5900-55 ENERGY STAR Televisions Partner USD

United States
ENVIRONMENTAL PROTECTION AGENCY
Washington, D.C. 20460
ENERGY STAR Televisions 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 certified under 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.)
Televisions Product Type	ENERGY STAR® U.S. Unit Shipments of High Definition TVs (vertical resolution <2160 lines)	ENERGY STAR® U.S. Unit Shipments of Ultra High Definition TVs (vertical resolution ≥2160 lines)
LCD	-	-
≤ 23 inch
24 - 26 inch
27 - 29 inch
30 - 34 inch
35 - 39 inch
40 - 44 inch
45 - 49 inch
50 - 54 inch
55 - 59 inch
60 - 64 inch
65 - 69 inch
≥ 70 inch
OLED
Total	-	-
Submission Deadline: March 1, 2016
Please submit either to ICF International:	Or	To CTA:
Ranette Chrea		Chris Ely
ICF International		[email protected]
1725 Eye Street, NW
Suite 1000
Washington, DC 20006
[email protected]
Do not submit form to both CTA 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.
EPA Form No. 5900-55 OMB Control No. 2060-0528 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.