5900-49 ENERGY STAR Geothermal Heat Pumps Partner USD

EPA's ENERGY STAR Product Labeling (Renewal)

Geothermal Heat Pump Data Collection Form.xls

Unit Shipment Data for ENERGY STAR Product Labeling

OMB: 2060-0528

Document [xlsx]
Download: xlsx | pdf
United States
ENVIRONMENTAL PROTECTION AGENCY
Washington, D.C. 20460





ENERGY STAR Geothermal Heat Pumps Partner
Unit Shipment Data for Calendar Year 2015
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 certifiedunder your ENERGY STAR partnership.
• To ensure no double counting occurs, do not report shipments of products certified 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 certified under your ENERGY STAR partnership.
• If you shipped zero ENERGY STAR certified models to or within the U.S. in 2015, 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 2015 (JAN. TO DEC.)








Geothermal Heat Pump Product Type ENERGY STAR® U.S. Unit Shipments Total U.S. Unit Shipments (ENERGY STAR + Non-ENERGY STAR)*

Open Loop Systems - -

Open Loop Water-To-Air



Open Loop Water-To-Water



Closed Loop Systems - -

Closed Loop Water-To-Air



Closed Loop Water-To-Water



Direct Geoexchange Systems



Total - -





Submission Deadline: March 1, 2016








Please submit either to ICF International: Or To AHRI:

Ranette Chrea
(This option is available only to AHRI members.)

ICF International



1725 Eye Street, NW



Suite 1000



Washington, DC 20006



[email protected]



Do not submit form to both AHRI and ICF
*To ensure EPA’s market penetration calculations are accurate, EPA requests that you provide your total U.S. shipments (ENERGY STAR plus non-ENERGY STAR products) of products that are single phase 65,000 Btu/hr or less for Calendar Year 2015.
EPA Form No. 5900-49
OMB Control No. 2060-0528
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 17 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.

File Typeapplication/vnd.ms-excel
File TitleGeothermal Heat Pump Data Collection Form.xls
File Modified2015-12-18
File Created2010-11-15

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