5900-251 Verification Testing Summary Report

EPA's ENERGY STAR Product Labeling (Renewal)

Verification_Testing_SummaryReport.xlsm

Third Party Certified Product Information

OMB: 2060-0528

Document [xlsx]

Download: xlsx | pdf

Overview

Instructions
Completed_Testing
In_Progress
Models_Not_Tested
Validlists

Sheet 1: Instructions

				OMB Control No. 2060-0528
				Expiration Date: 1/31/2022
How to Use the ENERGY STAR® Verification Testing Summary Report Template
The tables below provide data entry instructions for the Verification Testing Summary Report template. CBs are encouraged to review this information before entering data into the "Completed_Testing", "In_Progress", and "Models_Not_Tested" tabs. Abbreviations used in this template: CB: Certification Body; VT: Verification Testing For questions, please contact [email protected].
General Instructions for the Report Template Workbook Tabs
Completed_Testing Tab		In_Progress Tab		Models_Not_Tested Tab
List verification testing information and outcomes for products that completed testing.		List verification testing information for products that have not completed testing, but have been selected, procured, or begun testing.		List models that were selected (by EPA or CB) for verification testing but were not tested.

Data Definitions			Column appears in:
Data Definitions			Completed_Testing	In_Progress	Models_Not_Tested
MODEL INFORMATION	Product Specification	List the specification name of the ENERGY STAR product tested. NOTE: Required cells will be highlighted after the product specification has been selected.	X	X	X
	Product Type	Product Type of this model. For example, an "electric clothes dryer" would be a product type of a Clothes Dryer.	X	X	X
	ENERGY STAR Partner Name	List name of the ENERGY STAR partner exactly as it appears in MESA.	X	X	X
	Brand Name	List the Brand Name exactly as it appears in MESA.	X	X	X
	ENERGY STAR Model Identifier	List the unique ENERGY STAR Model Identifier exactly as it appears in MESA.	X	X	X
	Certified Model Name	List Certified Model Name exactly as it appears in MESA.	X	X	X
	Certified Model Number	List Certified Model Number of the certification exactly as it appears in MESA.	X	X	X
	Tested Model Name	List the Tested Model Name of the model that underwent verification testing. Tested Model Name may be different from Certified Model Name.	X	X	X
	Tested Model Number	List the Tested Model Number of the model that underwent verification testing. Tested Model Number may be different from Certified Model Number.	X	X	X
SELECTION AND PROCUREMENT	Procurement Status	Select drop-down option for where the model is in the procurement process.		X
	VT Requirement Year	Year for which the test fulfills a CB's verification testing requirement (Format: YYYY).	X	X	X
	Selection Method	Select drop-down option for how this model was selected for verification testing. If this model was selected as an alternate to an EPA nomination, it should be entered as a "Selected by CB". If a family model of an EPA-nomination was used instead of the original EPA-nomination, then select "Alternate family model of EPA-nominated model".	X	X	X
	If selection method is "Other", provide explanation	If this model was not an EPA-nomination or selected by the CB, please explain how the model was selected.	X	X	X
	Procurement Method	Select how the unit was procured using the options provided.	X	X
	OPTIONAL: Date(s) unit was purchased and/or ordered	Provide the date(s) the unit(s) for testing were purchased or ordered for VT.		X
	If product was obtained off-the-line (from manufacturing facility) or other, provide reason.	Provide an explanation why the unit was not obtained by the options provided.	X	X
	OPTIONAL: Date(s) unit arrived at laboratory	List the date or dates the unit(s) arrived at the laboratory for testing.	X	X
	If product was obtained off-the-line (from manufacturing facility) or other, provide reason.	List the Certified Model Name of the model that was selected as a replace for testing. This model should also be listed in either the Completed Testing or In Progress tab. If this replacement was also not tested, then it should be in the Models Not Tested tab.			X
	Certified Model Number Selected as Replacement	List the Certified Model Number of the model that was selected as a replacement for testing. This model should also be listed in either the Completed Testing or In Progress tab. If this replacement was also not tested, then it should be in the Models Not Tested tab.			X
TESTING INFORMATION	Lab Name that performed VT	List the name of the EPA-recognized laboratory that performed verification testing exactly as it appears in MESA.	X	X
	Lab EPA-issued Org ID	List the name organization ID of the EPA-recognized laboratory that performed verification testing exactly as it appears in MESA.	X	X
	Date(s) VT completed for: Single unit, spot-check, or initial testing	List the date(s) verification testing was completed for a single unit, spot-check, or initial testing.	X	X
	Date(s) VT completed for: Lifetime testing, or remaining samples of a multiple sample test	List the date(s) verification testing was completed for a lifetime test, or for remaining samples of a multiple sample test. Enter the projected testing completion date if testing is still underway and initial testing is completed.	X	X
	LIGHTING PRODUCTS and FANS with LIGHTING ONLY: Initial or lifetime testing completed? List completion date(s) in columns S and T	List whether this unit completed initial or lifetime testing. Please include the completed date(s). If a lifetime test was completed in a pervious reporting period, it should be recorded in this report. Please ensure the correct "Assigned Verification Testing Requirement Year" is entered.	X	X
	Reason Model Was Not Tested	If a model was not tested, please select the reason in this column. If EPA approved not testing a replacement, please select the "No replacement needed (approved by EPA)" option.			X
	If reason model was not tested is "Other," provide explanation	If the given reasons do not apply, please provide an explanation in this column.			X
RESULTS	Verification Test Result	List whether the test "Passed" or "Failed" verification testing. A test that failed for any reason should be listed as "Failed" in the Verification Testing Summary report.	X	X
RESULTS	If failed, date reported to EPA	If a test failed verification testing, list the date it was reported to [email protected]. Please ensure all testing failures have been reported to EPA.	X	X
	Additional notes	Include any additional information that may assist identifying a test or other notes for EPA. For example, if a required data entry was left blank for a reason, please provide an explanation. CBs also will sometimes add additional model information such as the base model that a Tested Model Number belongs to.	X	X	X
This collection of information is approved by OMB under the Paperwork Reduction Act, 44 U.S.C. 3501 et seq. (OMB Control No. 2060-0528). Responses to this collection of information are voluntary (Section103(g) of the Clean Air Act). An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB control number. The public reporting and recordkeeping burden for this collection of information is estimated to be 20.5 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 to the Regulatory Support Division Director, U.S. Environmental Protection Agency (2821T), 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. Form No. 5900-251

Sheet 2: Completed_Testing

	ENERGY STAR® Verification Testing Summary Report - Completed Testing

	Name of CB:					Verification Testing Period Covered:

	This tab is for reporting models that completed testing during the reporting period. If testing has not been completed but is in progress, please report the model on the In_Progress tab.
	STARTING IN 2020: CBs should submit results of all lifetime testing completed within the testing period, regardless of the year the model was selected, in the "Completed_Testing" tab. It is important that the correct VT requirement year is reported in column K. For example, a model that was nominated in the 2019 VT requirement year and finished lifetime testing in 2020 should be reported as "2019" in column K.

	Please note that upon selecting a product specification, all cells highlighted in yellow MUST be filled out OR you may provide a reason for the omission in the "Additional Notes" (column X).
	MODEL INFORMATION									SELECTION AND PROCUREMENT						TESTING INFORMATION					RESULTS
Submission Number	Product Specification	Product Type	ENERGY STAR Manufacturing Partner	Brand Name	ENERGY STAR Model Identifier	Certified Model Name	Certified Model Number	Tested Model Name	Tested Model Number	VT Requirement Year	Selection Method	If selection method is "Other", provide explanation	Procurement Method	If product was obtained off-the-line (from manufacturing facility) or other, provide reason.	OPTIONAL: Date(s) unit arrived at laboratory	Lab Name that performed VT	Lab EPA-issued Org ID	Date(s) VT completed for: Single unit, spot-check, or initial testing	Date(s) VT completed for: Lifetime testing, or remaining samples of a multiple sample test	LIGHTING PRODUCTS and FANS with LIGHTING ONLY: Initial or lifetime testing completed? List completion date(s) in columns S and T	Verification Test Result	If failed, date reported to EPA	Additional notes
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Sheet 3: In_Progress

ENERGY STAR® Verification Testing Summary Report - In Progress Tests

Name of CB:

Verification Testing Period Covered:

This tab is for reporting models that have been procured or are in progress for verification testing as of the end of the period. If testing has been completed, please report the model on the Completed_Testing tab.

Please note upon selecting a product specification, all cells highlighted in yellow MUST be filled out OR you may provide a reason for the omission in the "Additional Notes" column (column Z).

Model Information

Selection and Procurement

Testing Information

Results

Submission Number

Product Specification

Product Type

ENERGY STAR Manufacturing Partner

Brand Name

ENERGY STAR Model Identifier

Certified Model Name

Certified Model Number

Tested Model Name

Tested Model Number

Procurement Status

Verification (VT) Testing Requirement Year

Selection Method

If method of selection is other, provide explanation

Procurement Method

If product was obtained
off-the-line (from manufacturing facility)
or other, provide reason

OPTIONAL: Date(s) unit was purchased and/or ordered

OPTIONAL: Date(s) unit arrived at laboratory

Lab Name that performed VT

Lab EPA-issued Org ID

Date(s) VT completed for:

Single unit,
Spot-check,
Initial Testing

Date(s) VT completed for:

Lifetime testing, or remaining samples of a multiple sample test

FANS with LIGHTING and
LIGHTING ONLY

Initial or lifetime testing completed?
List realized and projected completion date(s) in
columns U and V.

Verification Testing Result

If failed, date reported to EPA (if passed, list 'NA')

Additional notes

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TESTING IN PROGRESS

453

TESTING IN PROGRESS

454

TESTING IN PROGRESS

455

TESTING IN PROGRESS

456

TESTING IN PROGRESS

457

TESTING IN PROGRESS

458

TESTING IN PROGRESS

459

TESTING IN PROGRESS

460

TESTING IN PROGRESS

461

TESTING IN PROGRESS

462

TESTING IN PROGRESS

463

TESTING IN PROGRESS

464

TESTING IN PROGRESS

465

TESTING IN PROGRESS

466

TESTING IN PROGRESS

467

TESTING IN PROGRESS

468

TESTING IN PROGRESS

469

TESTING IN PROGRESS

470

TESTING IN PROGRESS

471

TESTING IN PROGRESS

472

TESTING IN PROGRESS

473

TESTING IN PROGRESS

474

TESTING IN PROGRESS

475

TESTING IN PROGRESS

476

TESTING IN PROGRESS

477

TESTING IN PROGRESS

478

TESTING IN PROGRESS

479

TESTING IN PROGRESS

480

TESTING IN PROGRESS

481

TESTING IN PROGRESS

482

TESTING IN PROGRESS

483

TESTING IN PROGRESS

484

TESTING IN PROGRESS

485

TESTING IN PROGRESS

486

TESTING IN PROGRESS

487

TESTING IN PROGRESS

488

TESTING IN PROGRESS

489

TESTING IN PROGRESS

490

TESTING IN PROGRESS

491

TESTING IN PROGRESS

492

TESTING IN PROGRESS

493

TESTING IN PROGRESS

494

TESTING IN PROGRESS

495

TESTING IN PROGRESS

496

TESTING IN PROGRESS

497

TESTING IN PROGRESS

498

TESTING IN PROGRESS

499

TESTING IN PROGRESS

500

TESTING IN PROGRESS

Sheet 4: Models_Not_Tested

	ENERGY STAR® Verification Testing Summary Report - List of Models Selected for Verification Testing That Will Not Be Tested

	Name of CB:					Verification Testing Period Covered:
	This tab is for reporting models that were selected for verification (EPA nominated and CB-selected), but the model cannot be tested. Models may be listed here if they are not available in commerce in the U.S., if the model or a family model was already tested in the previous year, if EPA approved testing an alternate model, or other reasons. If a model is nominated for verification and not tested, CBs should list a replacement model in Columns L and M, or explain why a replacement was not tested. Models that have been procured or are in progress for testing should be reported on the In_Progress Tab.
	Please note upon selecting a product specification, all cells highlighted in yellow MUST be filled out OR you may provide a reason for the omission in the "Additional Notes" column (column R).
	Model Information									Selection and Procurement					Testing Information
Submission Number	Product Specification	Product Type	ENERGY STAR Manufacturing Partner	Brand Name	ENERGY STAR Model Identifier	Certified Model Name	Certified Model Number	Tested Model Name	Tested Model Number	VT Requirement Year	Selection Method	If method of selection is other, provide explanation	Certified Model Name Selected as Replacement	Certified Model Number Selected as Replacement	Reason Model Was Not Tested	If reason model was not tested is "Other," provide explanation	Additional notes
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Sheet 5: Validlists

ValidLists Info:

All Products

Reporting Period

January 1 - June 30,

July 1 - December 31,

2020

2021

2022

ICFI: From Enforcement Workbook; but removed Insulation Product Category
(for reference)

Audio/Video

Boilers

Ceiling Fans

CAC ASHP

Clothes Dryers

Clothes Washers

Commercial Boilers

Commercial Coffee Brewers

Commercial Dishwashers

Commercial Fryers

Commercial Griddles

Commercial Hot Food Holding Cabinets

Commercial Ice Machines

Commercial Ovens

Commercial Refrigerators and Freezers

Commercial Steam Cookers

Commercial Water Heaters

Computers

Connected Thermostats

Data Center Storage

Decorative Light Strings

Dehumidifiers

Dishwashers

Displays

Electric Vehicle Supply Equipment

Enterprise Servers

Furnaces

Geothermal Heat Pumps

Imaging Equipment

Lab Grade Refrigerators and Freezers

Lamps

Large Network Equipment

Light Commercial HVAC

Luminaires

Pool Pumps

Refrigerators and Freezers

Roof Products

Room Air Cleaners and Purifiers

Room Air Conditioners

Set-top Boxes and Cable Boxes

Small Networking Equipment

Storm Windows

Telephony

Televisions

Uninterruptible Power Supplies

Vending Machines

Ventilating Fans

Water Coolers

Water Heaters

Windows, Doors, and Skylights

ICFI: From Enforcement Workbook; but removed Insulation Product Category for Verification Testing

Audio/Video

Boilers

Ceiling Fans

CAC ASHP

Clothes Dryers

Clothes Washers

Commercial Boilers

Commercial Coffee Brewers

Commercial Dishwashers

Commercial Fryers

Commercial Griddles

Commercial Hot Food Holding Cabinets

Commercial Ice Machines

Commercial Ovens

Commercial Refrigerators and Freezers

Commercial Steam Cookers

Commercial Water Heaters

Computers

Connected Thermostats

Data Center Storage

Decorative Light Strings

Dehumidifiers

Dishwashers

Displays

Electric Vehicle Supply Equipment

Enterprise Servers

Furnaces

Geothermal Heat Pumps

Imaging Equipment

Lab Grade Refrigerators and Freezers

Lamps

Large Network Equipment

Light Commercial HVAC

Luminaires

Pool Pumps

Refrigerators and Freezers

Roof Products

Room Air Cleaners and Purifiers

Room Air Conditioners

Set-top Boxes and Cable Boxes

Small Networking Equipment

Storm Windows

Telephony

Televisions

Uninterruptible Power Supplies

Vending Machines

Ventilating Fans

Water Coolers

Water Heaters

Windows, Doors, and Skylights

Removed "No Category", CFL, ILL, and changed to Water Heater-Non-Solar and Water Heater-Solar. Added UPS. Added ILL, Pool Pumps, CWH, Data Center Storage, SNE

Product Status

Yes No

N/A

CB count

Name of CB

Advanced Compliance Solutions, Inc.

Air-Conditioning, Heating, and Refrigeration Institute (AHRI)

AMCA International, Inc.

American Certification Body, Inc. (ACB, Inc.)

Applied Research Laboratories of South Florida, LLC

Association of Home Appliance Manufacturers (AHAM)

Bay Area Compliance Laboratories Corp. (BACL)

BEST CB LLC

China Quality Certification Center

Cool Roof Rating Council (CRRC)

CSA International

Bureau Veritas Consumer Products Services, Inc. (BVCPS)

Home Ventilating Institute (HVI)

IAPMO Ventures dba IAPMO EGS

ICC Evaluation Service, LLC

Intertek Testing Services NA Inc

Keystone Certifications, Inc.

MET Laboratories, Inc.

National Accreditation & Management Institute, Inc. (NAMI)

National Fenestration Rating Council (NFRC)

Nemko North America, Inc.

NSF International

Solar Rating and Certification Corporation (SRCC)

SGS North America Inc.

TUV Rheinland of North America, Inc.

TUV SUD America, Inc.

UL Verification Services Inc.

Verification Testing Result

Passed; met specification requirements

Passed; 1 or more requirement within 5% specification requirement

Failed; reported to EPA

Where unit was obtained

Off-the-shelf (Retail store)

Off-the-shelf (Online)

Warehouse or other distribution center

Off-the-Line (from manufacturing facility); provide reason

Other; provide reason

N/A

Reasons why unit was obtained off-the-line (from manufacturing facility)

Eligible Product Category-Commercial Food Service

Eligible Product Category-Imaging Equipment with speed greater than 50 ipm

Eligible Product Category-Servers

Eligible Product Category-Workstations

Eligible Product Category-Light Commercial HVAC

Other; confirmed with EPA

N/A

Reasons not tested

Identical model or model from same family was tested by a CB in the previous year.

Alternative model chosen due to production schedule. (Note, only allowed for product categories eligible for off-the-line testing.)

Model is not available in commerce in the U.S. and another model from the manufacturer was selected.

Model is not available in commerce in the U.S. and another model from the manufacturer could not be selected. Please provide explanation.

Other - provide explanation.

How model was selected

EPA-nominated

Alternate family model of EPA-nominated model

Selected by CB

Other - provide explanation

Do the tested models listed below complete the annual 10% verification testing requirement for 2014?

YES

Initial or Liftetime Testing

Initial Testing Completed

Initial and Life Testing Completed

No Lifetime Testing Required

Initial or Liftetime Testing In Progress

Initial Testing In Progress/ Not Yet Procured

Initial Testing Completed In Previous Reporting Period and Life Testing In Progress

No Lifetime Testing Required

Procurement Status

Partner Contacted

Partner Reported Unresponsive

Product En Route to Lab

Testing in Progress

Other- provide explanation in Notes (column Z)

Reason Model Was Not Tested

Model is not available in commerce in the U.S.

Another model from the manufacturer was selected

Per Directive #2011-06, EPA permits off-the-line testing and an alternative model was selected due to the model's availability.

Same model or family model was tested in the previous year.

No replacement needed (approved by EPA)

Other; Please provide explanation

Last updated date:

4/22/2021

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