DOE F 220.82 Battery Chargers

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Overview

Certification
Input
Product Group Codes

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Sheet 1: Certification

OMB Control Number: 1910-1400 (Expiration Date: September 30, 2024)

Version 5.2

DOE F 220.82

Battery Chargers Other Than UPSs

Product Type:

Battery Chargers Other Than UPSs

Status of This Certification Sheet

No Data

5.2

Overall Status of Template

No Data

Click here for instructions for completing this form

Each Importer and U.S. Manufacturer is legally required to certify the compliance of the products it imports, produces, assembles or manufactures. This party is the "Certifier" on this form. This certification may be submitted by the Importer or U.S. manufacturer or by a Third Party Representative. This party is the "Submitter" on this form.

Certifier - Party Legally Obligated to Certify Compliance

Submitter - Party Submitting This Report

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Certifier Contact Information

Third Party Representative Contact Information, if Applicable

Full Legal Name of Individual

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Full Legal Name of Individual

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Full Legal Name of Company

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Full Legal Name of Company

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Complete Company Mailing Address

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Complete Company Mailing Address

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Phone Number

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Phone Number

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Email Address

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Email Address

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Compliance Statement

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Submitter Signature (Type your Full Legal Name)

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Date (MM/DD/YYYY)

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OMB Control Number: 1910-1400 (Expiration Date: September 30, 2024)

Paperwork Reduction Act Statement

OMB Burden Disclosure Statement

This data is being collected for manufacturers to certify compliance to DOE's energy conservation, water conservation, or design standards. The data you supply will be used by the Department to monitor compliance with the energy conservation, water conservation, and design standards and testing requirements for the consumer products and commercial and industrial equipment mandated by the Energy Policy and Conservation Act, as amended. Public reporting burden for this collection of information is estimated to average 35 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to Office of the Chief Information Officer, Records Management Division, IM-23, Paperwork Reduction Project (1910-1400), U.S. Department of Energy, 1000 Independence Ave SW, Washington, DC, 20585-1290; and to the Office of Management and Budget (OMB), OIRA, Paperwork Reduction Project (1910-1400), Washington, DC 20503. Notwithstanding any other provision of the law, no person is required to respond to, nor shall any person be subject to a penalty for failure to comply with a collection of information subject to the requirements of the Paperwork Reduction Act unless that collection of information displays a currently valid OMB control number. Submission of this data is mandatory.

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Sheet 2: Input

Battery Chargers Other Than UPSs	Battery Chargers Other Than UPSs							Version 5.2		· Please enter your data in the columns shaded in gray below, using a separate line for each model. · Click on the column heading for instructions on how to complete cells in that column. · Cells highlighted in yellow indicate an "Error." "Error" means that information is missing or there is an issue with the entry. · If the "Status" for a row is "Error," you can see an explanation in the columns to the far right.
5.2
	Status of This Input Sheet		No Data	Overall Status of Template		No Data
	Certification Report			Click here for instructions for completing this form																								The cells below provide an explanation for "Errors".						The cells below provide an explanation for "Errors".						The cells below provide an explanation for "Errors".					The cells below provide an explanation for "Errors".					The cells below provide an explanation for "Errors".
Line No.	Status	Manufacturer	Brand Name(s)	Basic Model Number	Individual Model Number Covered by Basic Model	Action	Product Group Code	Sample Size (Number of Units Tested)	Is the Certification for this Basic Model Based on a Waiver of DOE's Test Procedure Requirements?	Date of Test Procedure Waiver, if Applicable	Is the Certification based upon any Exception Relief from an Applicable Standard by DOE's Office of Hearing and Appeals?	Date of Exception Relief, if Applicable	Nameplate Battery Voltage of Test Battery in Volts (V)	Nameplate Battery Charge Capacity of Test Battery in Ampere-Hours (Ah)	Nameplate Battery Energy Capacity of Test Battery in Watt-Hours (Wh)	Maintenance Mode Power in Watts (Pm)	Standby Mode Power in Watts (Psb)	Off Mode Power in Watts (Poff)	Battery Discharge Energy in Watt-Hours (Ebatt)	24-Hour Energy Consumption in Watt-Hours (E24)	Duration of the Charge and Maintenance Mode Test in Hours (Tcd)	Unit Energy Consumption (UEC) (kWh/yr)	Manufacturer of Test Battery	Model of Test Battery	Manufacturer of External Power Supply (If Applicable)	Model of External Power Supply (If Applicable)		Manufacturer Status	Brand Name(s) Status	Basic Model Number Status	Individual Model Number Covered by Basic Model Status	Action Status	Product Group Code Status	Sample Size (Number of Units Tested) Status	Is the Certification for this Basic Model Based on a Waiver of DOE's Test Procedure Requirements? Status	Date of Test Procedure Waiver, if Applicable Status	Is the Certification based upon any Exception Relief from an Applicable Standard by DOE's Office of Hearing and Appeals? Status	Date of Exception Relief, if Applicable Status	Nameplate Battery Voltage of Test Battery in Volts (V) Status	Nameplate Battery Charge Capacity of Test Battery in Ampere-Hours (Ah) Status	Nameplate Battery Energy Capacity of Test Battery in Watt-Hours (Wh) Status	Maintenance Mode Power in Watts (Pm) Status	Standby Mode Power in Watts (Psb) Status	Off Mode Power in Watts (Poff) Status	Battery Discharge Energy in Watt-Hours (Ebatt) Status	24-Hour Energy Consumption in Watt-Hours (E24) Status	Duration of the Charge and Maintenance Mode Test in Hours (Tcd) Status	Unit Energy Consumption (UEC) (kWh/yr) Status	Manufacturer of Test Battery Status	Model of Test Battery Status	Manufacturer of External Power Supply (If Applicable) Status	Model of External Power Supply (If Applicable) Status
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Sheet 3: Product Group Codes

The following is a description of each product group code:
Product Group Code	Product Group Code Description	Rated Battery Energy (Ebatt)	Special Characteristic or Battery Voltage
1	Low-Energy	<= 5 Wh	Inductive connection and designed for use in a wet environment (e.g. electric toothbrushes)
2	Low-Energy, Low-Voltage	< 100 Wh	< 4 V
3	Low-Energy, Medium-Voltage	< 100 Wh	4-10 V
4	Low-Energy, High-Voltage	< 100 Wh	> 10 V
5	Medium-Energy, Low-Voltage	100-3000 Wh	< 20 V
6	Medium-Energy, High-Voltage	100-3000 Wh	>= 20 V
7	High-Energy	> 3000 Wh	Any voltage