5900-206 Qualified Product Information Form for Set-top Boxes

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Overview

Manufacturing and Labeling
Product and Measurement

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Sheet 1: Manufacturing and Labeling

Qualified Product Information Form for ENERGY STAR® STBs - Part 1

ENERGY STAR Qualified Product Information (QPI) Form for use by Set-top Box (STB) partners (Companies that have joined ENERGY STAR for STBs by signing a Partnership Agreement)

Manufacturer Name:

Brand Name:

Model Number:

Model Name:

Contact Information

Contact Name for this product:

Contact Phone:

Contact Email Address:

Contact Fax:

Manufacture Information

Initial Date of Manufacture:

Date Available on the Market:

Available Markets

Labeling Information

To what major markets is this product sold? (Check all that apply.)

Indicate where ENERGY STAR label appears. (Check all that apply.)

Australia/New Zealand?

On product advertising / promotional materials?

Canada?

On product packaging/box?

European Union?

In product literature?

Japan?

On your Internet site?

Mexico?

Electronic?

Taiwan?

On the product?

United States?

Other?

Other?

Please describe:

To which service providers will you sell this product?

Will this product be sold at retail?

Yes No

Testing Information

Date Tested:

Self-Tested?

Yes No

If not Self-Tested, please provide the following information regarding the Testing Facility and Test Technician.

Test Facility Name:

Test Facility Country:

Test Technician First Name:

Test Technician Last Name:

Test Technician Email:

Date:

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Sheet 2: Product and Measurement

Qualified Product Information Form for ENERGY STAR® STBs - Part 2
ENERGY STAR Qualified Product Information (QPI) Form for use by Set-top Box (STB) partners (Companies that have joined ENERGY STAR for STBs by signing a Partnership Agreement)
Base Functionality	Select one:	Ptv Power in On (W)	Psleep Power in Sleep (W)	PAutoPD Power in Off (W)
Additional Functionalities	Present? Yes or No	Ptv Power in On (W)	Psleep Power in Sleep (W)	PAutoPD Power in Off (W)	Pplayback	Precord	Number of Cards
Additional Tuners									Select one:
Additional Tuners - Terrestrial/IP									Cable
Adv. Video Processing									Satellite
DVR									IP
High Definition (Does not apply if terrestrial)									Terrestrial
Removable Media Player									Thin-Client/Remote
Removable Media Player/Recorder
Multi-Room1									Yes
CableCARD									No
DOCSIS
Home Network Interface
1 Section 3F of the specification applies; only list if model fails single STB test.
LNBs subtracted?
If Yes, how much was subtracted?
Were 3 randomly selected units of the same model tested?
Did all 3 units that were tested meet the qualification criteria?
Was the unit qualified after a refurb?
If the unit has an EPS and was not qualified as a result of a refurb, does the EPS pass the requirements for an ENERGY STAR EPS?
Does the unit qualified have auto power down?
Has the auto power down feature been specifically tested in the service provider's environment and ensured to work?
Annual energy (kWh/yr) for a product with no auto power down:
kWhbase = 0.365 × (14 × Ptv +10 × PSleep)
Annual energy (kWh/yr) for a product with auto power down capability:
kWhbase = 0.365 × ((7 × Ptv) + (10 × PSleep) + (7 + PAutoPD))
Annual energy (kWh/yr) playback and record:	(if applicable)
kWhplay/record = 0.365 × (Pmode - Ptv) × Hmode
Total Energy Consumption (kWh/yr)
ENERGY STAR TEC Limit