Zero Energy Ready Home (ZERH) Program

DOE HQ F
413.5 (07/2023)
ZERH Verification Report 2023
Program Certification Version
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Zero Energy Ready Home V1
Zero Energy Ready Home California V1
Zero Energy Ready Home Single Family Homes V2
Zero Energy ready Homes Multifamily V2
Zero Energy Ready Homes Manufactured Homes V1
Zero Energy Ready Homes Manufactured Homes V2
Zero Energy Ready Homes California V2
Zero Energy Ready Homes California Multifamily V2

Energy Rating Index (ERI)
• Energy Rating Index Target
• Energy Rating Index Achieved without OPP
• Energy Rating Index Achieved with OPP (if applicable)
• Date of Rating
• Software Used and Version
Builder Identification
• ZERH Partner ID (note: found in public partner profile)
• Registered Builder Organization Name
Rater Identification
• Rater name
• Rater Organization Name
Home Location
• Street Address
• City
• State
• Zip Code
• 2021 IECC Climate Zone
Home Characteristics
• Home Type
o Single Family Home
o Townhouse
o Duplex
o Multifamily Unit
o Manufactured Home
• Number of Bedrooms
• Square footage of conditioned space without basement
• Square footage of conditioned space with basement
• Date of approved rating

OMB Control #: 1910-5184
Exp. Date: 07/31/2023

Energy Use and Savings (Savings related to Energy Rating Reference Home)
• Annual Electricity Use (assumed kWh)
• Annual Natural Gas Use (if applicable)
• Natural Gas Units (if applicable)
• Annual Fuel Oil Use (if applicable)
• Oil Units (if applicable)
• Annual Propane Use (if applicable)
• Propane Units (if applicable)
• Annual Energy Cost Total
• Price Electricity
• Price Natural Gas
• Price Fuel Oil
• Price Propane
• Annual Savings Electric
• Annual Savings Natural Gas (if applicable)
• Annual Savings Fuel Oil (if applicable)
• Annual Savings Propane (if applicable)
• CO2 Index
• Reduction CO2 (tons/year)
• Reduction SO2 (lbs./year)
• Reduction NOx (lbs./year)
• Peak Load
o Proposed Home Peak Load
o Energy Rating Reference Home Peak Load
o Peak Savings compared to Energy Rating Reference Home
• Site Energy Use Intensity
Mandatory Requirements Met
• Mandatory ENERGY STAR Certification
• Mandatory Fenestration Requirements Met
• Mandatory Insulation Requirements Met
• Mandatory Duct Location Requirements Met
• Mandatory Appliance Requirements Met
• Mandatory Lighting Requirements Met
• Mandatory Fan Efficiency Requirements Met
• Mandatory Indoor airPLUS Certification
• Mandatory H/ERV Requirements if Applicable (CZ 6-8)
• Mandatory Renewable Ready Requirements Met
• Mandatory Electric Ready Requirements Met
• Mandatory Electric Vehicle Ready Requirements Met
o Note: all Mandatory and optional items can be True/False, Yes/No, or something similar.

Paperwork Reduction Act Burden Disclosure Statement
This data is being collected to record compliance with Zero Energy Ready Home requirements.
The data you supply will be used to ensure partners are meeting the requirements and to analyze
program achievements, including energy savings and energy cost savings.
Public reporting burden for this collection of information is estimated to average 0.50 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, Enterprise Policy Development & Implementation Office, IM-22, Information Collection
Management Program 1910-5184, U.S. Department of Energy, 1000 Independence Ave SW,
Washington, DC 20585; and to the Office of Management and Budget (OMB), OIRA, Paperwork
Reduction Project 1910-5184, 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 Voluntary.