.gov/ccms/templates	Form and Instruction
DOE F 220.65 NEMA Design B General Purpose Electric Motors (Manufactu DOE F 220.65_TEMPLATE_NEMA_Design_B_General_Purpose_Electric_Motors_eff_Dec_19_2010_v4.2.xlsx www.regulations.doe.gov/ccms/templates	Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

Compliance Statement Energy/Water Conservation Standards for Appliances

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 10 CFR 429

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
Other-Link to All Collection Instruments			_Link to All Collection Instruments.docx	https://www.regulations.doe.gov/ccms/templates/product_templates	Yes	Yes	Fillable Fileable
Form and Instruction	DOE F 220.1	Residential Refrigerators, Refrigerators-Freezers, and Freezers v.4.3	DOE F 220.1_TEMPLATE_Residential_Refrigerators_Refrigerator-Freezers_Freezers_v4.3.xlsx	https://www.regulations.doe.gov/ccms/templates	Yes	Yes	Fillable Fileable
Form and Instruction	DOE F 220.1	Residential Refrigerators, Refrigerator-Freezers, and Freezers v 4.4	DOE F 220.1_TEMPLATE_Residential_Refrigerators_Refrigerator-Freezers_Freezers_v4.4.xlsx	https://www.regulations.doe.gov/ccms/templates	Yes	Yes	Fillable Fileable
Form and Instruction	DOE F 220.2	Room Air Conditioners v 4.2	DOE F 220.2_TEMPLATE_Room_Air_Conditioners_v4.2.xlsx	https://www.regulations.doe.gov/ccms/templates	Yes	Yes	Fillable Fileable
Form and Instruction	DOE F 220.2	Room Air Conditioners v 4.3	DOE F 220.2_TEMPLATE_Room_Air_Conditioners_v4.3.xlsx	https://www.regulations.doe.gov/ccms/templates	Yes	Yes	Fillable Fileable
Form and Instruction	DOE F 220.3	Residential Central Air Conditioners and Heat Pumps v 4.3	DOE F 220.3_TEMPLATE_Residential_Central_AC_and_HP_v4.3.xlsx	https://www.regulations.doe.gov/ccms/templates	Yes	Yes	Fillable Fileable
Form and Instruction	DOE F 220.4	Small Duct, High Velocity Air Conditioners and Heat Pumps	DOE F 220.4_TEMPLATE_Small_Duct_High_Velocity_AC_and_HP_v4.3.xlsx	https://www.regulations.doe.gov/ccms/templates	Yes	Yes	Fillable Fileable
Form and Instruction	DOE F 220.5	Space-Constrained Air Conditioners and Heat Pumps	DOE F 220.5_TEMPLATE_Space-Constrained_AC_and_HP_v4.3.xlsx	https://www.regulations.doe.gov/ccms/templates	Yes	Yes	Fillable Fileable
Form and Instruction	DOE F 220.6	Residential Water Heaters	DOE F 220.6_TEMPLATE_Residential_Water_Heaters_v4.3.xlsx	https://www.regulations.doe.gov/ccms/templates	Yes	Yes	Fillable Fileable
Form and Instruction	DOE F 220.7	Residential Furnaces	DOE F 220.7_TEMPLATE_Residential_Furnaces_v4.3.xlsx	https://www.regulations.doe.gov/ccms/templates	Yes	Yes	Fillable Fileable
Form and Instruction	DOE F 220.8	Dishwashers	DOE F 220.8_TEMPLATE_Dishwashers_v4.3.xlsx	https://www.regulations.doe.gov/ccms/templates	Yes	Yes	Fillable Fileable
Form and Instruction	DOE F 220.9	Residential Clothes Washers	DOE F 220.9_TEMPLATE_Residential_Clothes_Washers_v4.2.xlsx	https://www.regulations.doe.gov/ccms/templates	Yes	Yes	Fillable Fileable
Form and Instruction	DOE F 220.10	Residential Clothes Dryers	DOE F 220.10_TEMPLATE_Residential_Clothes_Dryers_v4.2.xlsx	https://www.regulations.doe.gov/ccms/templates	Yes	Yes	Fillable Fileable
Form and Instruction	DOE F 220.11	Direct Heating Equipment	DOE F 220.11_TEMPLATE_Direct_Heating_Equipment_v4.3.xlsx	https://www.regulations.doe.gov/ccms/templates	Yes	Yes	Fillable Fileable
Form and Instruction	DOE F 220.12	Residential Gas Cooking Products	DOE F 220.12_TEMPLATE_Residential_Gas_Cooking_Products_v4.3.xlsx	https://www.regulations.doe.gov/ccms/templates	Yes	Yes	Fillable Fileable
Form and Instruction	DOE F 220.13	Pool Heaters	DOE F 220.13_TEMPLATE_Pool_Heaters_v4.2.xlsx	https://www.regulations.doe.gov/ccms/templates	Yes	Yes	Fillable Fileable
Form and Instruction	DOE F 220.14	Flourescent Lamp Ballasts	DOE F 220.14_TEMPLATE_Fluorescent_Lamp_Ballasts_v4_3.xlsx	https://www.regulations.doe.gov/ccms/templates	Yes	Yes	Fillable Fileable
Form and Instruction	DOE F 220.15	Initial Certification for General Service Fluorescent Lamps v 4.5	DOE F 220.15_TEMPLATE_General_Service_Fluorescent_Lamps_New_Basic_Model_Filing_Only_v4_5.xlsx	https://www.regulations.doe.gov/ccms/templates	Yes	Yes	Fillable Fileable
Form and Instruction	DOE F 220.15	General Service Fluorescent Lamps v 4.4	DOE F 220.15_TEMPLATE_General_Service_Fluorescent_Lamps_v4_4.xlsx	https://www.regulations.doe.gov/ccms/templates	Yes	Yes	Fillable Fileable
Form and Instruction	DOE F 220.16	Incandescent Reflector Lamps	DOE F 220.16_TEMPLATE_Incandescent_Reflector_Lamps_v4.3.xlsx	https://www.regulations.doe.gov/ccms/templates	Yes	Yes	Fillable Fileable
Form and Instruction	DOE F 220.17	General Service Incandescent Lamps	DOE F 220.17_TEMPLATE_General_Service_Incandescent_Lamps_v4.3.xlsx	https://www.regulations.doe.gov/ccms/templates	Yes	Yes	Fillable Fileable
Form and Instruction	DOE F 220.18	Faucets	DOE F 220.18_TEMPLATE_Faucets_v4.2.xlsx	https://www.regulations.doe.gov/ccms/templates	Yes	Yes	Fillable Fileable
Form and Instruction	DOE F 220.19	Showerheads	DOE F 220.19_TEMPLATE_Showerheads_v4.2.xlsx	https://www.regulations.doe.gov/ccms/templates	Yes	Yes	Fillable Fileable
Form and Instruction	DOE F 220.20	Water Closet	DOE F 220.20_TEMPLATE_Water_Closets_v4.2.xlsx	https://www.regulations.doe.gov/ccms/templates	Yes	Yes	Fillable Fileable
Form and Instruction	DOE F 220.21	Urinals	DOE F 220.21_TEMPLATE_Urinals_v4.2.xlsx	https://www.regulations.doe.gov/ccms/templates	Yes	Yes	Fillable Fileable
Form and Instruction	DOE F 220.22	Ceiling Fans	DOE F 220.22_TEMPLATE_Ceiling_Fans_v4.3.xlsx	https://www.regulations.doe.gov/ccms/templates	Yes	Yes	Fillable Fileable
Form and Instruction	DOE F 220.23	Ceiling Fan Light Kits with Sockets for Medium Screw Base Lamps or with Pin-Based Sockets for Fluorescent Lamps	DOE F 220.23_TEMPLATE_Ceiling_Fan_Light_Kits_MSB_or_PBF_Lamps_v4.3.xlsx	https://www.regulations.doe.gov/ccms/templates	Yes	Yes	Fillable Fileable
Form and Instruction	DOE F 220.24	Ceiling Fan Light Kits with Sockets for Other than Mediul Screw Base Lamps or Pin-Based Fluorescent Lamps	DOE F 220.24_TEMPLATE_Ceiling_Fan_Light_Kits_Other_Than_MSB_or_PBF_v4.3.xlsx	https://www.regulations.doe.gov/ccms/templates	Yes	Yes	Fillable Fileable
Form and Instruction	DOE F 220.25	Torchieres	DOE F 220.25_TEMPLATE_Torchieres_v4.2.xlsx	https://www.regulations.doe.gov/ccms/templates	Yes	Yes	Fillable Fileable
Form and Instruction	DOE F 220.26	Bare or Covered (No Reflector) Medium Base Compact Fluorescent Lamps	DOE F 220.26_TEMPLATE_Medium_Base_Compact_Fluorescent_Lamps_v4.3.xlsx	https://www.regulations.doe.gov/ccms/templates	Yes	Yes	Fillable Fileable
Form and Instruction	DOE F 220.27	Dehumidifiers	DOE F 220.27_TEMPLATE_Dehumidifiers_v4 3.xlsx	https://www.regulations.doe.gov/ccms/templates	Yes	Yes	Fillable Fileable
Form and Instruction	DOE F 220.28	Class A External Power Supplies Other Than Switch-Selectable Single-Voltage External Power Supplies - Basic Model	DOE F 220.28_TEMPLATE_Class_A_External_Power_Supplies_Basic_Model_v4.3.xlsx	https://www.regulations.doe.gov/ccms/templates	Yes	Yes	Fillable Fileable
Form and Instruction	DOE F 220.29	Class A External Power Supplies Other Than Switch-Selectable Single-Voltage External Power Supplies - Design Family	DOE F 220.29_TEMPLATE_Class_A_External_Power_Supplies_Design_Family_v4.3.xlsx	https://www.regulations.doe.gov/ccms/templates	Yes	Yes	Fillable Fileable
Form and Instruction	DOE F 220.30	Switch-Selectable Single-Voltage External Power Supplies - Basic Model	DOE F 220.30_TEMPLATE_Switch-Selectable_External_Power_Supplies_Basic_Model_v4.3.xlsx	https://www.regulations.doe.gov/ccms/templates	Yes	Yes	Fillable Fileable
Form and Instruction	DOE F 220.32	Candelabra Base Incandescent Lamps and Intermediate Base Incandescent Lamps	DOE F 220.32_TEMPLATE_Candelabra_and_Intermed_Base_Incandes_Lamps_v4.2.xlsx	https://www.regulations.doe.gov/ccms/templates	Yes	Yes	Fillable Fileable
Form and Instruction	DOE F 220.34	Commercial Refrigeration Equipment - Single Compartment	DOE F 220.34_Copy of TEMPLATE_Commercial_Refrigeration_Equipment_Single_Compartment_v4 3.xlsx		Yes	Yes	Fillable Fileable
Form and Instruction	DOE F 220.35	Commercial Refrigeration Equipment - Multiple Compartments	DOE F 220.35_Copy of TEMPLATE_Commercial_Refrigeration_Equipment_Multiple_Compartments_v4 3.xlsx	https://www.regulations.doe.gov/ccms/templates	Yes	Yes	Fillable Fileable
Form and Instruction	DOE F 220.36	Commercial Warm Air Furnaces	DOE F 220.36_TEMPLATE_Commercial_Warm_Air_Furnaces_v4.4.xlsx	https://www.regulations.doe.gov/ccms/templates	Yes	Yes	Fillable Fileable
Form and Instruction	DOE F 220.37	Commercial Packages Boilers	DOE F 220.37_Copy of TEMPLATE_Commercial_Packaged_Boilers_v4 4.xlsx	https://www.regulations.doe.gov/ccms/templates	Yes	Yes	Fillable Fileable
Form and Instruction	DOE F 220.38	Commercial Package Air Conditioners and Heat Pumps	DOE F 220.38_Copy of TEMPLATE_Commercial_Package_AC_and_HP_v4 2.xlsx	https://www.regulations.doe.gov/ccms/templates	Yes	Yes	Fillable Fileable
Form and Instruction	DOE F 220.39	Single Package Vertical Air Conditioners and Heat Pumps	DOE F 220.39_Copy of TEMPLATE_Single_Package_Vertical_AC_and_HP_v4 2.xlsx	https://www.regulations.doe.gov/ccms/templates	Yes	Yes	Fillable Fileable
Form and Instruction	DOE F 220.40	Package Terminal Air Conditioners and Heat Pumps	DOE F 220.40_TEMPLATE_Package_Terminal_AC_and_HP_v4.5.xlsx	https://www.regulations.doe.gov/ccms/templates	Yes	Yes	Fillable Fileable
Form and Instruction	DOE F 220.41	Commercial Electric Storage Water Heaters	DOE F 220.41_TEMPLATE_Commercial_Electric_Storage_Water_Heaters_v4.3.xlsx	https://www.regulations.doe.gov/ccms/templates	Yes	Yes	Fillable Fileable
Form and Instruction	DOE F 220.42	Commercial Gas-Fired and Oil-Fired Storage Water Heaters	DOE F 220.42_TEMPLATE_Commercial_Gas_and_Oil_Fired_Storage_Water_Heaters_v4.3.xlsx	https://www.regulations.doe.gov/ccms/templates	Yes	Yes	Fillable Fileable
Form and Instruction	DOE F 220.43	Commerical Gas-Fried and Oil-Fired Instantaneous Water Heaters and Gas-Fired and Oil-Fired Hot Water Supply Boilers	DOE F 220.43_TEMPLATE_Commercial_Instantaneous_WH_and_Hot_Water_Supply_Boilers_v4.3.xlsx	https://www.regulations.doe.gov/ccms/templates	Yes	Yes	Fillable Fileable
Form and Instruction	DOE F 220.44	Commercial Unfired Hot Water Storage Tanks	DOE F 220.44_TEMPLATE_Commercial_Unfired_Hot_Water_Storage_Tanks_v4.3.xlsx	https://www.regulations.doe.gov/ccms/templates	Yes	Yes	Fillable Fileable
Form and Instruction	DOE F 220.45	Automatic Commercial Ice Makers	DOE F 220.45_TEMPLATE_Automatic_Commercial_Ice_Makers_v4.3.xlsx	https://www.regulations.doe.gov/ccms/templates	Yes	Yes	Fillable Fileable
Form and Instruction	DOE F 220.46	Commerical Clothes Washers	DOE F 220.46_TEMPLATE_Commercial_Clothes_Washers_v4.2.xlsx	https://www.regulations.doe.gov/ccms/templates	Yes	Yes	Fillable Fileable
Form and Instruction	DOE F 220.47	Liquid-Immersed Distribution Transformers Based on Basic Model	DOE F 220.47_TEMPLATE_Distribution_Transformers_Liquid_Immersed_Basic_Model_v4.3.xlsx	https://www.regulations.doe.gov/ccms/templates	Yes	Yes	Fillable Fileable
Form and Instruction	DOE F 220.48	Liquid-Immersed Distribution Transformers Based on KVA Grouping	DOE F 220.48_TEMPLATE_Distribution_Transformers_Liquid_Immersed_kVA_Group_v4.3.xlsx	https://www.regulations.doe.gov/ccms/templates	Yes	Yes	Fillable Fileable
Form and Instruction	DOE F 220.49	Low-Voltage, Dry-Type Distribution Transformers Based on Basic Model	DOE F 220.49_TEMPLATE_Distribution_Transformers_Low-Voltage_Dry-Type_Basic_Model_v4.3.xlsx	https://www.regulations.doe.gov/ccms/templates	Yes	Yes	Fillable Fileable
Form and Instruction	DOE F 220.50	Low-Voltage, Dry-Type Distribution Transformers Based on KVA Grouping	DOE F 220.50_TEMPLATE_Distribution_Transformers_Low-Voltage_Dry-Type_kVA_Group_v4.3.xlsx	https://www.regulations.doe.gov/ccms/templates	Yes	Yes	Fillable Fileable
Form and Instruction	DOE F 220.51	Medium-Voltage, Dry-Type Distribution Transformers Based on Basic Model	DOE F 220.51_TEMPLATE_Distribution_Transformers_Medium-Voltage_Dry-Type_Basic_Model_v4.3.xlsx	https://www.regulations.doe.gov/ccms/templates	Yes	Yes	Fillable Fileable
Form and Instruction	DOE F 220.52	Medium-Voltage, Dry-Type Distribution Transformers Based on KVA Grouping	DOE F 220.52_TEMPLATE_Distribution_Transformers_Medium-Voltage_Dry-Type_kVA_Group_v4.3.xlsx	https://www.regulations.doe.gov/ccms/templates	Yes	Yes	Fillable Fileable
Form and Instruction	DOE F 220.53	Illuminated Exit Signs	DOE F 220.53_TEMPLATE_Illuminated_Exit_Signs_v4.2.xlsx	https://www.regulations.doe.gov/ccms/templates	Yes	Yes	Fillable Fileable
Form and Instruction	DOE F 220.54	Traffic Signal Modules and Pedestrian Modules	DOE F 220.54_TEMPLATE_Traffic_Signal_and_Pedestrian_Modules_v4.2.xlsx	https://www.regulations.doe.gov/ccms/templates	Yes	Yes	Fillable Fileable
Form and Instruction	DOE F 220.55	Commercial Unit Heaters	DOE F 220.55_TEMPLATE_Commercial_Unit_Heaters_v4.3.xlsx	https://www.regulations.doe.gov/ccms/templates	Yes	Yes	Fillable Fileable
Form and Instruction	DOE F 220.56	Commercial Pre-Rinse Spray Valves	DOE F 220.56_TEMPLATE_Commercial_Pre-Rinse_Spray_Valves_v4.2.xlsx	https://www.regulations.doe.gov/ccms/templates	Yes	Yes	Fillable Fileable
Form and Instruction	DOE F 220.57	Refrigerated Bottled or Canned Beverage Vending Machines	DOE F 220.57_TEMPLATE_Refrigerated_Beverage_Vending_Machines_v4.2.xlsx	https://www.regulations.doe.gov/ccms/templates	Yes	Yes	Fillable Fileable
Form and Instruction	DOE F 220.58	Panels for Walk-In Coolers and Freezers	DOE F 220.58_TEMPLATE_Walk-In_Coolers_and_Freezers_Panels_v4.4.xlsx	https://www.regulations.doe.gov/ccms/templates	Yes	Yes	Fillable Fileable
Form and Instruction	DOE F 220.59	Doors for Walk-In Coolers and Freezers	DOE F 220.59_TEMPLATE_Walk-In_Coolers_and_Freezers_Doors_v4 6.xlsx	https://www.regulations.doe.gov/ccms/templates	Yes	Yes	Fillable Fileable
Form and Instruction	DOE F 220.60	Refrigeration Systems for Walk-In Coolers and Freezers	DOE F 220.60_TEMPLATE_Walk-In_Coolers_and_Freezers_Refrigeration_Systems_v4 3.xlsx	https://www.regulations.doe.gov/ccms/templates	Yes	Yes	Fillable Fileable
Form and Instruction	DOE F 220.62	Metal Halide Lamp Ballasts and Fixtures	DOE F 220.62_TEMPLATE_Metal_Halide_Lamp_Ballasts_and_Fixtures_v4.2.xlsx	https://www.regulations.doe.gov/ccms/templates	Yes	Yes	Fillable Fileable
Form and Instruction	DOE F 220.63	General Purpose Electric Motors (Subtype I) (Manufactured on or after December 19, 2010)	DOE F 220.63_TEMPLATE_General_Purpose_Electric_Motors_Subtype_I_eff_Dec_19_2010_v4.2.xlsx	https://www.regulations.doe.gov/ccms/templates	Yes	Yes	Fillable Fileable
Form and Instruction	DOE F 220.64	General Purpose Electric Motors (Subtype III) (Manufactured on or after December 19, 2010)	DOE F 220.64_TEMPLATE_General_Purpose_Electric_Motors_Subtype_II_eff_Dec_19_2010_v4.2.xlsx	https://www.regulations.doe.gov/ccms/templates	Yes	Yes	Fillable Fileable
Form and Instruction	DOE F 220.65	NEMA Design B General Purpose Electric Motors (Manufactured on or after Devember 19, 2010)	DOE F 220.65_TEMPLATE_NEMA_Design_B_General_Purpose_Electric_Motors_eff_Dec_19_2010_v4.2.xlsx	https://www.regulations.doe.gov/ccms/templates	Yes	Yes	Fillable Fileable

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: 2,000

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	20,000	0	20,000
Annual IC Time Burden (Hours)	775,000	707,000	68,000
Annual IC Cost Burden (Dollars)	77,500,000	70,700,000	6,800,000

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.