5900-168 ENERGY STAR Ice Machines Unit Shipment Data

OMB Control No. 2060-0528

Approval expires 03/31/2011

United States

ENVIRONMENTAL PROTECTION AGENCY
Washington, D.C. 20460
ENERGY STAR Ice Machines

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.)

Ice Machines Product Type
Ice Maker Head Units

< 450 lbs/day
>= 450 lbs/day

Remote Condenser Units
(With remote compressor)

< 934 lbs/day

Remote Condenser Units
(Without remote compressor)

< 1000 lbs/day

Self Contained Units

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

>= 934 lbs/day
>= 1000 lbs/day
< 175 lbs/day
>= 175 lbs/day

Total
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. 5900-168

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OMB Control No. 2060-0528

Approval expires 03/31/2011

DEFINITIONS
1

Ice Making Head: A model with the ice-making mechanism and the condensing unit in a single package, but with a separate ice
storage bin.

2

Remote Condensing Unit or Split System Unit: A model in which the ice-making mechanism and condenser or condensing unit

are in separate sections.

3

Self-Contained Unit: A model in which the ice-making mechanism and storage compartment are in an integral cabinet.

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. 5900-168