Form EIA-902 Annual Geothermal Heat Pump Manufacturers Survey

EIA-902 Energy Information Administration Form Approved

(Revised 3/06) U.S. DEPARTMENT OF ENERGY OMB No. 1905-0204

ANNUAL GEOTHERMAL HEAT PUMP MANUFACTURERS SURVEY Expiration Date: 11/30/2007

FORM EIA-902

This report is mandatory under the Federal Energy Administration Act of 1974 (Public Law 93-275). Failure to comply may result in criminal fines, civil penalties and other sanctions as provided by law. For the provisions regarding the confidentiality of information submitted on this form, see Part VI of the instructions.

THE REPORTING PERIOD FOR THIS REPORT IS THE CALENDAR YEAR 2006

For glossary and instructions, please refer to the instructions for this form.

1.0 RESPONDENT INFORMATION

1.1 Respondent identification Use (a) through (e) below only if the label is incorrect.

(a) Company Name: ________________________________________

(b) Street Address: _________________________________________

(c) City: _________________________________________________

(d) State: _________________________________________________

(e) Zip: ___________________________________________________

1.2 Provide the name, title, and telephone number of a person in your company to whom questions may be addressed regarding this submission.

(a) Name: __________________________________ (c) Telephone: _________ ________________

Area Code Number

(b) Title: __________________________________ (d) Fax: _________ ________________

Area Code Number

(e) Email Address: _______________________

2.0 TOTAL SHIPMENTS IN CALENDAR YEAR 2006 - Please enter the total number of units, the total rated capacity (in tons), the average cooling also referred to as the energy efficiency ratio (EER), and the average heating also referred to as the coefficient of performance (COP) for each type of geothermal heat pump unit shipped for the year 2006.

		2006
Line	Type of Heat Pump	Number of Heat Pumps	Total Rated Capacity (in tons)	Average Cooling (EER)	Average Heating (COP)
1	ARI-320 Total
2	ARI-320 GHP Only*
3	ARI-325/330
4	Other (Non-ARI rated)
5	Total Geothermal Heat Pumps (Lines 2+3+4)

* On this line, only report ARI-320 units connected to ground, ground water, or surface water connection for heat exchange. Do not include units connected to a boiler and / or cooling tower. If actual data are not available, please estimate.

3.0 TOTAL SHIPMENTS (Total rated capacity in tons) IN CALENDAR YEAR 2006 BY DESTINATION - Enter the total rated capacity of geothermal heat pumps your company shipped including imports in 2006 to the destinations (i.e., exported, by State, the District of Columbia, Puerto Rico, and the Virgin Islands) listed below. Include in the shipments geothermal heat pumps shipped within the state of manufacture. If any geothermal heat pumps were exported, please indicate the number exported under Line 00.

		TOTAL RATED CAPACITY (in tons) OF GEOTHERMAL HEAT PUMPS SHIPPED
Line	Destination	ARI-320 (GHP Only)	ARI-325/330	Other (Non-ARI Rated GHPs)
00	Exported
01	Alabama
02	Alaska
03	Arizona
04	Arkansas
05	California
06	Colorado
07	Connecticut
08	Delaware
09	District of Columbia
10	Florida
11	Georgia
12	Hawaii
13	Idaho
14	Illinois
15	Indiana
16	Iowa
17	Kansas
18	Kentucky
19	Louisiana
20	Maine
21	Maryland
22	Massachusetts
23	Michigan
24	Minnesota
25	Mississippi

3.0 TOTAL SHIPMENTS (Total rated capacity in tons) IN 2006 BY DESTINATION (continued)

Line	Destination	ARI-320 (GHP Only)	ARI-325/330	Other (Non-ARI Rated GHPs)
26	Missouri
27	Montana
28	Nebraska
29	Nevada
30	New Hampshire
31	New Jersey
32	New Mexico
33	New York
34	North Carolina
35	North Dakota
36	Ohio
37	Oklahoma
38	Oregon
39	Pennsylvania
40	Puerto Rico
41	Rhode Island
42	South Carolina
43	South Dakota
44	Tennessee
45	Texas
46	Utah
47	Vermont
48	Virgin Islands (U.S.)
49	Virginia
50	Washington
51	West Virginia
52	Wisconsin
53	Wyoming
99	TOTALS

4.0 DOMESTIC SHIPMENTS BY CUSTOMER TYPE IN CALENDAR YEAR 2006 - Enter the total rated capacity of geothermal heat pumps shipped domestically in 2006 by customer type. If a customer could be included in more than one category (e.g., a retail distributor who is also an installer), report the units shipped to that customer in the first appropriate category listed (i.e., retail distributor for the previous example).

		TOTAL RATED CAPACITY (in tons) OF DOMESTIC SHIPMENTS
Line	Customer Type	ARI-320 (GHP Only)	ARI-325/330	Other (Non-ARI Rated GHPs)
1	Exporter
2	Wholesale Distributor
3	Retail Distributor
4	Installer
5	End-User
6	TOTALS

5.0 DOMESTIC SHIPMENTS BY SECTOR IN CALENDAR YEAR 2006 - Enter the total rated capacity (i.e., size in tons) of each type of geothermal heat pump shipped domestically in 2006 to each sector.

		TOTAL RATED CAPACITY (in tons) OF DOMESTIC SHIPMENTS
Line	Sector	ARI-320 (GHP Only)	ARI-325/330	Other (Non-ARI Rated GHPs)
1	Residential
2	Commercial
3	Industrial
4	Electric Power
5	Transportation
6	TOTALS

6. COMMENTS - Enter comments in the space provided.