5900-228 Water Heaters Data Collection Form

		Expiration Date: 1/31/2022
United States
ENVIRONMENTAL PROTECTION AGENCY
Washington, D.C. 20460
ENERGY Water Heaters Partner Unit Shipment Data for Calendar Year 2020
Office of Atmospheric Programs
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 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 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.				← Partner Name incomplete
PARTNER NAME (Per your Partnership Agreement):
				← Submitted By incomplete
SUBMITTED BY (Your name):
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.				← Check box indicating zero shipments OR report shipments
		0
Reporting Period: CALENDAR YEAR 2020 (JAN. TO DEC.)
Water Heater Product Type*	ENERGY STAR® U.S. Unit Shipments
Gas Storage	-
≤ 55 gallons
> 55 gallons**	0
Gas Tankless
Heat Pump	-
≤ 55 gallons
> 55 gallons
Light Duty EPACT covered***	0
Residential-duty Commercial***
Solar
Total	-
*Components or parts associated with an ENERGY STAR certified Solar Water Heater model, sold either as a complete kit or separately, must be counted towards the U.S. Unit Shipment number. For example, all components related to a single Solar Water Heater that meets the ENERGY STAR requirement of a solar energy factor greater than or equal to 1.2 for gas and 1.8 for electric backup, must be counted towards and as a single Solar Water Heater shipped.
**There are zero ENERGY STAR certified Gas Storage water heaters in the >55 gallons category, so EPA anticipates zero shipments in this category.
***Light Duty EPACT and Residential-duty Commercial, although similar products in design, shall be reported based on how the product type was certified. At this time, there are no ENERGY STAR certified Light Duty EPACT products, so EPA anticipates zero shipments in this category.
Submission Deadline: March 1, 2021
Please submit to ICF:	Or	To AHRI:
Katie Veasey
ICF		(This option is available only to AHRI members.)
2550 S Clark St
Suite 1200
Arlington, VA 22202
unitshipmentdata@energystar.gov
Do not submit form to both AHRI and ICF
EPA Form No. 5900-228 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.