1 Electronics Challenge

EPA's WasteWise Program (Renewal)

Electronics-Challenge_forms_11-27-18

EPA's WasteWise Program (Private Sector)

OMB: 2050-0139

Document [pdf]

Download: pdf | pdf

11/13/2018

Participation Agreement | Re-TRAC Connect

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Program: EPA - Electronics Challenge

DEMO
CONTACT PROGRAM MANAGER

TEST ORGANIZATION
WORKSPACE

PARTICIPATION
AGREEMENT
SECTION I: EPA'S SMM ELECTRONICS CHALLENGE GOAL
The goal of EPA's Sustainable Materials Management (SMM) Electronics Challenge is to advance the responsible management of used electronics by challenging manufacturers,
brand owners, and retailers of electronics to strive to send 100 percent of used electronics collected for reuse and recycling to third-party certified recyclers¹, increase the total
amount of used electronics collected for reuse and recycling, and publically post information and data.

¹Currently, e-Stewards and Responsible Recycling Practices (R2) are the only recognized certification standards for recyclers in the United States. However, EPA may
recognize additional standards at a later date.

SECTION II: PARTICIPANT PLEDGE
As an EPA SMM Electronics Challenge participant, Test Organization shares EPA's goals as outlined above, and commits to:
1. Strive to send 100 percent of used electronics collected from all collection streams (e.g., consumer, warranty and return, business to business and internal equipment) to
recyclers or refurbishers that have been certified to a recognized third-party certification program.
2. Submit baseline data within 6 months of registration.
3. Submit annual data, according to participation tier, to EPA.
4. Post commitments, policies and data on the participant's Web site.
By signing this agreement, my organization also intends to reach the following tier, as described in the SMM Electronics Challenge Overview document (select one):
Participation Level: *
Bronze
Silver
Gold

SECTION III: EPA'S COMMITMENTS TO PARTICIPANTS
1. Respond promptly to Registrant and Participant requests for information or clarification on EPA's SMM Electronics Challenge.
2. Provide public recognition by listing all organizations who sign the Pledge as REGISTRANTS on EPA's Web site.
3. Review each participant's baseline data, goals and public posting to verify eligibility to be listed as a NEW PARTICIPANT on EPA's Web site.
4. Routinely assess each participant's submission and public posting of annual data and information to verify eligibility to receive recognition as a Bronze, Silver, or Gold
ACTIVE PARTICIPANT on EPA's Web site.
5. Provide access to and maintenance of an online reporting and data management system.

SECTION IV: GENERAL TERMS AND DISCLAIMERS
1. Either party can terminate this agreement at any time without prior notification and with no further obligation. EPA will not comment publically regarding the withdrawal of
participants.
2. Participant agrees that the activities it undertakes connected with this voluntary agreement are not intended to provide services to the federal government and that the
participant will not seek compensation from a federal agency.
3. Participant agrees that it will not claim or imply that its participation constitutes EPA approval or endorsement of anything other than its participation in the SMM
Electronics Challenge and will not make statements or imply that EPA endorses the participant or the purchase or sale of the participant's products and services or the views
of the participant's organization.
4. EPA may publish information about the participant's accomplishments.

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Participation Agreement | Re-TRAC Connect

5. EPA may use the participant's logo in certain EPA communication materials.
6. EPA may periodically revise eligibility requirements.
7. Failure to comply with any of the terms of this agreement can result in EPA removing a registrant or participant from the SMM Electronics Challenge and terminating access
to its benefits, including use of the online data management system.
8. All commitments made by EPA are subject to the availability of appropriated funds.

SECTION V: CONTACT INFORMATION
Authorized Participant Representative: *

Title: *

Address: *

Phone Number: *

Email Address: *

Web site: *

Ensure website address begins with http:// or https://
By checking this box, I am stating that I understand the SMM Electronics Challenge requirements, agree to the terms and conditions, and have the authority to register my
organization for the Electronics Challenge. *

SAVE DRAFT

MARK COMPLETE

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11/13/2018

Annual Participation Level | Re-TRAC Connect

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Program: EPA - Electronics Challenge

DEMO
CONTACT PROGRAM MANAGER

BRONZE - TEST
WORKSPACE

ANNUAL PARTICIPATION
LEVEL

EXPORT

Annual | 2017
The status is completed therefore all fields are currently locked. If you need to edit any part of the response, please contact the EPA - Electronics Challenge
Program Manager(s).

Overview
Bronze
Entry-level status designed for organizations without existing collection programs or with nascent programs.

Silver
Mid-level status designed for organizations with modest collection programs.

Gold
Highest-level status designed for organizations with exemplary, well developed collection programs.
For detailed Reporting Requirements for ALL Challenge Participants & Tiers click the following link (will open in new tab or window)
Participation Level: *
Bronze
Silver
Gold

Created: Jul 17, 2018 at 04:13 PM CDT by epa@epa.gov
Last Updated: Jul 25, 2018 at 10:12 AM CDT by epa@epa.gov

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11/27/2018

Annual Data - Gold | Re-TRAC Connect

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MEMBERS

RESPONSES

STATUS

DEMO
ANALYTICS

ADVANCED

PROGRAM: EPA - ELECTRONICS CHALLENGE
Bronze - Test

ANNUAL DATA
- GOLD
Annual | 2017
New Response for: Bronze - Test
Survey Data

Please submit all numbers in tons or units, as indicated. Note that reporting in tons is required (*), while reporting in units is optional.
An asterisk (*) denotes a required field. Participants cannot submit the data form until all fields marked with an asterisk are complete.

Total Collected for Reuse & Recycling from all Streams
Total Collected for Reuse & Recycling: 1

tons

Total Units Collected for Reuse and Recycling
(optional):

Equipment: 2 (optional) *

tons

Units of Equipment Collected for Reuse and Recycling
(optional):
Cell Phones and other Mobile Devices: 3 (optional) *

tons

Units of Cell Phones / Mobile Devices Collected for
Reuse and Recycling (optional):
Accessories: 4 (optional) *

tons

Units of Accessories Collected for Reuse and Recycling
(optional):
Total:

tons

Total Units:

Reuse and Recycling Data
Total sent to third-party certified recyclers from All
Streams: 5 *

tons

Total Units sent to third-party certified recyclers
(optional):
Percentage sent to third-party certified recyclers:

Has collection increased compared to the previous year? *

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Annual Data - Gold | Re-TRAC Connect

Yes
No

State Reporting Data
Total Collected for reuse and recycling from all streams (Note: The total from the below categories should equal the total recycled)
Weight of electronics collected in states with take-back laws explicitly to meet these laws. *
tons
Weight of electronics that exceeds state take-back laws, collected in states with take-back laws. *
tons
Total Units collected in states with take-back laws (optional):

Weight of electronics collected in states without take-back laws. *
tons
Total Units collected in states without take-back laws (optional):

Weight of electronics collected but not attributable to a specific state (e.g., collected by mail-back program, regional agreement, or other method that does not allow a
company to track). *
tons
Total Units collected but not attributable to a specific state (optional):

Please use this space to convey any details to EPA about your approach for arriving at your state data (i.e., with and without take-back laws) and any company-specific
contributing factors and other useful information (e.g., did your company sell pounds to other OEMS? if so, how many?) *

Did your company increase collection, recycling and/or reuse in two states without take-back laws? *
Yes
No

Reporting Requirements
Due Diligence
Have you verified that your company conducts due diligence to ensure that the recycler of first entry into the system, as well as any vendors receiving materials a er
the initial recycler (i.e., downstream vendors), either:
- are certified to an established third-party certification standard, or
- are examined by the company's auditors at least semi-annually to ensure safe management practices?
If a certifying body conducts an annual audit, only one additional in-person or paper audit is required per year. *
Yes
No

Certified Recyclers and Programs *
Is this information included in the final, publicly-posted report? *
Yes
No
List names of certified recycler(s) used and certification programs:

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CERTIFIED RECYCLER NAME *

CERTIFIED RECYCLER LOCATION - CITY, STATE,
COUNTRY (IF APPLICABLE) *

CERTIFIED PROGRAM *

REMOVE
ADD

Education & Outreach
List and describe public education and outreach activities on safe management of used electronics and available collection opportunities. *

Website where public education and outreach activities are listed (optional):

Ensure website address begins with http:// or https://

Company Policies Favoring Recycling and Reuse
List and describe company policies that favor recycling and reuse of electronics equipment and/or components, as opposed to energy recovery, incineration, or land
disposal. *

Website
List website where EPA provided baseline/annual tier data is publicly posted: *

Ensure website address begins with http:// or https://

Upstream Communication & Innovation
Answer two of the three questions.
How do you influence supplier behavior (e.g. in the areas of materials selection, design for product longevity, reuse and recycling, energy conservation, end-of-life
management and corporate performance)?

Website where company activities or programs are listed (optional):

Ensure website address begins with http:// or https://
How have you helped customers reduce their electronics packaging waste (e.g., through creative packaging design, innovative material choices, and better logistics)?

Website where company activities or programs are listed (optional):

Ensure website address begins with http:// or https://
How do you encourage customers (including large purchasers) to buy sustainable or "green" electronics products?

Website where company activities or programs are listed (optional):

Ensure website address begins with http:// or https://

Notes:

1. Total Collected for Reuse and Recycling: This is the total amount of used electronics collected for reuse and recycling, including the amount sent to certified and noncertified recyclers. It can include company assets, business to business, warranty returns, and electronics collected and/or purchased to meet state take-back laws. See
below for definitions of "reuse", "all streams" and "units".
2. Equipment: Defined as electronics equipment such as central processing units (CPUs), desktops, laptops, televisions, printers, monitors, copiers, fax machines, scanners,
imaging equipment, radios, tablets, e-readers, slates, netbooks, and heavy equipment such as servers. It further includes any other or new (future) types of equipment that
are designed primarily to store or convey information electronically and have a 4-inch screen or larger measured diagonally.

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3. Cell Phones & Other Mobile Devices: Defined as electronic equipment such as cell phones, personal digital assistants (PDAs), organizers, tablets, e-readers, slates, smart
phones, compact disc players, gaming systems, calculators, and MP3 devices. It also includes any other or new (future) types of equipment that are designed primarily to
store or convey information electronically and that are lightweight, mobile in design, and have a 4-inch screen or less measured diagonally.
4. Accessories: Defined as headphones, speakers, CDs, toner cartridges, USB sticks, keyboards, game system accessories, cables, chargers, and other small, miscellaneous
items as defined by the Participant. It further includes any other or new (future) types of accessories to either the equipment or cell phone and other mobile devices
equipment. The participant is welcome to provide a separate breakout of any of the items listed as accessories.
5. Total sent to third-party certified recyclers: For the purposes of the SMM Electronics Challenge, the term "recycler" denotes refurbisher or recycler certified to a recognized
third-party certified recycling program. Similarly, the term "recycling" denotes recycling, refurbishment and reuse. Currently, Responsible Recycling Practices (R2) and eStewards are the only recognized certification standards for recyclers. However, EPA may recognize additional standards at a later date. Also see definition of 'all streams'
below.
Reuse: Denotes an electronics object, or component of an electronics object that is used again by a diﬀerent owner either for its original purpose or for a similar purpose,
without significantly altering the physical form of the object or material. The electronics object may be cleaned, repaired, or refurbished between uses.
All Streams: Denotes used electronics collected for recycling or reuse from the various return streams used by the participant. Streams could include consumer take-back
programs, asset recovery programs, retired lease returns, collection events, or trade-in programs.
Baseline: The year a participant joins the challenge. Annual results are compared to the baseline as well as preceding years' results.
Units: Individual items collected for reuse and recycling, including equipment (e.g., televisions, computers, printers), cell phones and mobile devices (e.g., smartphones,
tablets, MP3players), and accessories (e.g., USB drives, headphones, keyboards).

AUDIT
Status
Dra

Auditor Notes

To view all auditor notes, expand the Response History section of the
survey

Status:
New: The user has not entered any data into the survey. The survey is
accessible and can be edited by the user.
Dra : The user has saved a dra but has not marked it complete. The response
is accessible and can be edited by the user.
Completed: The response has been marked complete by the user. The
response is locked and cannot be edited by the user.
Verified: The program manager has verified the response(s). The response is
locked and cannot be edited by the user.

SAVE

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11/13/2018

Baseline Data - Gold | Re-TRAC Connect

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DEMO

Program: EPA - Electronics Challenge

CONTACT PROGRAM MANAGER

TEST ORGANIZATION
WORKSPACE

BASELINE
DATA - GOLD
Please submit all numbers in tons or units, as indicated. Note that reporting in tons is required (*), while reporting in units is optional.
An asterisk (*) denotes a required field. Participants cannot submit the data form until all fields marked with an asterisk are complete.

Total Collected for Reuse & Recycling from all Streams
Total Collected for Reuse & Recycling: 1

tons

Total Units Collected for Reuse and Recycling
(optional):

Equipment: 2 (optional) *

tons

Units of Equipment Collected for Reuse and Recycling
(optional):
Cell Phones and other Mobile Devices: 3 (optional) *

tons

Units of Cell Phones / Mobile Devices Collected for
Reuse and Recycling (optional):
Accessories: 4 (optional) *

tons

Units of Accessories Collected for Reuse and Recycling
(optional):
Total:

tons

Total Units:

Reuse and Recycling Data
Total sent to third-party certified recyclers from All
Streams: 5 *

tons

Total Units sent to third-party certified recyclers
(optional):
Percentage of total electronics collected that were sent
to third-party certified recyclers:

State Reporting Data
Total collected for reuse and recycling from all streams (Note: The total from the below categories should equal the total recycled)
Weight of electronics collected in states with take-back laws explicitly to meet these laws. *

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tons

Weight of electronics that exceeds state take-back laws, collected in states with take-back laws. *
tons
Total Units collected in states with take-back laws (optional):

Weight of electronics collected in states without take-back laws. *
tons
Total Units collected in states without take-back laws (optional):

Other Reporting Requirements
Due Diligence
Have you verified that your company conducts due diligence to ensure that the recycler of first entry into the system, as well as any vendors receiving materials a er the
initial recycler (i.e., downstream vendors), either:
- are certified to an established third-party certification standard, or
- are examined by the company's auditors at least semi-annually to ensure safe management practices?
If a certifying body conducts an annual audit, only one additional in-person or paper audit is required per year. *
Yes
No

Certified Recyclers and Programs *
Is this information included in the final, publicly-posted report? *
Yes
No
List names of certified recycler(s) used and certification programs:

CERTIFIED RECYCLER NAME *

CERTIFIED RECYCLER LOCATION - CITY, STATE,
COUNTRY (IF APPLICABLE) *

CERTIFIED PROGRAM *

REMOVE
ADD

Education & Outreach
List and describe public education and outreach activities on safe management of used electronics and available collection opportunities. *

Website where public education and outreach activities are listed (optional):

https://demo.re-trac.com/participant/program_associations/67135/survey/269/survey_responses/new?period=1&year=2018

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Ensure website address begins with http:// or https://

Website
List website where EPA provided baseline/annual tier data is publicly posted: *

Ensure website address begins with http:// or https://
Notes:

1. Total Collected for Reuse and Recycling: This is the total amount of used electronics collected for reuse and recycling, including the amount sent to certified and non-certified
recyclers. It can include company assets, business to business, warranty returns, and electronics collected and/or purchased to meet state take-back laws. See below for
definitions of "reuse", "all streams" and "units".
2. Equipment: Defined as electronics equipment such as central processing units (CPUs), desktops, laptops, televisions, printers, monitors, copiers, fax machines, scanners,
imaging equipment, radios, tablets, e-readers, slates, netbooks, and heavy equipment such as servers. It further includes any other or new (future) types of equipment that are
designed primarily to store or convey information electronically and have a 4-inch screen or larger measured diagonally.
3. Cell Phones & Other Mobile Devices: Defined as electronic equipment such as cell phones, personal digital assistants (PDAs), organizers, tablets, e-readers, slates, smart
phones, compact disc players, gaming systems, calculators, and MP3 devices. It also includes any other or new (future) types of equipment that are designed primarily to store or
convey information electronically and that are lightweight, mobile in design, and have a 4-inch screen or less measured diagonally.
4. Accessories: Defined as headphones, speakers, CDs, toner cartridges, USB sticks, keyboards, game system accessories, cables, chargers, and other small, miscellaneous items
as defined by the Participant. It further includes any other or new (future) types of accessories to either the equipment or cell phone and other mobile devices equipment. The
participant is welcome to provide a separate breakout of any of the items listed as accessories.
5. Total sent to third-party certified recyclers: For the purposes of the SMM Electronics Challenge, the term "recycler" denotes refurbisher or recycler certified to a recognized
third-party certified recycling program. Similarly, the term "recycling" denotes recycling, refurbishment and reuse. Currently, Responsible Recycling Practices (R2) and eStewards are the only recognized certification standards for recyclers. However, EPA may recognize additional standards at a later date. Also see definition of 'all streams' below.
Reuse: Denotes an electronics object, or component of an electronics object that is used again by a diﬀerent owner either for its original purpose or for a similar purpose, without
significantly altering the physical form of the object or material. The electronics object may be cleaned, repaired, or refurbished between uses.
All Streams: Denotes used electronics collected for recycling or reuse from the various return streams used by the participant. Streams could include consumer take-back
programs, asset recovery programs, retired lease returns, collection events, or trade-in programs.
Baseline: The year a participant joins the challenge. Annual results are compared to the baseline as well as preceding years' results.
Units: Individual items collected for reuse and recycling, including equipment (e.g., televisions, computers, printers), cell phones and mobile devices (e.g., smartphones, tablets,
MP3players), and accessories (e.g., USB drives, headphones, keyboards).

SAVE DRAFT

MARK COMPLETE

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11/13/2018

Annual Data - Silver | Re-TRAC Connect

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DEMO

Program: EPA - Electronics Challenge

CONTACT PROGRAM MANAGER

TEST ORGANIZATION
WORKSPACE

ANNUAL DATA
- SILVER
Annual | 2017
Please submit all numbers in tons or units, as indicated. Note that reporting in tons is required (*), while reporting in units is optional.
An asterisk (*) denotes a required field. Participants cannot submit the data form until all fields marked with an asterisk are complete.

Total Collected for Reuse & Recycling from all Streams
Total Collected for Reuse & Recycling: 1

tons

Total Units Collected for Reuse and Recycling
(optional):

Equipment: 2 (optional)

tons

Units of Equipment Collected for Reuse and Recycling
(optional):
Cell Phones and other Mobile Devices: 3 (optional)

tons

Units of Cell Phones / Mobile Devices Collected for
Reuse and Recycling (optional):
Accessories: 4 (optional)

tons

Units of Accessories Collected for Reuse and Recycling
(optional):
Total:

tons

Total Units:

Reuse and Recycling Data
Total sent to third-party certified recyclers from All
Streams: 5 *

tons

Total Units sent to third-party certified recyclers
(optional):
Percentage sent to third-party certified recyclers:

Has collection increased compared to the previous year? *
Yes
No

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State Reporting Data
Total Collected for reuse and recycling from all streams (Note: The total from the below categories should equal the total recycled).
Weight of electronics collected in states with take-back laws explicitly to meet these laws. *
tons
Weight of electronics that exceeds state take-back laws, collected in states with take-back laws. *
tons
Total Units collected in states with take-back laws (optional):

Weight of electronics collected in states without take-back laws. *
tons
Total Units collected in states without take-back laws (optional):

Did your company increase collection, recycling and/or reuse in at least one state without a take-back law? *
Yes
No

Other Reporting Requirements
Certified Recyclers and Programs *
Is this information included in the final, publicly-posted report? *
Yes
No
List names of certified recycler(s) used and certification programs:

CERTIFIED RECYCLER NAME *

CERTIFIED RECYCLER LOCATION - CITY, STATE,
COUNTRY (IF APPLICABLE) *

CERTIFICATION PROGRAM *

REMOVE
ADD

Education & Outreach
List and describe public education and outreach activities on safe management of used electronics and available collection opportunities. *

Website where public education and outreach activities are listed (optional):

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Ensure website address begins with http:// or https://

Website
List website where EPA provided baseline/annual tier data is publicly posted: *

Ensure website address begins with http:// or https://

Upstream Communication & Innovation
Answer one of the three questions.
How do you influence supplier behavior (e.g. in the areas of materials selection, design for product longevity, reuse and recycling, energy conservation, end-of-life
management and corporate performance)?

Website where company activities or programs are listed (optional):

Ensure website address begins with http:// or https://
How do you encourage customers (including large purchasers) to buy sustainable or "green" electronics products?

Website where company activities or programs are listed (optional):

Ensure website address begins with http:// or https://

Notes:

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All Streams: Denotes used electronics collected for recycling or reuse from the various return streams used by the participant. Streams could include consumer take-back
programs, asset recovery programs, retired lease returns, collection events, or trade-in programs.
Baseline: The year a participant joins the challenge. Annual results are compared to the baseline as well as preceding years' results.
Units: Individual items collected for reuse and recycling, including equipment (e.g., televisions, computers, printers), cell phones and mobile devices (e.g., smartphones, tablets,
MP3players), and accessories (e.g., USB drives, headphones, keyboards).

SAVE DRAFT

MARK COMPLETE

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11/13/2018

Baseline Data - Silver | Re-TRAC Connect

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DEMO

Program: EPA - Electronics Challenge

CONTACT PROGRAM MANAGER

TEST ORGANIZATION
WORKSPACE

BASELINE DATA SILVER

EXPORT

The status is completed therefore all fields are currently locked. If you need to edit any part of the response, please contact the EPA - Electronics Challenge
Program Manager(s).

Total Collected for Reuse & Recycling from all Streams
Total Collected for Reuse & Recycling: 1
Total Units Collected for Reuse and Recycling
(optional):

Equipment: 2 (optional)

1.00

tons

1.00

tons

1.00

tons

Units of Equipment Collected for Reuse and Recycling
(optional):
Cell Phones and other Mobile Devices: 3 (optional)
Units of Cell Phones / Mobile Devices Collected for
Reuse and Recycling (optional):

tons

Accessories: 4 (optional)
Units of Accessories Collected for Reuse and Recycling
(optional):
Total:

2.00

tons

95.00

tons

Total Units:

Reuse and Recycling Data
Total sent to third-party certified recyclers from All
Streams: 5 *
Total Units sent to third-party certified recyclers
(optional):
Percentage sent to third-party certified recyclers:

4,750.00

State Reporting Data
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Total collected for reuse and recycling from all streams (Note: The total from the below categories should equal the total recycled)
Weight of electronics collected in states with take-back laws explicitly to meet these laws. *
tons
1.00

Weight of electronics that exceeds state take-back laws, collected in states with take-back laws. *
tons
1.00

Total Units collected in states with take-back laws (optional):

Weight of electronics collected in states without take-back laws. *
tons
1.00

Total Units collected in states without take-back laws (optional):

Total Units collected but not attributable to a specific state (optional):

CERTIFIED RECYCLER LOCATION - CITY, STATE,
COUNTRY (IF APPLICABLE) *

CERTIFIED RECYCLER NAME *
1

test

CERTIFICATION PROGRAM *

test

Education & Outreach
List and describe public education and outreach activities on safe management of used electronics and available collection opportunities. *
test

Website where public education and outreach activities are listed (optional):

Ensure website address begins with http:// or https://

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Website
List website where EPA provided baseline/annual tier data is publicly posted: *
http://www.test.com

Ensure website address begins with http:// or https://

Notes:

Created: Nov 13, 2018 at 11:37 AM CST by epa@epa.gov
Last Updated: Nov 13, 2018 at 11:37 AM CST by epa@epa.gov

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Re-TRAC Connect: Annual Data - Bronze

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Notice: This system is used for presentations. The official Re-TRAC Connect™ application is available at connect.re-trac.com

Member: CATHIE'S ELECTRONICS MANUFACTURER

Year: 2013

Cycle: ANNUAL

New Response for: Electronics Manufacturer - Cathie's Electronics Manufacturer
Survey Data

Please submit all numbers in metric tons.

Used Electronics Collection Data
Total collected for Reuse & Recycling from All Streams:

metric tons

Recycling Data
Total sent to third-party certified recyclers from All Streams:

metric tons

Percentage sent to third-party certified recyclers:
%

Other Reporting Requirements
Certified Recyclers and Programs*
Include this information in the final, posted, public report: *
Yes
No
List names of certified recycler(s) used and certification programs:

Remove

Education & Outreach
Identify Education and Outreach activities: *

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Company Policies Favoring Recycling and Reuse
List company policies that favor recycling and reuse of electronics equipment and/or components, over energy recovery,
incineration, or land disposal: *

Website
List website where EPA provided baseline/annual tier data is publicly posted: *

Notes:
1. Total Collected for Reuse and Recycling: This is the total amount of used electronics collected for reuse and recycling, including the
amount sent to certified and non-certified recyclers. It should equal the sum of the amount collected from businesses and institutions and the
amount collected from consumers. Similarly, it also should equal the sum of the amount collected via non-voluntary channels and voluntary
channels. Also see below for definitions of 'reuse' and 'all streams'.
2. Total sent to third-party certified recyclers: For the purposes of the SMM Electronics Challenge, the term "recycler" denotes refurbisher or
recycler certified to a recognized third-party certified recycling program. Similarly, the term "recycling" denotes recycling, refurbishment and
reuse. Currently, Responsible Recycling Practices (R2) and e-Stewards are the only recognized certification standards for recyclers.
However, EPA may recognize additional standards at a later date. Also see definition of 'all streams' below.
3. Reuse: Denotes an electronics object, or component of an electronics object that is used again by a different owner either for its original
purpose or for a similar purpose, without significantly altering the physical form of the object or material. The electronics object may be
cleaned, repaired, or refurbished between uses.
4. All Streams: Denotes used electronics collected for recycling or reuse from the various return streams used by the participant including:
consumer takeback programs; asset recovery programs; retired lease returns; collection events; trade-in programs; etc.
5. Baselines: Previous year's results become baseline for the following year.

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Contact Person: *
Title: *
Street Address: *
City: *
State: *

Select

Zip: *
Telephone:

(###)###-#### ext. ####

Fax:

(###)###-#### ext. ####

Email Address: *
Supplemental Information: *
Yes

Auditor Notes

Status:

Status
saved

Saved Survey still open and
available to be edited

Auditor notes
Submitted Submitted to program by
user, locked and cannot be edited
Verified All submitted responses
have been verified by the program
manager

Responder Data Update flag

11/21/2013 1:18 PM

11/13/2018

Baseline Data - Bronze | Re-TRAC Connect

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DEMO

Program: EPA - Electronics Challenge

CONTACT PROGRAM MANAGER

TEST ORGANIZATION
WORKSPACE

BASELINE DATA BRONZE

EXPORT

The status is completed therefore all fields are currently locked. If you need to edit any part of the response, please contact the EPA - Electronics Challenge
Program Manager(s).

Reuse and Recycling Data
Total collected for Reuse & Recycling: 1 *

1.00

Total Units Collected for Reuse and Recycling
(optional):
Total sent to third-party certified recyclers from All
Streams: 2 *

1.00

Total Units sent to third-party certified recyclers
(optional):
Percentage sent to third-party certified recyclers:

tons

100.00

Other Reporting Requirements
Certified Recyclers and Programs*
Is this information included in the final, publicly-posted report? *
Yes
No
List names of certified recycler(s) used and certification programs:

CERTIFIED RECYCLER LOCATION - CITY, STATE,
COUNTRY (IF APPLICABLE) *

CERTIFIED RECYCLER NAME: *
1

test

CERTIFICATION PROGRAM: *

test

Education & Outreach
List and describe public education and outreach activities on safe management of used electronics and available collection opportunities. *
test

Company Policies Favoring Recycling and Reuse
List company policies that favor recycling and reuse of electronics equipment and/or components, as opposed to energy recovery, incineration, or land disposal: *

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test

Website
List website where EPA provided baseline/annual tier data is publicly posted: *
http://www.test.com

Notes:

Created: Nov 13, 2018 at 11:36 AM CST by epa@epa.gov
Last Updated: Nov 13, 2018 at 11:36 AM CST by epa@epa.gov

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11/13/2018

SMM Electronics Challenge Champion Award Application | Re-TRAC Connect

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DEMO

Annual | 2017
Step-by-Step Instructions
1. Read entire application.
2. Determine eligibility (all current SMM Electronics Challenge Participants that have submitted their 2017 results to EPA by the July 31, 2018 deadline are eligible).
3. Decide on award category (you may choose Product or Non-Product or Cutting Edge or all three).
4. Write Abstract (up to 250 words) and Narrative (up to 4,000 words) that addresses the four judging criteria: Vision, Coalition Building, Execution and Impact and reflects work
completed in calendar year 2017. The Cutting Edge Category does not have a similar timeframe. Please note the new criteria for Product and Cutting-Edge applications to
address end-of-life issues in the design phase.
5. Gather optional supplemental information (not to exceed four pages).
6. Fill out contact information at the end of the application.
7. Submit completed form online via the SMM Data Management System no later than July 31, 2018.

Overview
The Electronics Champion award recognizes electronics original equipment manufacturers (OEMs), brand owners and retailers that exemplify exceptional leadership and
innovation in the electronics life cycle, including the sustainable management of electronics. Results describe significant solutions and contributions that create positive
environmental, social, and economic outcomes for their organization, partners, and consumers and the public. All eligible companies are current participants in the SMM
Electronics Challenge.
The SMM Electronics Challenge oﬀers participants the opportunity to join at Bronze, Silver and Gold tiers. The Electronics Champion award oﬀers recognition opportunities
beyond these tiers.
Results and achievements described in the awards application should reflect work that has been completed in calendar year 2017. The application deadline is July 31, 2018.
Submissions for this award will be done electronically using the SMM Data Management System. The system will also be used for all Challenge data and information reporting.
Applicants can apply for awards in three categories: Product, Non-Product, and Cutting Edge. One award will be given per category for a possible total of three awards. The
awards are anticipated to be announced in late Fall 2018. The Narrative section describes the award categories and the Evaluation section describes the judging criteria.

REQUIREMENTS FOR SUCCESS!
Do identify the year for all work mentioned (policies, coalitions, results)
Do use pre-existing headings (e.g., Vision, Coalition Building, Execution, and Impact) as Narrative Headings
Do only apply for one product, or policy per application
Do use tons for all weights and provide context
Do use EPA's EEBC calculator for all greenhouse gas measurements

Eligibility
All current SMM Electronics Challenge Participants that have submitted their 2017 results to EPA by the July 31, 2018 deadline are eligible. Each Challenge participant may apply
for one award in each of the three categories: Product and Non-product and Cutting Edge. However, each applicant is only eligible to win one award. Your organization will be
judged on the strength of your application so it is important that your application is complete and addresses the awards criteria.

Application Requirements
Abstract
Provide an abstract of no more than 250 words describing your awards submission. This provides the application judges with a brief overview of an applicant's activities and it
will be used for outreach purposes (e.g., news releases, case studies, webinars, etc.). Applications without an abstract will not be considered. Abstracts are subject to editing for
publication purposes.
Narrative
The narrative should not exceed 4,000 words. Each criterion should be addressed. You may apply for no more than one award in each category (product, non-product, or cutting
edge). EPA will make awards based on how submissions address the criteria of each category. It is possible that awards will not be given in one of the categories.
Award Categories

Product

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For the purposes of this competition, a "product" is an item that is manufactured, developed or refined for sale or changes the way people use an existing product or extends
the life cycle of a product and is in the marketplace. Proposals submitted to the product category might include, among others:
Items manufactured from electronic scrap (an example of reuse);
Items designed in such a way as to extend their useful lifecycle (an example of the prevention of e-waste generation);
Items that incorporate alternative materials or employ alternative manufacturing processes that conserve resources (an example of prevention of negative environmental
impacts); and
Items that raise awareness of the impacts of electronic devices or otherwise foster positive environmental behavior (examples of prevention of negative environmental
impacts). Examples of a product that fosters positive environmental behavior could include a smart phone app that allows consumers to easily compare the "green
scorecard" for diﬀerent laptops, boxes for shipping electronics that include facts about e-waste and e-waste recycling, or a phone case that displays a world map
highlighting where all the elements in the phone came from.

Non-Product
For the purposes of this competition, a "non-product" is an internal or external plan, strategy or policy for an organization, a service, program, or item that is not intended for
individual sale to a single consumer (e.g., an educational website, a curriculum, a policy, an electronics take-back program, etc.). Proposals in this category must have been
implemented and have measurable results (see definition of measurable under "Evaluation" below). Proposals submitted to this category may be more abstract and may require
as much or more eﬀort to thoroughly explain in a concise way.

Cutting Edge
This category focuses on bold ideas with the potential to make a huge impact on the future of sustainable electronics management across the life cycle. It is designed to
encourage ambitious ideas that have significant game-changing potential. Unlike the two previous categories, submissions for the Cutting Edge do not have to be products that
have been marketed for sale, projects that have been completed or policies that have already been implemented. Instead, for this award EPA seeks innovative ideas, models and
prototypes for products, services and/or policies that have not yet been fully implemented or marketed with the potential to positively impact and solve issues in the area of
sustainable electronics, materials reduction, reuse, upcycling and recycling at any stage of the life cycle. For the purposes of this competition, a cutting edge project is one that is
concisely articulated, well formulated, has projected or actual measurable health, environmental, and social benefits and is achievable in the foreseeable future. Ideas may be as
creative and forward thinking as you like, but judges will be looking for those that are innovative and impactful - to put it another way, a game-changer in the area of sustainable
materials management.
Optional Supplemental Documentation
Supplemental documentation, not to exceed four pages, may be submitted along with the application. Due to space limitations in EPA's reporting and tracking system, these
materials must be sent to EPA electronically under separate cover and must be referred to on the reporting form in the tracking system. Materials such as charts, tables, photos,
graphs, web links, data and calculations may be included. Short videos, not to exceed five minutes, that illustrate/explain the project may be included. Do not include
confidential business information, corporate literature, annual reports, or CD-ROMS. Any supplemental material over the 4-page limit will not be reviewed. Please submit
supplemental documentation electronically to: johnson.janice@epa.gov, Attn. Janice Johnson, U.S. EPA, Oﬀice of Resource Conservation and Recovery.

Judging Criteria for Product and Non-Product Category
Evaluation

Measurable Results
Applicant submissions will be evaluated using a points system. Applicants will be awarded points based upon the criteria outlined below. To receive consideration, your proposal
must have measurable environmental impacts. Social and economic impacts are encouraged. Applicants must include measurable results that clearly indicate a baseline (the
starting point for your eﬀort) and the end result. Reporting a measurable output should link to an outcome whenever possible. For example, an electronics education project
might include holding monthly webinars (output) that result in an increase of X% used electronics collected (outcome). Applications will be evaluated with consideration to the
volume or significance of achievement along with the size and type of the organization. Therefore, please explain how the measurable impacts of your project relate to your
company's size and/or type of electronics manufactured.
Some examples of measurable results include, but are not limited to:
Environmental benefits (e.g., quantifiable benefits such as raw material savings, water savings, disposal cost savings, energy savings, other), and;
Benefits to employees, community or environment (e.g., improvements in safety, community awareness of the project, environmental significance to the community).

Judging Criteria
VISION: strategy, originality, value
EPA is looking for an organizational leader/innovator that advances a strategy, program, process, or product that represents a leap in creativity or a fundamental departure from
usual practice and satisfies a need in the organizational structure or marketplace. We would like to understand how your company's project progressed from idea to
development; how it fulfills a need; and whether it has game changing advantages. In essence, explain how your contribution adds value to what already exists in your
organization and/or the marketplace. For Product proposals, please include information on how your company extended the product’s life by demonstrating how you have
considered and addressed end-of-life issues (e.g., ease of disassembly, parts/materials labeling, inclusion of recycled content, repairability, recyclability of the product) and other
product design concerns.Possible Score: 20 points
COALITION BUILDING: collaboration, inclusiveness
EPA seeks to understand how your company creates eﬀective partnerships with other organizations from across all sectors as well as how your company collaborates and
convenes with peers to develop the strategy, program, product and/or process. We are looking for interesting examples of how your company has built bridges between
consumers; customers; value chain representatives (both from the supply and recycling perspectives); and federal, state and local government and non-government
organizations. We are also looking for how your company has mentored other organizations. Possible Score: 20 points

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EXECUTION: motivation/inspiration, communication, transparency
EPA believes that innovative organizations not only advance and communicate a clear vision, but also possess the ability to bounce back from challenges. We are interested in
understanding how your company communicated its project in clear and compelling ways both within and outside of your organization; what methods you used to motivate and
inspire your audience(s); and how you might have capitalized on challenges or setbacks in the development of your project. Finally, we are interested in how you have been
transparent and shared your process and progress with internal and external stakeholders. Possible Score: 30 points
IMPACT: measurability, replicability
EPA is seeking an innovative organization that has made positive changes; has a measurable record of accomplishment for influencing change both inside and outside the
organization; and is sensitive to broader social and environmental implications. We are interested in examples of how your company's strategy has influenced policy making,
and/or standards or product development in the area of responsible management of electronics inside and outside your organization.
First and foremost, EPA seeks to understand the immediate and longer term impact the strategy/project/product has on the environment and human health. We are interested in
how the project addresses social concerns including the areas of conflict minerals, health/safety, bridging the digital divide, improving quality of life, and international
trade/crime. Also, please describe any significant, quantifiable benefits to employees and/or community through your activities. Finally, EPA is interested in understanding why
and how others might replicate your eﬀorts. Possible Score: 30 points

Judging Criteria for Cutting Edge Category
Evaluation
Applicant submissions will be evaluated using a points system. Applicants will be awarded points based upon the criteria outlined below. The judges will be asked to evaluate the
entries received based on the idea, model or prototype (herea er referred to as idea), its coherence to sustainable electronics management goals, its potential for value creation,
and the likelihood of achieving success. The jury will review and evaluate the areas related to the execution of the idea, including:
VISION
EPA is looking for an organizational leader/innovator that advances an idea that represents a leap in creativity or a fundamental departure from usual practice and will satisfy a
need in the organizational structure or marketplace. The idea should demonstrate a clear understanding of the issue it seeks to address; the economic, environmental and social
drivers of the idea; and its feasibility. The idea should articulate the market need, size of opportunity, competitive landscape, and potential risks with descriptions of risk
mitigation strategies. We would like to understand how the idea will progress from concept to development; how it fulfills a need; and whether it has game-changing advantages
over what currently exists. Finally, if your idea involves development of a product (or of a program that changes how a product is used or extends the life cycle of a product),
please include information on how your company extends the product’s life by demonstrating how you have addressed end-of-life issues (e.g., ease of disassembly,
parts/materials labeling, inclusion of recycled content, repairability, recyclability of the product) and other product design concerns.Possible Score: 20 points
FINANCIAL FEASIBILITY, LIFECYCLE APPROACH, and MEASURABLE RESULTS
The idea needs to be financially feasible (anticipated value created will be greater than costs incurred), fundable (attractive for investors), adopt a life cycle-based approach
(looks at an issue holistically), scalable (replicable across regions and countries), and expected to achieve measurable results (projected and/or actual). The financing and life
cycle-based plan should be sensible in terms of the capital required to launch and operate as well as clearly describe potential game-changing economic, environmental, and
social benefits to the field of sustainable electronics design and management throughout the life cycle. Possible Score: 30 points.
TIMELINE TO DEVELOPMENT AND EXECUTION
The implementation of the idea should be illustrated with clear milestones, deliverables and growth objectives. EPA believes a roadmap for implementation will include
necessary partnerships, customer acquisition strategy, demonstrated proof of concept, how you have communicated your idea in clear and compelling ways both within and
outside of your organization, what methods you used to inspire your audience(s), how you will or have already capitalized on challenges or setbacks in the development of your
idea, and how you have been or will be transparent and share your process and progress with internal and external stakeholders. Possible Score: 25 points
COMPETENCY OF DELIVERY TEAM
The individual(s) involved in the implementation of the business idea are important. The individual(s) should demonstrate/possess relevant skills, contacts, and experience for
influencing change both inside and outside the organization, particularly in the areas of sustainable electronics design and management, health/safety, bridging the digital
divide, building electronics management capacity and improving quality of life. Please indicate how any gaps in skills and expertise will be addressed. The individual(s) should be
persuasive in communicating the business idea, its potential environmental, health and social benefits, and its potential for success as a game-changer in the area of
sustainability. Possible Score: 25 points
Please check the award(s) that you will be applying for: *
Electronics Champion Award - Product Category
Electronics Champion Award - Non-Product Category
Electronics Champion Award - Cutting Edge Category

Contact Information (Please fill out)
Organization Name: *
Contact Person: *
Title: *
Street Address: *

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City: *
State: *

Select

Zip: *
Telephone:

(###)###-#### ext. ####

Fax:

(###)###-#### ext. ####

Email Address: *
Supplemental Information: *
Yes

SAVE DRAFT

MARK COMPLETE

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File Type	application/pdf
File Title	Re-TRAC Connect: Annual Data - Bronze
Author	dblickstein
File Modified	2018-11-27
File Created	2013-11-21