Form 5900-210 ENERGY STAR Audio/Video Unit Shipment Data Collecti

United States
ENVIRONMENTAL PROTECTION AGENCY
Washington, D.C. 20460
ENERGY STAR Audio/Video Partner Unit Shipment Data for Calendar Year 2018
Office of Atmospheric Programs
PARTNER NAME (Per your Partnership Agreement):				← Partner Name incomplete
SUBMITTED BY (Your name):				← Submitted By incomplete
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.
This form is programmed to calculate your total shipments. Therefore, EPA strongly encourages you to complete it 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.
If you shipped zero ENERGY STAR certified models to or within the U.S. in 2018, please check here and leave the table below blank.			← Check box indicating zero shipments OR report shipments
Reporting Period: CALENDAR YEAR 2018 (JAN. 1 TO DEC. 31)			0.00%
Audio/Video Product Type	ENERGY STAR® U.S. Unit Shipments
Professional/Commercial AV Products	-
Amplifiers (size class as defined by ENERGY STAR specification)1	-
Small (PIN < 20 W)
Medium (20 W ≤ PIN < 100 W)
Large (PIN ≥ 100 W)
Other
Home/Consumer AV Products	-
Receivers
Amplifiers
Powered Speakers	-
Soundbars (incl. Sound Stands)
Soundbars with included Subwoofers
Subwoofers (incl. Wireless Subwoofers)
Other Wireless Speakers
Other Wired Speakers
Home Theater-in-a-Box
Home Radios/Clock Radios
MP3 Player Speaker Docks
Compact Audio Systems
CD Players
DVD Players
Blu-ray Players
Other
Total	-
1 PIN refers to the input power at 1/8 maximum undistorted power (MUP; as measured in the ENERGY STAR test method), expressed in watts.
Submission Deadline: March 1, 2019
Please submit either to ICF:	Or	To CTA:
Matt Bugajski		Bobby Baumler
ICF		[email protected]
1725 Eye Street, NW
Suite 1000
Washington, DC 20006
[email protected]
Do not submit form to both CTA and ICF
EPA Form No. 5900-210 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 17.5 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.