DOE F 220.8 Dishwashers Appendix (C1)

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Overview

Certification
Headers
Product Group Code

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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.x

DOE F 220.8

Dishwashers

Product Type:

Dishwashers

Status of This Certification Sheet

No Data

5.x

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):

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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

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

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: 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.

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Sheet 2: Headers

Dishwashers Appendix C1 - v5.x

Complete the Cells Below for Dishwashers with Built-In Water Softening Systems Only

Complete the Cells Below for Water Re-Use System Dishwashers Only

Complete the Cells Below for Dishwashers with Built-In Reservoirs Only

Column Headers:

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

Estimated Annual Energy Use (kWh/year)

Water Consumption (Gallons per Cycle)

Capacity (Number of Place Settings)

Does the Dishwasher Have a Soil Sensor?

If Soil Sensing, the Number of Cycles Required to Reach Calibration

Water Inlet Temperature Used for Testing (Degrees F)

Cycle Selected for Energy Testing

Is the Selected Test Cycle Soil-Sensing?

Options Selected for Energy Testing

Was Testing Conducted Using Cascade Complete Powder or Cascade with the Grease Fighting Power of Dawn Powder?

Does the Dishwasher Have a Built-In Water Softening System?

Energy Use Required for Each Regeneration of the Water Softening System (kWh)

Water Use Required for Each Regeneration of the Water Softening System (Gallons)

Number of Regeneration Cycles per Year

What Data and Calculations Were Used to Derive the Values Input for: Energy Use, Water Use, and the Maximum Number of Regeneration Cycles per Year?

Is this a Water Re-Use System Dishwasher?

Energy Use Required for a Drain Out Event (kWh)

Water Use Required for a Drain Out Event (Gallons)

Number of Drain Out Events per Year

Energy Use Required for a Clean Out Event (kWh)

Water Use Required for a Clean Out Event (Gallons)

Number of Clean Out Events per Year

Water Fill Volume to Calculate Detergent Dosage (Gallons)

What Data and Calculations Were Used to Derive the Values Input for: Energy and Water Use for Drain Out and Clean Out Events, Numbers of Drain Out and Clean Out Events per Year, and Water Fill Volume?

Does the Dishwasher have a Built-in Reservoir?

Manufacturer Stated Reservoir Capacity (Gallons)

Prewash Fill Water Volume (Gallons)

Main Wash Fill Water Volume (Gallons)

Reservoir Water Consumption (Gallons per Cycle)

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

Pop-Up Headers:

Status

Manufacturer

Brand Name(s)

Basic Model Number

Individual Model Number

Action

Product Group Code

Sample Size

Certification Based on Waiver?

Date of Waiver, if Applicable

Cert. Based on Exception Relief?

Date of Relief, if Applicable

Estimated Annual Energy Use

Water Consumption

Capacity

Soil Sensor?

Cycles to Calibrate, If Appl

Water Inlet Temperature

Cycle for Energy Testing

Is Selected Cycle Soil-Sensing?

Options for Energy Testing

Detergent Testing Conducted With

Built-In Water Softening System?

Energy Use Req. for Regeneration

Water Use Req. for Regeneration

# Regeneration Cycles per Year

Data & Calculations Used

Water Re-Use System Dishwasher?

Energy Use for Drain Out Event

Water Use for Drain Out Event

# of Drain Out Events per Year

Energy Use for Clean Out Event

Water Use for Clean Out Event

# of Clean Out Events per Year

Detergent Dosage Water Volume

Data & Calculations Used

Built-in Reservoir?

Reservoir Capacity

Prewash Fill Water Volume

Main Wash Fill Water Volume

Water Consumption

Link to EnergyGuide Label

Pop-Up Contents:

The cells below show whether there are any issues with the data on that line. If the status is "ok," there are no issues. If the status is "Error," there are issues with the data. See columns to the right for an indication of the issues with the data.

Enter the Manufacturer name in the cells below.

Enter the Brand Name(s) in the cells below.

Enter the Basic Model Number in the cells below.

Enter the Individual Model Number covered by the Basic Model in the cells below.

Enter one of following in cells below: N new model D discontinued model C correction to previous CCMS submission E submit report on existing (carryover) model F failed Industry Certification Program .

Enter an integer between 1 and 2 in the cells below. See the Product Group Codes worksheet for details on product group codes.

Enter the sample size (number of units tested) in the cells below. This should be an integer greater than zero.

Answer whether the certification for the basic model was based on a waiver of DOE's test procedure requirements in the cells below. An affirmative answer can be either 'yes' or 'y' and a negative answer can be either 'no' or 'n'. .

If you enter 'yes' under "Is the certification for this basic model based on a waiver of DOE's test procedure requirements?", enter the date of the waiver in the cells below. The entry should be in the M/D/YYYY format. .

Answer whether the certification was based upon any exception relief from an applicable standard by DOE's Office of Hearing and Appeals in the cells below. An affirmative answer can be either 'yes' or 'y' and a negative answer can be either 'no' or 'n'.

If you enter 'yes' under "Is the certification based upon any exception relief from an applicable standard by DOE's Office of Hearing and Appeals?", enter the date of the exception relief in the cells below. The entry should be in the M/D/YYYY format.

Enter the Estimated Annual Energy Use in kWh/year in the cells below. This should be a decimal number greater than zero.

Enter the Water Consumption in gallons per cycle in the cells below. This should be a decimal number greater than zero.

Enter the Capacity in number of place settings in the cells below This should be an integer greater than zero.

Answer whether the Dishwasher has a Soil Sensor in the cells below. An affirmative answer can be either 'yes' or 'y' and a negative answer can be either 'no' or 'n'. .

For Soil Sensing Dishwashers only, enter the number of cycles required to reach calibration in the cells below. This should be an integer greater than zero.

Enter the Water Inlet Temperature Used for Testing in degrees Fahrenheit in the cells below. This should be a decimal number greater than zero.

Enter the Cycle Selected for Energy Testing in the cells below.

Answer whether the Selected Test Cycle is Soil-Sensing in the cells below. An affirmative answer can be either 'yes' or 'y' and a negative answer can be either 'no' or 'n'.

Enter the Options Selected for Energy Testing in the cells below.

Answer whether testing was conducted using Cascade Complete Powder or Cascade w/ the Grease Fighting Power of Dawn Powder in cells below. Entries can be as follows: C - Cascade Complete Powder D - Cascade w/ the Grease Fighting Power of Dawn Powder .

Answer whether the Dishwasher has a Built-In Water Softening System in the cells below. An affirmative answer can be either 'yes' or 'y' and a negative answer can be either 'no' or 'n'.

For Dishwashers with Water Softening Systems only, enter the number of kWh required for each regeneration of the water softening system in the cells below. This should be a decimal number greater than zero.

For Dishwashers with Water Softening Systems only, enter the water use in gallons required for each regeneration of the water softening system in the cells below. This should be an integer greater than zero.

For Dishwashers with Water Softening Systems only, enter the number of regeneration cycles per year in the cells below. This should be an integer greater than zero.

For Dishwashers with Water Softening Systems only, enter the data and calculations used to derive the values for: energy use, water use, and the maximum number of regeneration cycles per year in the cells below.

Enter whether this is a Water Re-Use System Dishwasher in the cells below. An affirmative answer can be either 'yes' or 'y' and a negative answer can be either 'no' or 'n'.

For Water Re-Use System Dishwashers only, enter the Energy Use Required for a Drain Out Event in Kilowatt-Hours in the cells below. This should be an integer greater than zero.

For Water Re-Use System Dishwashers only, enter the Water Use Required for a Drain Out Event in Gallons in the cells below. This should be an integer greater than zero.

For Water Re-Use System Dishwashers only, enter the Number of Drain Out Events per Year in the cells below. This should be an integer greater than zero.

For Water Re-Use System Dishwashers only, enter the Energy Use Required for a Clean Out Event in Kilowatt-Hours in the cells below. This should be an integer greater than zero.

For Water Re-Use System Dishwashers only, enter the Water Use Required for a Clean Out Event in Gallons in the cells below. This should be an integer greater than zero.

For Water Re-Use System Dishwashers only, enter the Number of Clean Out Events per Year in the cells below. This should be an integer greater than zero.

For Water-Reuse System Dishwashers only, enter the Water Fill Volume to Calculate Detergent Dosage in gallons in the cells below. This should be an integer greater than zero.

For Water-Reuse System Dishwashers only, enter the data and calculations used to derive the values for: energy and water use for drain out and clean out events, numbers of drain out and clean out events per year, and water fill volume in cells below.

Answer whether the dishwasher has a Built-In Reservoir in the cells below. An affirmative answer can be either 'yes' or 'y' and a negative answer can be either 'no' or 'n'.

For dishwashers with built-in reservoirs only, enter the Manufacturer Stated Reservoir Capacity in gallons in the cells below. This should be an integer greater than zero.

For dishwashers with built-in reservoirs only, enter the Prewash Fill Water Volume in gallons in the cells below. This should be an integer greater than or equal to zero. If there is no prewash as part of the detergent cycle, enter zero.

For dishwashers with built-in reservoirs only, enter the Main Wash Fill Water Volume in gallons in the cells below. This should be an integer greater than zero.

For dishwashers with built-in reservoirs only, enter the Reservoir Water Consumption in gallons per cycle. in the cells below. This should be an integer greater than zero.

Per 16CFR305, enter URL for EnergyGuide label. May be URL for label, link to PDF download, or link to database with label. Entry must begin with http://, https://, ftp:// or sftp:// or if URL will be submitted later, enter 'By annual report date'.

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Sheet 3: Product Group Code

The following is a description of each product group code:
Product Group Code	Product Group Code Description
1	Compact dishwasher
2	Standard size dishwasher