DOE F 220.90 Multi-Spiit Central AC

---

Overview

Certification
Input
Product Group Codes

---

Sheet 1: Certification

OMB Control Number: 1910-1400 (Expiration Date: XXXXXX XX, XXXX) OMB Control Number: 3084-0069 (Expiration Date: April 30, 2027)

Version 5.6

DOE F 220.90

Multi-Split System Central Air Conditioners and Heat Pumps, Appendix M1

Product Type:

Multi-Split System Central Air Conditioners and Heat Pumps, Appendix M1

Status of This Certification Sheet

No Data

5.6

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

The party responsible for certification is (select one only):

The party submitting this report is (select one only):

Please enter required data

Please enter required data

Certifier Contact Information

Third Party Representative Contact Information, if Applicable

Full Legal Name of Individual

Please enter required data

Full Legal Name of Individual

Please enter required data

Full Legal Name of Company

Please enter required data

Full Legal Name of Company

Please enter required data

Complete Company Mailing Address

Please enter required data

Complete Company Mailing Address

Please enter required data

Phone Number

Please enter required data

Phone Number

Please enter required data

Email Address

Please enter required data

Email Address

Please enter required data

Compliance Statement

Select one of the options for 'Submitter - Party Submitting This Report' above

Submitter Signature (Type your Full Legal Name)

Please enter required data

Date (MM/DD/YYYY)

Please enter required data

OMB Control Number: 1910-1400 (Expiration Date: XXXXXX XX, XXXX)

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.

OMB Control Number: 3084-0069 (Expiration Date: April 30, 2027)

Paperwork Reduction Act Statement

OMB Burden Disclosure Statement

This data is being collected for manufacturers to report required information to the Federal Trade Commission. This information is shared with the public for the purpose of encouraging consumers to comparison shop for energy-efficiency household products. Public reporting burden for this collection of information is estimated to average from 2 minutes per year per basic product model to 15 hours per year per manufacturer, 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 Division of Enforcement, Bureau of Consumer Protection, Federal Trade Commission, 600 Pennsylvania Avenue NW, Washington, DC 20580; and to the Office of Management and Budget (OMB), OIRA, New Executive Office Building, Docket Library Room 10102, 725 17th Street NW, Washington, DC 20503, Attn: Desk Officer for the Federal Trade Commission. 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 required by the Federal Trade Commission; submission through CCMS is optional.

---

Sheet 2: Input

Multi-Split System Central Air Conditioners and Heat Pumps, Appendix M1

Multi-Split System Central Air Conditioners and Heat Pumps, Appendix M1

Version 5.6

Indicates status of CEE qualification reporting columns (columns CL through CP). Reporting this information has no impact on DOE reporting requirements.

· 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.

The maximum number of indoor units available for each basic model in this template is 5. If a basic model has more than 5 indoor units, please contact us at: https://www.regulations.doe.gov/ccms/contact-us.

5.6

Indicates status of columns and information related to DOE reporting requirements.

Status of This Input Sheet

No Data

Overall Status of Template

No Data

Status of CEE Data Section

OK

Complete if seeking Consortium for Energy Efficiency (CEE) qualification for any listed basic models under the applicable CEE product specification. (Optional, but all applicable columns must be completed if any are completed.)

Certification Report

Click here for instructions for completing this form

If you are resubmitting a specific combination, you must enter data for the Indoor Units and Air Movers in the exact same order as in the original submission

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".

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".

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".

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".

The cells below provide an explanation for "Errors".

The cells below provide an explanation for "Errors" in the CEE Data Section.

By annual report date

Line No.

Status

Manufacturer (Outdoor Unit)

Brand Name (Outdoor Unit)

Basic Model Number (Number Unique to the Basic Model)

Individual Model Number Covered by Basic Model (Outdoor Unit)

Indoor Unit 1

Air Mover 1, If Applicable

Indoor Unit 2, If Applicable

Air Mover 2, If Applicable

Indoor Unit 3, If Applicable

Air Mover 3, If Applicable

Indoor Unit 4, If Applicable

Air Mover 4, If Applicable

Indoor Unit 5, If Applicable

Air Mover 5, If Applicable

Action

Product Group Code (See the Product Group Codes tab for the allowable combinations of Indoor Unit Type, Product Group Code, and Type of AC or HP Associated with the Minimum External Static Pressure Used in Testing or Rating)

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

All Refrigerant Types Acceptable for Use with this Rated Combination (Optional)

Cooling Capacity (Btu/h)

For Heat Pumps Only, Heating Capacity (Btu/h), Optional

Number of Indoor Units Tested with the Outdoor Unit

Sample Size For SEER2

Seasonal Energy Efficiency Ratio 2 (SEER2) in Btu/W-h

Type of Air Conditioner or Heat Pump Associated with the Minimum External Static Pressure Used in Testing or Rating (See the Product Group Codes tab for the allowable combinations of Indoor Unit Type, Product Group Code, and Entries in this Column)

For Heat Pumps only, Sample Size For HSPF2

For Heat Pumps Only, Heating Seasonal Performance Factor 2 (HSPF2) in Btu/W-h

Is the Average Off Mode Power Consumption Based on the Use of an AEDM?

Name of AEDM for Average Off Mode Power Consumption, If Applicable

Is the Average Off Mode Power Consumption Rating Based on Testing of This Combination?

Average Off Mode Power Consumption (Watts)

Sample Size For EER2, If Applicable

Energy Efficiency Ratio 2 (EER2) in Btu/W-h, If Applicable

Can this Basic Model be Sold in the Southeast (AL, AR, DE, FL, GA, HI, KY, LA, MD, MS, NC, OK, SC, TN, TX, VA, DC, PR, US Territories)?

Can this Basic Model be Sold in the Southwest (AZ, CA, NV, NM)?

Total Cooling Full Load Air Volume Rate (SCFM)

Complete the Cells Below Only for Variable Speed Equipment

Link to EnergyGuide Label Website (Enter link or, if submitting link later, enter 'By annual report date')

Status of CEE Data

Energy Efficiency Ratio 2 (EER2) in Btu/W-h

Coefficient of Performance (COP) at 5°F (Optional)

Heating Capacity at 17°F in Btu/hr (Optional)

Heating Capacity at 5°F in Btu/hr (Optional)

AHRI Certified Reference Number (if Applicable)

Manufacturer (Outdoor Unit) Status

Brand Name (Outdoor Unit) Status

Basic Model Number (Number Unique to the Basic Model) Status

Individual Model Number Covered by Basic Model (Outdoor Unit) Status

Indoor Unit 1

Air Mover 1, If Applicable

Indoor Unit 2, If Applicable

Air Mover 2, If Applicable

Indoor Unit 3, If Applicable

Air Mover 3, If Applicable

Indoor Unit 4, If Applicable

Air Mover 4, If Applicable

Indoor Unit 5, If Applicable

Air Mover 5, If Applicable

Action Status

Product Group Code 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

All Refrigerant Types Acceptable for Use with this Rated Combination (Optional) Status

Cooling Capacity (Btu/h) Status

For Heat Pumps Only, Heating Capacity (Btu/h), Optional Status

Number of Indoor Units Tested with the Outdoor Unit Status

Sample Size For SEER2 Status

Seasonal Energy Efficiency Ratio 2 (SEER2) in Btu/W-h Status

Type of Air Conditioner or Heat Pump Associated with the Minimum External Static Pressure Used in Testing or Rating Status

For Heat Pumps only, Sample Size For HSPF2 Status

For Heat Pumps Only, Heating Seasonal Performance Factor 2 (HSPF2) in Btu/W-h Status

Is the Average Off Mode Power Consumption Based on the Use of an AEDM? Status

Name of AEDM for Average Off Mode Power Consumption, If Applicable Status

Is the Average Off Mode Power Consumption Rating Based on Testing of This Combination? Status

Average Off Mode Power Consumption (Watts) Status

Sample Size For EER2, If Applicable Status

Energy Efficiency Ratio 2 (EER2) in Btu/W-h, If Applicable Status

Can this Basic Model be Sold in the Southeast (AL, AR, DE, FL, GA, HI, KY, LA, MD, MS, NC, OK, SC, TN, TX, VA, DC, PR, US Territories)? Status

Can this Basic Model be Sold in the Southwest (AZ, CA, NV, NM)? Status

Total Cooling Full Load Air Volume Rate (SCFM) Status

Compressor Frequency Set Point for Cooling Full Speed Compressor Operation in A2 Test (Hz) Status

Compressor Frequency Set Point for Cooling Full Speed Compressor Operation in B2 Test (Hz) Status

Compressor Frequency Set Point for Cooling Intermediate Speed Compressor Operation in Ev Test (Hz) Status

Compressor Frequency Set Point for Cooling Minimum Speed Compressor Operation in B1 Test (Hz) Status

Compressor Frequency Set Point for Cooling Minimum Speed Compressor Operation in F1 Test (Hz) Status

Link to EnergyGuide Label Website (Enter link or, if submitting link later, enter 'By annual report date') Status

Energy Efficiency Ratio 2 (EER2) in Btu/W-h Status

Coefficient of Performance (COP) at 5°F (Optional) Status

Heating Capacity at 17°F in Btu/hr (Optional) Status

Heating Capacity at 5°F in Btu/hr (Optional) Status

AHRI Certified Reference Number (if Applicable) Status

Manufacturer

Brand(s)

Individual Model Number

Type (See the Product Group Codes tab for the allowable combinations of Indoor Unit Type, Product Group Code, and Type of AC or HP Associated with the Minimum External Static Pressure Used in Testing or Rating)

Manufacturer

Brand(s)

Individual Model Number

Manufacturer

Brand

Individual Model Number

Type (See the Product Group Codes tab for the allowable combinations of Indoor Unit Type, Product Group Code, and Type of AC or HP Associated with the Minimum External Static Pressure Used in Testing or Rating)

Manufacturer

Brand

Individual Model Number

Manufacturer

Brand

Individual Model Number

TypeType (See the Product Group Codes tab for the allowable combinations of Indoor Unit Type, Product Group Code, and Type of AC or HP Associated with the Minimum External Static Pressure Used in Testing or Rating)

Manufacturer

Brand

Individual Model Number

Manufacturer

Brand

Individual Model Number

Type (See the Product Group Codes tab for the allowable combinations of Indoor Unit Type, Product Group Code, and Type of AC or HP Associated with the Minimum External Static Pressure Used in Testing or Rating)

Manufacturer

Brand

Individual Model Number

Manufacturer

Brand

Individual Model Number

Type (See the Product Group Codes tab for the allowable combinations of Indoor Unit Type, Product Group Code, and Type of AC or HP Associated with the Minimum External Static Pressure Used in Testing or Rating)

Manufacturer

Brand

Individual Model Number

Compressor Frequency Set Point for Cooling Full Speed Compressor Operation in A2 Test (Hz)

Compressor Frequency Set Point for Cooling Full Speed Compressor Operation in B2 Test (Hz)

Compressor Frequency Set Point for Cooling Intermediate Speed Compressor Operation in Ev Test (Hz)

Compressor Frequency Set Point for Cooling Minimum Speed Compressor Operation in B1 Test (Hz)

Compressor Frequency Set Point for Cooling Minimum Speed Compressor Operation in F1 Test (Hz)

Manufacturer Status

Brand(s) Status

Individual Model Number Status

Type Status

Manufacturer Status

Brand(s) Status

Individual Model Number Status

Manufacturer Status

Brand Status

Individual Model Number Status

Type Status

Manufacturer Status

Brand Status

Individual Model Number Status

Manufacturer Status

Brand Status

Individual Model Number Status

Type Status

Manufacturer Status

Brand Status

Individual Model Number Status

Manufacturer Status

Brand Status

Individual Model Number Status

Type Status

Manufacturer Status

Brand Status

Individual Model Number Status

Manufacturer Status

Brand Status

Individual Model Number Status

Type Status

Manufacturer Status

Brand Status

Individual Model Number Status

1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

27

28

29

30

31

32

33

34

35

36

37

38

39

40

41

42

43

44

45

46

47

48

49

50

51

52

53

54

55

56

57

58

59

60

61

62

63

64

65

66

67

68

69

70

71

72

73

74

75

76

77

78

79

80

81

82

83

84

85

86

87

88

89

90

91

92

93

94

95

96

97

98

99

100

---

Sheet 3: Product Group Codes

The following is a description of each product group code:
Product Group Code	Product Group Code Description	Allowable Indoor Unit Type Combinations If you are certifying all combinations based on the required tested combination, the combination can only consist of one indoor unit type (i.e. all indoor units must be the same type).		Allowable Entries in "Type of Air Conditioner or Heat Pump Associated with the Minimum External Static Pressure Used in Testing or Rating" Column Only one entry is allowed and should be for the type with the higher static pressure of the Indoor Unit types. If you are certifying all combinations based on the required tested combination, the allowable entries are the same as those outlined for non-mixed combinations below.
1	Multi-Split, Multi-Circuit, and Multi-Head Mini-Split Air Conditioner Combinations other than SDHV and Space Constrained Combinations with certified cooling capacities less than 45,000 Btu/hr	LOW		LOW
		LOW	MID	MID, CM, or WM
		LOW	N	LOW
		LOW	CON	CON
		MID		MID, CM, or WM
		MID	N	MID, CM, or WM
		MID	CON	CON
		N		No entry allowed
		N	CON	CON
		CON		CON
2	Multi-Split, Multi-Circuit, and Multi-Head Mini-Split Air Conditioner Combinations other than SDHV and Space Constrained Combinations with certified cooling capacities greater than or equal to 45,000 Btu/hr	LOW		LOW
		LOW	MID	MID, CM, or WM
		LOW	N	LOW
		LOW	CON	CON
		MID		MID, CM, or WM
		MID	N	MID, CM, or WM
		MID	CON	CON
		N		No entry allowed
		N	CON	CON
		CON		CON
3	Multi-Split, Multi-Circuit, and Multi-Head Mini-Split Heat Pump Combinations other than SDHV and Space Constrained Combinations	LOW		LOW
		LOW	MID	MID, CM, or WM
		LOW	N	LOW
		LOW	CON	CON
		MID		MID, CM, or WM
		MID	N	MID, CM, or WM
		MID	CON	CON
		N		No entry allowed
		N	CON	CON
		CON		CON
4	Multi-Split, Multi-Circuit, or Multi-Head Mini-Split Small-duct, high velocity (SDHV) Air Conditioner Combinations	SDHV		SDHV
		SDHV	LOW	SDHV
		SDHV	MID	SDHV
		SDHV	N	SDHV
		SDHV	CON	SDHV
5	Multi-Split, Multi-Circuit, or Multi-Head Mini-Split Small-duct, high velocity (SDHV) Heat Pump Combinations	SDHV		SDHV
		SDHV	LOW	SDHV
		SDHV	MID	SDHV
		SDHV	N	SDHV
		SDHV	CON	SDHV
6	Multi-Split, Multi-Circuit, or Multi-Head Mini-Split Space Constrained Air Conditioner Combinations	LOW	MID	SC
		MID		SC
		MID	N	SC
7	Multi-Split, Multi-Circuit, or Multi-Head Mini-Split Space Constrained Heat Pump Combinations	LOW	MID	SC
		MID		SC
		MID	N	SC