5900-56 ENERGY STAR Vending Machines Partner USD

United States
ENVIRONMENTAL PROTECTION AGENCY
Washington, D.C. 20460
ENERGY STAR Vending Machines 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.)
Refrigerated Beverage Vending Machines Version 3.0 Product Type	ENERGY STAR® U.S. Unit Shipments	Total U.S. Unit Shipments (ENERGY STAR + Non-ENERGY STAR)*
New Machines	-	-
Class A Machine
Class B Machine
Machines Refurbished to meet ENERGY STAR Requirements	-	-
Class A Machine
Class B Machine
Total	-	-
Submission Deadline: March 1, 2016
Please submit by mail or email to:
Ranette Chrea
ICF International
1725 Eye Street, NW
Suite 1000
Washington, DC 20006
[email protected]
*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) for Calendar Year 2015.
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. 5900-56 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.