5900-251 ENERGY STAR Verification Testing Summary Report

EPA's ENERGY STAR Product Labeling (Renewal)

Verification_Testing_SummaryReport.xlsx

Third Party Certified Product Information

OMB: 2060-0528

⚠️ Notice: This form may be outdated. More recent filings and information on OMB 2060-0528 can be found here:

2021-11-24 - Extension without change of a currently approved collection

Document [xlsx]

Download: xlsx | pdf

Overview

Completed_Testing
In_Progress
Models_Not_Tested
Instructions

Sheet 1: Completed_Testing

ENERGY STAR® Verification Testing Summary Report

Name of CB:					Verification Testing Period Covered:

This tab is intended for models that have completed testing during the reporting period. If testing has not been completed but is in progress, please report these models on the Testing in Progress tab.
Please note: all cells highlighted in yellow MUST be filled out OR provide a reason in column W.
Submission Number	Product Specification	ENERGY STAR Manufacturing Partner	Certified Model Name	Certified Model Number	ENERGY STAR Model Identifier	Product Type	Brand Name	Tested Model Name	Tested Model Number	Method of selection	If method of selection is other, provide explanation	FANS with LIGHTING and LIGHTING ONLY Initial or lifetime testing completed? List completion date(s) in columns N and O.	Date(s) verification testing completed for: Single unit, spot-check, or initial testing	Date(s) verification testing completed for: Life testing or remaining samples where multiple test sample (approach two) is used	Lab that performed verification testing	Lab EPA-issued Org ID	Verification Testing Result	Where unit was obtained	If product was obtained off-the-line (from manufacturing facility) or other, provide reason	Date(s) unit arrived at laboratory	If failed, date reported to EPA	Additional notes
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United States ENVIRONMENTAL PROTECTION AGENCY Washington, DC 20460 Office of Atmospheric Programs
OMB Control No. 2060-0528
The public reporting and recordkeeping burden for this collection of information is estimated to average 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, 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.

Sheet 2: In_Progress

Verification Testing In Progress Report - In Progress

Name of CB:

Verification Testing Period Covered:

This tab is intended for testing information where testing is in progress or products have been procured and are awaiting testing as of the end of the period. If testing has been completed, please report on the Completed Testing tab.

Please note: all cells highlighted in yellow MUST be completed, OR provide a reason in column X.

Submission Number

Procurement Status

Product Specification

ENERGY STAR Manufacturing Partner

Certified Model Name

Certified Model Number

ENERGY STAR Model Identifier

Product Type

Brand Name

Tested Model Name

Tested Model Number

Method of selection

If method of selection is other, provide explanation

FANS with LIGHTING and
LIGHTING ONLY

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

Date(s) verification testing completed for:

Single unit,
Spot-check,
Initial Testing

Date(s) verification testing to be completed for:

Remaining samples where multiple test sample (approach two) is used or Life Testing

Lab that performed verification testing

Lab EPA-issued Org ID

Verification Testing Result

Where unit was obtained

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

Date(s) unit arrived at laboratory

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

Additional notes

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United States ENVIRONMENTAL PROTECTION AGENCY Washington, DC 20460 Office of Atmospheric Programs

OMB Control No. 2060-0528

The public reporting and recordkeeping burden for this collection of information is estimated to average 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, 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.

Sheet 3: Models_Not_Tested

List of Models That Were Selected for Verification Testing That Were Not Tested

Name of CB:

Verification Testing Period Covered:

This tab is intended for models that were selected (either EPA nominated or randomly selected by CBs), but the model was not tested. Selected models that are not tested may be listed if the model is not available in commerce in the U.S. and another model from the manufacturer is selected, if EPA permits off-the-line testing and an alternative model is selected due to the model's production schedule, if a privately labeled version of the model was selected and tested in the past 12 months, or other reasons. If a selected model is listed, CBs must list a replacement model. Models that have been procured and/or where testing is in progress should be reported on the Testing In Progress Tab.

Please note: all cells highlighted in yellow MUST be completed.

Product Specification

ENERGY STAR Manufacturing Partner

Model Name Selected

Model Number Selected

EPA-nominated (Yes or No)?

ENERGY STAR Model Identifier

Reason Model Was Not Tested

If reason model was not tested is "Other," provide explanation

Model Name Selected as Replacement

Model Number Selected as Replacement

United States ENVIRONMENTAL PROTECTION AGENCY Washington, DC 20460 Office of Atmospheric Programs

OMB Control No. 2060-0528

Sheet 4: Instructions

How to Use the Verification Testing Summary Report Template
Update: Prior to 2017, lifetime testing completion was reported on this report. Moving forward, only initial testing will be reported on the verification testing summary report. EPA will request updates from CBs on the status of lifetime testing separately. CBs are still required to complete initial and lifetime testing for ceiling fans with lighting, ventilating fans with lighting, and lighting products.
			Completed Testing Tab	In Progress Tab	Models Not Tested Tab
General Instructions			List verification testing results for products where testing has been completed.	List verification testing information for products where testing has not been completed, but products have been selected, procured, or begun testing.	List models that were selected (by EPA OR by CB) for verification testing but were not tested.
			For lighting products requiring life testing, testing should be reported in the "completed_testing" tab when initial testing has been completed.	Indicate in column B the procurement status of each model where testing has not been completed. Ex: partner has not been contacted, partner contacted, product in transit, testing in progress, awaiting determination, etc.	Indicate in columns G and H the reason the selected models were not tested. Ex: product unavailable, confirmed that this model was already selected and tested by another CB, met the CFS maximum of 10% per manufacturer, etc.
			For ceiling or vent fan products with lighting requiring life testing, testing should be reported in the "completed_testing" tab when fan testing AND initial testing have finished. Use the date when both sets of testing have been completed.	Required cells will be highlighted after the product category has been selected.	Indicate in columns I and J the replacement model selected if relevant.
			Required cells will be highlighted after the product category has been selected.		Required cells will be highlighted after the product category has been selected.
Lighting Products/ Fans with Lighting	No Lifetime Testing Required		Indicate in column M "No Lifetime Testing Required."		N/A
	No Lifetime Testing Required		Indicate in column N the date of testing completion. For fan products with lighting, both fan and lighting testing must be complete.		N/A
	Lifetime Testing Required	Only Initial Completed During This Reporting Period	Indicate in column M "Initial Testing Completed."		N/A
			Indicate in column N the initial testing or initial and fan testing completion date.		N/A
			Indicate in column O the projected lifetime testing completion date.		N/A
		Initial & Lifetime Completed During This Reporting Period	Indicate in column M "Initial and Life Testing Completed."		N/A
			Indicate in column N the initial testing or initial AND fan testing completion date.		N/A
			Indicate in column O the lifetime testing completion date.		N/A
		Initial Testing Completed Previously; Lifetime Testing Completed During This Reporting Period	Ensure Initial Testing was reported on previous report. Inform EPA if initial testing was not previously reported to EPA. Do not report Lifetime testing completion on this report.		N/A

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