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{"sheet":"Partner Response Form","index":0,"n_rows":74,"n_cols":6,"rows_kept":74,"cut":false,"hidden":false,"merged":[[67,0,67,5],[69,4,69,5],[70,0,70,5],[68,4,68,5],[58,0,58,5],[59,0,59,5],[60,0,60,5],[61,0,61,5],[64,0,64,5],[62,1,62,4],[63,0,63,6],[66,0,66,5],[49,4,49,5],[50,0,50,5],[51,0,51,5],[52,0,52,5],[53,0,53,5],[46,4,46,5],[48,4,48,5],[43,4,43,5],[45,4,45,5],[47,4,47,5],[35,4,35,5],[36,4,36,5],[37,0,37,5],[42,4,42,5],[44,4,44,5],[35,2,35,3],[38,0,38,4],[30,4,30,5],[31,4,31,5],[32,4,32,5],[33,4,33,5],[34,4,34,5],[25,0,25,5],[26,0,26,5],[27,4,27,5],[28,4,28,5],[29,4,29,5],[28,0,28,1],[22,4,22,5],[24,0,24,5],[18,1,18,2],[19,1,19,2],[20,1,20,2],[21,0,22,0],[17,1,17,2],[18,4,18,5],[19,4,19,5],[20,4,20,5],[21,4,21,5],[31,0,31,1],[28,2,28,3],[21,1,22,2],[68,1,68,2],[69,1,69,2],[31,2,31,3],[32,0,32,1],[42,0,42,1],[36,0,36,1],[36,2,36,3],[32,2,32,3],[33,0,33,1],[33,2,33,3],[34,0,34,1],[34,2,34,3],[35,0,35,1],[8,1,8,2],[2,0,2,5],[3,0,3,5],[4,0,4,5],[6,0,6,5],[7,0,7,5],[8,4,8,5],[5,0,5,5],[30,0,30,1],[27,2,27,3],[29,2,29,3],[30,2,30,3],[29,0,29,1],[14,4,14,5],[14,1,14,2],[9,4,9,5],[10,4,10,5],[27,0,27,1],[12,1,12,2],[9,1,9,2],[13,1,13,2],[10,1,10,2],[12,4,12,5],[11,4,11,5],[13,4,13,5],[11,1,11,2],[15,0,15,5],[16,0,16,5],[17,4,17,5]]}
[null,null,null,null,null,"OMB Control No. 2060-0528"]
[null,null,null,null,null,"Approval expires: November 30, 2025"]
[" Partner Response Form"]
["Instructions "]
["To submit Product Control Measures, complete Sections I, II, III, IV, and V below. Fields highlighted yellow are required. Click on each field for additional instructions. EPA will not accept Partner Response Forms that do not include a representative signature at the bottom.\n\nSave your completed form as \"Delisted Product_[Company Name]_[Model Number]\" and submit the form to enforcement@energystar.gov. EPA will review your submittal, and notify you once the form is approved or if additional information is neccessary. "]
["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 1.5 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."]
["OMB Control No. 2060-0528"]
["Section I: Product and Shipping Information "]
["Partner Name\n (company):",null,null,"Date Last Manufactured:"]
["Delisted Model Number \n(from EPA letter):",null,null,"Date of Last \nSales Shipment  \n(labeled units):\n"]
["Delisted Model's Brand Name:",null,null,"Recipient of Last \nSales Shipment \n(labeled units):"]
["Original Equipment Manufacturer (OEM):",null,null,"Destination of Last \nSales Shipment \n(labeled units):"]
["Model's ENERGY STAR Product Category: ",null,null,"Units Shipped \nin Last 6 months\n(labeled units):"]
["Delisted Product\nNotification Date: ",null,null,"Total Units Manufactured\n(labeled units):"]
["Is the model promoted by an energy efficiency program and/or utility? (If yes, provide name[s])"]
[]
["Section II: Contact Information"]
["Point of Contact\n at Your Company:",null,null,"Original Equipment Manufacturer (OEM):"]
["Title:",null,null,"OEM Contact:"]
["Email:",null,null,"Title:"]
["Phone:",null,null,"Email:"]
["Additional  Contacts:\nName (Email)",null,null,"Phone:"]
[]
[]
["Section III: Certification of Product Control Measures (PCM)"]
["For the model numbers in Sections I and V, the company named in the Partner Name field of Section I is undertaking the following measures. Note: If you seek to deviate from the proposed measures after EPA has approved them, you must notify EPA prior to making any changes."]
["1) Inform the distribution chain that the model(s) is/are not ENERGY STAR certified:\nEPA requires that you inform all downstream parties to whom you directly sold the model as ENERGY STAR certified in the last two years, including distributors, retailers, consumers, and other affected organizations (e.g., utilities), that the model(s) is/are no longer ENERGY STAR certified. Use the table below to submit a list of these entities. Note: If you need additional rows, please submit along with this form a word document listing the other organizations contacted.  Enter \"N/A\" for any unused rows."]
["Organization  Name:",null,"Organization Type:",null,"Proposed or Actual Completion Date:"]
["e.g., Big Box Store",null,"e.g., National Retailer",null,"e.g., 03/15/12"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
["CFL products only: If the distribution chain you've listed above includes one or more of the product retailers identified in EPA's testing failure email to your organization, you must include the EPA-provided contact(s)for that/those retailer(s)as part of your downstream notice that the model(s) is/are no longer ENERGY STAR certified. By checking the box at right, you indicate you have or will contact the applicable contact(s) by the completion date(s) listed above."]
[false]
[]
[]
["2) Remove the ENERGY STAR mark from all: ",null,"Applicable?","Proposed or Actual Completion Date: ","Number of Units:"]
[null,"a) Affected Units:\n(within your control)"]
[null,null,"Applicable?","Proposed or Actual Completion Date: ","Number of Units:"]
[null,"b) Unit Packaging:\n(within your control)"]
[null,null,"Applicable?","Proposed or Actual Completion Date: ","URL of Modified Website:"]
[null,"c) Website References to Model(s):"]
[null,null,"Applicable?","Proposed or Actual Completion Date: ","Example of Modified Marketing Material: "]
[null,"d) Marketing Materials: \n    (e.g., spec sheets)"]
[]
[]
["Section IV: Additional Model Numbers"]
["Use this section for affected family models. Fill out a new form for any models requiring different actions or estimated completion dates from those entered in Section III."]
["Additional Model #:",null,"Units Shipped in Last \n6 Months:",null,"Date of Last Sales Shipment:"]
["Additional Model #:",null,"Units Shipped in Last \n6 Months:",null,"Date of Last Sales Shipment:"]
["Additional Model #:",null,"Units Shipped in Last \n6 Months:",null,"Date of Last Sales Shipment:"]
["Additional Model #:",null,"Units Shipped in Last \n6 Months:",null,"Date of Last Sales Shipment:"]
[]
["Section V (optional): Additional Comments"]
["Use this section to provide EPA with relevant information not included elsewhere in this form."]
[]
[]
[]
[]
[]
["Representative Signature"]
["As a representative of this company, I hereby certify on its behalf as to the actions taken or to be taken by it, as described above. Failure to implement these actions as indicated, or to inaccurately certify as completed, may result in partnership suspension or termination, or the loss of other ENERGY STAR program benefits.  I understand that intentionally submitting false information to the U.S. government is a criminal violation of the False Statements Act, Title 18 U.S.C. section 1001. "]
[null,"Name (First & Last)",null,"Date","I agree to the above statement"]
[]
[]
[null,null,null,null,false]
[]
["EPA Form No. 5900-254"]

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[]
["  Product Categories",null,null,"Y/N",null,"Organization Type"]
["Appliances:","Commercial Clothes Washers",null,"Y",null,"National Retailer"]
[null,"Clothes Washers",null,"N",null,"Independent Retailer"]
[null,"Dishwashers",null,null,null,"Commercial Consumers"]
[null,"Refrigerator & Freezers ",null,null,null,"Residential Consumers"]
["Building Products","Roof Products",null,null,null,"Wholesale Distributor"]
[null,"Windows, Doors and Skylights",null,null,null,"Online Retailer"]
["Commercial Food Service:","Commercial Dishwashers",null,null,null,"Utility"]
[null,"Commercial Fryers",null,null,null,"Other"]
[null,"Commercial Griddles"]
[null,"Commercial Hot Food Holding Cabinets"]
[null,"Commercial Ice Makers"]
[null,"Commercial Ovens"]
[null,"Commercial Refrigerators & Freezers"]
[null,"Commercial Steam Cookers"]
["Electronics and Office Equipment:","Audio/Video"]
[null,"Battery Chargers"]
[null,"Computers"]
[null,"Displays"]
[null,"Enterprise Servers"]
[null,"Imaging Equipment"]
[null,"Set-tp Boxes & Cable Boxes"]
[null,"Telephony"]
[null,"Televisions"]
[null,"Uniteruptible Power Supplies"]
["Heating & Cooling","Air Conditioner, Central"]
[null,"Air Conditioner, Room"]
[null,"Boilers"]
[null,"Commercial Water Heaters"]
[null,"Dehumidifiers"]
[null,"Furnaces"]
[null,"Heat Pumps, Air Source"]
[null,"Heat Pumps, Geothermal"]
[null,"Light Commercial Heating & Cooling"]
[null,"Room Air Cleaners & Purifiers"]
[null,"Water Heater, Gas Condensing"]
[null,"Water Heater, Heat Pump"]
[null,"Water Heater, High Efficiency Gas Storage"]
[null,"Water Heater, Solar"]
[null,"Water Heater, Whole Home Gas Tankless"]
["Lighting and Fans","Decorative Light Strings"]
[null,"Fans, Ceiling "]
[null,"Fans, Ventilating"]
[null,"Light Bulbs (CFLs)"]
[null,"Light Bulbs (Integral LED Lamps)"]
[null,"Light Fixtures (Luminaires)"]
["Other","Pool Pumps"]
[null,"Vending Machines"]
[null,"Water Coolers"]
[]
[]
["  Product Category","Audio/Video","Boilers","Ceiling Fans","CAC ASHP","Certified Lighting Subcomponent Database","Clothes Dryers","Clothes Washers","Commercial Boilers","Commercial Coffee Brewers","Commercial Dishwashers","Commercial Fryers","Commercial Griddles","Commercial Hot Food Holding Cabinets","Commercial Ice Machines","Commercial Ovens","Commercial Refrigerators and Freezers","Commercial Steam Cookers","Commercial Water Heaters","Compact Fluorescent Lamps","Computers","Connected Thermostats","Data Center Storage","Decorative Light Strings","Dehumidifiers","Dishwashers","Displays ","Electric Vehicle Supply Equipment","Enterprise Servers","Furnaces","Geothermal Heat Pumps","Imaging Equipment ","Integral LED Lamps","Lab Grade Refrigerators and Freezers","Lamps","Large Network Equipment","Light Commercial HVAC","Luminaires","Pool Pumps","Refrigerators and Freezers","Roof Products","Room Air Cleaners and Purifiers","Room Air Conditioners","Set-top Boxes and Cable Boxes","Small Networking Equipment","Solid-state Lighting Luminaires","Storm Windows","Telephony","Televisions","Uninterruptible Power Supplies","Vending Machines","Ventilating Fans","Water Coolers","Water Heater, Gas Condensing","Water Heater, Heat Pump","Water Heater, High Efficiency Gas Storage","Water Heater, Solar","Water Heater, Whole Home Gas Tankless","Windows, Doors, and Skylights"]