5900-230 ENERGY STAR Refrigerators and/or Freezers Partner USD

United States
ENVIRONMENTAL PROTECTION AGENCY
Washington, D.C. 20460
ENERGY STAR Refrigerators and/or Freezers Partner Unit Shipment Data
Office of Atmospheric Programs
PARTNER NAME (Per your Partnership Agreement):
DATE OF SUBMISSION:
SUBMITTED BY (Your name):
IMPORTANT: Please read these instructions carefully before completing this form.
• Report shipments to or within the U.S. of all models qualified under your ENERGY STAR partnership.
• To ensure no double counting occurs, do not report shipments of products qualified under another company’s partnership, even if you are the Original Equipment Manufacturer of those products. As a reminder, any product sold under a brand name your company owns or licenses must be qualified under your ENERGY STAR partnership. To the extent you have labeled products as ENERGY STAR for a brand owner/licensee that is not an ENERGY STAR partner, please report your shipments of these products.
• If you shipped zero ENERGY STAR qualified models to or within the U.S. in 2011, please check here and leave the table below blank.
This form is programmed to calculate your total shipments. Therefore, EPA strongly encourages you to fill it out using Microsoft Excel, instead of filling out a printed copy. Estimates of shipments are not accepted. Product Type definitions are available in the Program Requirements at www.energystar.gov/specifications.
Reporting Period: CALENDAR YEAR 2011 (JAN. TO DEC.)
Refrigerator/Freezer Product Class (PC)	ENERGY STAR® U.S. Unit Shipments
Non-Compact Products
Refrigerators and Refrigerator-Freezers
PC 1 & 2: Manual defrost and partial automatic defrost
PC 3: Automatic defrost with top-mounted freezer without through-the-door ice service
PC 4: Automatic defrost with side-mounted freezer without through-the-door ice service
PC 5: Automatic defrost with bottom-mounted freezer without through-the-door ice service
PC 6: Automatic defrost with top-mounted freezer with through-the-door ice service
PC 7: Automatic defrost with side-mounted freezer with through-the-door ice service
PC 5a: Automatic defrost with bottom-mounted freezer with through-the-door ice service
Freezers
PC 8 & 9: Upright with manual or automatic defrost
PC 10: Chest or other
Compact Products
Refrigerators and Refrigerator-Freezers
PC 11: Manual defrost
PC 12: Partial automatic defrost
PC 13-15: Automatic defrost with either top-, bottom- or side-mount freezer
Freezers
PC 16: Upright with manual defrost
PC 17: Upright with automatic defrost
PC 18: Chest
Total	0
Submission Deadline: March 1, 2012
		To ICF International:
Please submit either to AHAM:	Or	Elisabeth Alber
Jill Notini		ICF International
[email protected]		1725 Eye Street, NW
		Suite 1000
		Washington, DC 20006
		[email protected]
Do not submit form to both AHAM and ICF
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.