5900-167 ENERGY STAR Digital-to-Analog Converter Boxes Unit Shipm

OMB Control No. 2060-0528
Approval expires 03/31/2011

United States

ENVIRONMENTAL PROTECTION AGENCY
Washington, D.C. 20460
ENERGY STAR Digital-to-Analog Converter Boxes (DTAs)
Unit Shipment Data
Office of Atmospheric Programs
NAME OF MANUFACTURER:
DATE OF SUBMISSION:
SUBMITTED BY (NAME):
PLEASE LIST ANY UNAFFILIATED
PRIVATE LABELERS THAT
REBRAND YOUR PRODUCTS:
Below, only report shipments to consumers or retailers. Do not include business
to business shipments (shipments to unaffiliated private labelers). If you ONLY
ship to private labelers, indicate zero shipments and list private labelers selling
in the U.S. marketplace on the line above.
Reporting Period: CALENDAR YEAR 2008 (JAN. TO DEC.)

Digital-to-Analog Converter Boxes
(DTAs) Product Type

Total U.S. Unit
Shipments to
ENERGY STAR® U.S.
Consumers or
Unit Shipments to
Retailers
Consumers or
(ENERGY STAR +
Retailers
Non-ENERGY STAR)
(REQUIRED)
(REQUESTED)

DTA
Total

0

Submission Deadline: February 27, 2009
Deadline to Avoid Partnership Termination: March 31, 2009
Please submit by mail, email, or fax to:
Elliott Rector
ICF International
1725 Eye Street, NW
Suite 1000
Washington, DC 20006
[email protected]
Fax: (202) 862-1144

EPA Form No. 5900-167

0

OMB Control No. 2060-0528
Approval expires 03/31/2011
EPA plans to use the data only for program evaluations. EPA will release this information only as aggregated data and only to the
extent required by law.
The public reporting and recordkeeping burden for this collection of information is estimated to average 6.69 hours per response.
Send comments on the Agency's need for this information, the accuracy of the provided burden estimates, and any suggested
methods for minimizing respondent burden, including through the use of automated collection techniques to the Director, Collection
Strategies Division, U.S. Environmental Protection Agency (2822T), 1200 Pennsylvania Ave., NW, Washington, D.C. 20460. Include
the OMB control number in any correspondence. Do not send the completed form to this address.

EPA Form No. 5900-167