5900-226 ENERGY STAR Set-Top Box Service Provider Unit Shipm

United States
ENVIRONMENTAL PROTECTION AGENCY
Washington, D.C. 20460
ENERGY STAR Set-Top Box Service Provider 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. TO DEC.)
Set-top Box Base Type		ENERGY STAR New Purchases1 (REQUIRED)	TOTAL New Purchases1 (ENERGY STAR + Non-ENERGY STAR) (REQUIRED)	STBs Refurbished to Meet ENERGY STAR Requirements (REQUIRED)	Total Refurbished STBs (REQUIRED)
Cable
Satellite
Cable DTA
Multichannel Video Programming Distributor (MVPD) Internet Protocol (IP)
Total Non-thin Client MVPD Boxes		-	-	-	-
Total Non-thin Client MVPD Boxes reported in row 25 with multi-room functionality		-	-	-	-
Multi-room box deployed with 0 Thin Client/Remote boxes
Multi-room box deployed with 1 or more Thin Client/Remote boxes
Non-thin Client boxes reported in row 25 that have Deep Sleep enabled by default2
Non-thin Client boxes reported in row 25 that have Scheduled Sleep enabled by default, less any with Deep Sleep enabled by default reported in row 32, immediately above2
Non-thin Client Server boxes reported in row 25 that support DLNA protocols (including RVU and VidiPath)3
Over-the-top IP
Thin Client/Remote Boxes
Total Boxes		-	-	-	-
Total Boxes counted toward Partner Commitments (including premiums for purchases of Thin Client/Remote and boxes with Scheduled Sleep and Deep Sleep enabled by default2 and supporting DLNA protocols3)		-		-
1 Purchases shall be counted in the year in which Service Provider takes delivery.
2 Effective January 1, 2018: Thin Clients receive a 25% premium (i.e., count as 1.25 boxes) toward meeting the Service Provider Partner Purchase Requirements. Non-thin Client MVPD STBs (Cable, Cable DTA, Satellite, and MVPD IP) receive a 50% premium for Scheduled Sleep enabled by default or a 100% premium for Deep Sleep enabled by default. Only 1 premium may be applied per STB. No premiums applied for Over-the-top IP.
3 Non-Thin Client Server boxes connected to TVs supporting DLNA protocols receive a 50% premium (i.e., count as 1.5 boxes) toward meeting the Service Provider Partner Fleet Requirements.
Submission Deadline: March 1, 2019
Please submit to ICF:
Matt Bugajski
ICF
1725 Eye Street, NW
Suite 1000
Washington, DC 20006
unitshipmentdata@energystar.gov
For additional protection of confidential business information, partners may elect to submit the above information to a third party for aggregation prior to submission to EPA. If this path is chosen, the third party must submit to EPA the above table of information containing the summary data received from partners and a list of partners that contributed to the data collection effort. The third party must also submit to EPA the percent of ENERGY STAR certified new purchases for each Service Provider partner according to the following equation: ENERGY STAR New Purchases in 2016/ TOTAL New Purchases in 2016.
Any information submitted to EPA for which a claim of confidentiality is made will be safeguarded according to the Agency's policies set forth in Title 40, chapter 1, part 1, subpart B - Confidentiality of Business Information (see 40 CFR part 2; 41 FR 36902, September 1, 1976; amended by 43 FR 40000, September 8, 1978; 43 FR 42251, September 20, 1978; 44 FR 17674, March 23, 1979).
EPA Form No. 5900-226 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.