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					     ENERGY STAR® Certification Body Qualifications Instructions Sheet

This template is for interim use until EPA develops an XML web services-based application called
"Qualified Products Exchange (QPX)" for long-term data transfer.

Instructions for Using the Templates:
1. Please enter data for each product, starting with submission 1. Please refer to the SOP and product
specifications for instructions about certifying the productanswer choices required for the database to
2. Row 3: "Restrictive Input Options" indicates restricted data.
accept the submission. Optional entries are separated by commas. For example, "Yes, No" fields will
3. Row 4: "y," "Yes soon," "not sure."
not acceptRequired fields are marked as "Required" and must to be submitted bi-monthly to EPA for
qualified product list posting.
4. Row 4: "Conditionally Required" indicates a field that may be required, depending on type of
submittal. If the product specification requires this information, the conditionally required field must be
filled out on the template.
5. When complete, log into My ENERGY STAR Account (MESA) at www.energystar.gov/mesa and
upload this file. Each upload should be a complete data set to replace previous uploads.
6. Save backup data files at least on a weekly basis in case requested by EPA.


General Information/FAQ
   • The for receipt of data:
• ScheduleQualified Product lists on the ENERGY STAR website will be updated by COB on the 1st and
15th of each month. If the 1st or 15th
      For on a weekend or holiday, data will be updated the following Monday or templates into MESA
   • falls data to be included in the posting on the 1st, CBs must upload QP data workday, respectively.
no later than 6PM Eastern Time on the
      25th of the previous month. If the 25th falls on a weekend or holiday, data must be uploaded by
the•following Monday or workday, posting on the 15th, CBs must upload QP data templates into
      For data to be included in the
MESA no later than 6PM Eastern Time on
        the 10th. If the 10th falls on a weekend or holiday, data must be uploaded by the following
• Family submissions may be entered in one of two ways: completing all data fields. Make sure to
    • Enter a unique row for each qualified model number,
indicate the tested model name and number
      Enter the family/series in a single AA completing all data fields. Make sure to indicate the tested
    • in the appropriate cells as Columnsrow, and AB
model name and number in the
      appropriate cells in Columns AA and AB. You may also list the model numbers that qualify as part
of this submission (or a description of
      the models that qualify as part of this submission) in the column for “Additional Models”. Please
note that the “Additional Models”
• Do not move or delete any columns or tabs for any reason. A certification body may edit the field
names (Row 2) or add comments if they choose to change a field name for internal clarification, but the
field position (e.g. Product Manufacturer Name in column B)Models maychanged.
• Data submitted to EPA should ONLY be qualified models. cannot be be available now, in the future,
or no longer available. Please keep models qualified but no longer manufactured on the spreadsheet.
Please keep models qualified but not yet available in the market on the spreadsheet. Pending
• For the question "To What Major Markets is This Product Sold?", the "Date Available on Market" will
qualification models should be left off the spreadsheet.
apply to all listed countries. If a manufacturer does not want a model to be indicated as available in a
particular country, the country should not be included in the major markets list. Major market(s) may be
added at a later point when login credentials, contactthat country. STAR Hotline at 1-888-STAR-YES
• If you have forgotten your the model is available in the ENERGY
or hotline@energystar.gov

Definitions list provides definitions on common ENERGY STAR field names provided across all
The following
templates (gray shaded boxes). Letters refer to the column where the information can be found. For
questions on product-specific attributes (blue-shaded boxes) please contact the relevant ENERY STAR
inbox.
• CB Unique Model Identifier: CB-issued internal identification marker for products. EPA will not utilize
this data.
• Date Available On Market: Date product is first sold within one or more major markets. Product will not
appearCB Notified Partner ofList (QPL) until after date available on market has passed. that the
• Date on Qualified Product Product Qualification: Date the CB notifies the manufacturer
product is qualified. Product(s) may begin to be marketed as ENERGY STAR qualified once a product
qualification notice has laboratory test. If product tested over a period of time, most recent date should
• Date Tested: Date of been received.
• Notes:
be used.Information the CB deems relevant to EPA to explain unique issues or changes concerning the
model's listing
• Product Description: Marketing description of product available to consumers
• Product Manufacturer Name: A company that manufactures or private labels any product(s) that
• EPA-issued Organization IDs: An ENERGY STAR database identification. This can be found by
meets the current ENERGY STAR qualification criteria
logging into a CB's My ENERGY STAR Account (MESA) and searching for the product manufacturer,
laboratory, or verification entity name.
                                            Product Manufacturer's
                ®
ENERGY STAR          Product Manufacturer   EPA-issued             CB Unique Model
Name of Field        Name                   Organization ID        Identifier

Restrictive Input
Options                                     MESA lookup
Data Requirement     Required               Required              Optional
Display on QP List   Displayed              Not Displayed         Not Displayed
Submission 1
Submission 2
Submission 3
Submission 4
Submission 5
Submission 6
Submission 7
Submission 8
Submission 9
Submission 10
Submission 11
Submission 12
Submission 13
Submission 14
Submission 15
Submission 16
Submission 17
Submission 18
Submission 19
Submission 20
Submission 21
Submission 22
Submission 23
Submission 24
Submission 25
Submission 26
Submission 27
Submission 28
Submission 29
Submission 30
Submission 31
Submission 32
Submission 33
Submission 34
Submission 35
Submission 36
Submission 37
Submission 38
Submission 39
Submission 40
Submission 41
Submission 42
Submission 43
Submission 44
Submission 45
Submission 46
Submission 47
Submission 48
Submission 49
Submission 50
Submission 51
Submission 52
Submission 53
Submission 54
Submission 55
Submission 56
Submission 57
Submission 58
Submission 59
Submission 60
Submission 61
Submission 62
Submission 63
Submission 64
Submission 65
Submission 66
Submission 67
Submission 68
Submission 69
Submission 70
Submission 71
Submission 72
Submission 73
Submission 74
Submission 75
Submission 76
Submission 77
Submission 78
Submission 79
Submission 80
Submission 81
Submission 82
Submission 83
Submission 84
Submission 85
Submission 86
Submission 87
Submission 88
Submission 89
Submission 90
Submission 91
Submission 92
Submission 93
Submission 94
Submission 95
Submission 96
Submission 97
Submission 98
Submission 99
Submission 100
                                         Is the Organization
                                         Listed the Original
                                         Equipment
Model Name   Model Number   Brand Name   Manufacturer (OEM)?



                                         Yes, No
Required     Required       Required     Required
Displayed    Displayed      Displayed    Not Displayed
If the Organization is
Not the Original
Equipment              Initial Date of   Date Available On   Date No Longer
Manufacturer, Who is? Manufacture        Market              Manufactured



                         mm/dd/yyyy      mm/dd/yyyy          mm/dd/yyyy
Conditionally Required   Required        Required            Conditionally Required
Not Displayed            Not Displayed   Not Displayed       Not Displayed
Date CB Notified                           Certification Body's   Certification Body
Partner of Product   Manufacturer Contact EPA-issued              Contact Name for This
Qualification        Name For This Product Organization ID        Product



mm/dd/yyyy                                  MESA lookup
Required             Required               Required              Required
Not Displayed        Not Displayed          Not Displayed         Not Displayed
                                                                      Is This Model CB
                                                                      Certified?

                                                                      If Only Subject to CB
Laboratory's EPA-      Laboratory Contact for ENERGY STAR             Verification Testing,
Issued Organization ID This Product           Specification Version   Please Answer No



MESA lookup                                   Numeric                 Yes, No
Required               Required               Required                Required
Not Displayed          Not Displayed          Not Displayed           Not Displayed
                                                      Manufacturer
                                                      Suggested Retail Price
                                      Date Product
Date Tested     Product Description   Submitted       Prices in USD



mm/dd/yyyy                                                             $0.00
Required        Required              Required        Required
Not Displayed   Not Displayed         Not Displayed   Not Displayed
To What Major Markets is This Product Sold?                    Notes:
Please enter one or more separated by commas without spaces:
Australia/New Zealand, Canada, European Union, Japan,
Switzerland, Taiwan, United States, All Markets
Required                                                       Conditionally Required
Not Displayed                                                  Not Displayed
If a Family/Series       If a Family/Series       Is This Product
Qualification, Tested    Qualification, Tested    Available For Display
Model Name               Model Number             on Web?



                                                  Yes, No
Conditionally Required   Conditionally Required   Conditionally Required
Not Displayed            Not Displayed            Not Displayed
Product Image File Name
Note: file name must exactly match, including file type extension. For example, energystar.pdf
Images may be either .gif or .jpg format, and either the height or width must be at least 200 pixels.
Images with a height or width larger than 500 pixels are not recommended.
Conditionally Required
Not Displayed
                                            Is This Product
                                            Shipped With an
                        Diagonal Viewable   External Power Supply
Product Type            Screen Size:        (EPS)?                EPS Manufacturer
Component Television
Unit, TV Combination
Unit, Television (TV)                       Yes, No
Required                Required            Required             Conditionally Required
Displayed               Displayed           Not Displayed        Not Displayed
                                                  Additional Sleep Mode
                                                  1 - Features/Settings
                                                  Causing This Sleep
EPS Model Number         Type of EPS              Mode:                    Display Category:

                                                                           Direct View, Rear
                         AC-AC, AC-DC                                      Projection
Conditionally Required   Conditionally Required   Conditionally Required   Required
Not Displayed            Not Displayed            Not Displayed            Not Displayed
                                                               Sleep Mode Power at
                      Viewable Screen                          Factory Default
Resolution Format:    Height:           Viewable Screen Width: Settings: (Volt230)

720p, 1080i, 1080p,
Other
Required              Required          Required              Conditionally Required
Displayed             Not Displayed     Not Displayed         Displayed
                                                  Maximum On Mode          Sleep Mode Power at
On Mode Power:           Estimated Annual         Power for Qualification: Factory Default
(Volt230)                Energy Use: (Volt230)    (Volt230)                Settings: (Volt220)




Conditionally Required   Conditionally Required   Conditionally Required   Conditionally Required
Displayed                Not Displayed            Displayed                Displayed
                                                  Maximum On Mode          Sleep Mode Power at
On Mode Power:           Estimated Annual         Power for Qualification: Factory Default
(Volt220)                Energy Use: (Volt220)    (Volt220)                Settings: (Volt115)




Conditionally Required   Conditionally Required   Conditionally Required   Conditionally Required
Displayed                Not Displayed            Displayed                Displayed
                         Active Mode True                                  Sleep Mode Power at
On Mode Power:           Power Factor During      Estimated Annual         Factory Default
(Volt115)                Testing: (Volt115)       Energy Use: (Volt115)    Settings: (Volt100)




Conditionally Required   Conditionally Required   Conditionally Required   Conditionally Required
Displayed                Not Displayed            Displayed                Displayed
                         Active Mode True                                  Does Unit Have a
On Mode Power:           Power Factor During      Estimated Annual         Forced Menu at Initial
(Volt100)                Testing: (Volt100)       Energy Use: (Volt100)    Start-up?



                                                                           Yes, No
Conditionally Required   Conditionally Required   Conditionally Required   Required
Displayed                Not Displayed            Displayed                Not Displayed
                                           Does Unit Include
                                           Information on Startup
                     Does Unit Have a      Menu Stating That It's   Name of Picture Mode
                     Second Prompt         ENERGY STAR              of Default Setting (or
Was Unit Tested at   Confirming "Retail"   Qualified at "Home"      Home Setting if Forced
"Home" Setting?      Setting?              Setting?                 Menu Utilized):



Yes, No              Yes, No               Yes, No
Required             Required              Required                 Conditionally Required
Not Displayed        Not Displayed         Not Displayed            Not Displayed
                         Network/Peripheral
POD Present:             Ports:                   Audio/Video Ports:
                                                  Coaxial, Component, Composite,
                         Ethernet, IEEE 1394,     DVI, HDMI, IEEE 1394, RF, S-
Yes, No                  USB, RGB, Other          Video, VGA, Other
Conditionally Required   Conditionally Required   Conditionally Required
Not Displayed            Not Displayed            Not Displayed
                                      Automatic Brightness
Video Input Used for Test Signal:     Control:
Coaxial, Component, Composite, DVI,
HDMI, IEEE 1394, RF, S-Video, VGA,
Other                                 Yes, No
Required                              Required
Not Displayed                         Displayed
Other Features in TV (e.g., Wide Color Gamut, Dynamic Contrast Ratio,             Luminance in Default
Etc):                                                                             Mode as Shipped:
Other, None, Additional tuner, Anti-burn-in, Anti-glare, Electronic program guide,
Energy Gauge, Integrated DVR, Integrated hard drive, Motion blur, Picture-in-
picture, User adjustable backlight, Wide color gamut, Wi-Fi
Required                                                                           Required
Not Displayed                                                                      Displayed
Luminance in Brightest
Selectable Preset                               Other Native             If Combination,
Mode:                  Other Display Type:      Resolution:              Describe:




Required               Conditionally Required   Conditionally Required   Conditionally Required
Displayed              Not Displayed            Not Displayed            Not Displayed
                                                                                Other Backlight
Local Dimming?                                          Backlight Technology:   Technology:
None, Display dims as an entire unit, Display dims by
horizontal or vertical rows, Display dims in local      CCFL, LED, HCFL,
sectors                                                 Other
Required                                                Required                Conditionally Required
Not Displayed                                           Not Displayed           Not Displayed
                                                                   On mode Power
Does Television Meet     Is Automatic                              Consumption minimum
the Definition of a      Brightness Control                        ambient light level of
Hospitality Television   Activated by Default   Is Download        300 lux entering sensor
as Defined in the        When Television is     Acquisition Mode   (Po_broadcast):
Specification?           Shipped?               (DAM) Present?     (Volt230)



Yes, No                  Yes, No                Yes, No
Required                 Required               Required           Conditionally Required
Not Displayed            Not Displayed          Not Displayed      Not Displayed
On mode Power
Consumption minimum
ambient light level of 0   If download acquisition
lux entering sensor        mode is present, enter Maximum Allowable          Maximum On Mode
(Pabc_broadcast):          energy consumption in Energy in DAM               Power for Qualification:
(Volt230)                  DAM: (Volt230)          (Volt230)                 (Volt230)




Conditionally Required     Conditionally Required   Conditionally Required   Conditionally Required
Not Displayed              Displayed                Displayed                Displayed
                     On Mode Power                On Mode Power
                     Consumption Minimum          Consumption Minimum      If Download
                     Ambient Light Level of       Ambient Light Level of   Acquisition Mode is
Maximum Allowed TEC 300 lux Entering              0 lux Entering Sensor    Present, Enter Energy
for Hospitality TVs: Sensor (Po_broadcast):       (Pabc_broadcast):        Consumption in DAM:
(Volt230)            (Volt115)                    (Volt115)                (Volt115)




Conditionally Required   Conditionally Required   Conditionally Required   Conditionally Required
Displayed                Not Displayed            Not Displayed            Displayed
                                                                       On Mode Power
                                                                       Consumption minimum
                                                                       ambient light level of
Maximum Allowable        Maximum On Mode          Maximum Allowed TEC 300 lux entering sensor
Energy in DAM            Power for Qualification: for Hospitality TVs: (Po_broadcast):
(Volt115)                (Volt115)                (Volt115)            (Volt100)




Conditionally Required   Conditionally Required   Conditionally Required   Conditionally Required
Displayed                Displayed                Displayed                Not Displayed
On Mode Power
Consumption minimum
ambient light level of 0   If download acquisition
lux entering sensor        mode is present, enter Maximum Allowable          Maximum On Mode
(Pabc_broadcast):          energy consumption in Energy in DAM               Power for Qualification:
(Volt100)                  DAM: (Volt100)          (Volt100)                 (Volt100)




Conditionally Required     Conditionally Required   Conditionally Required   Conditionally Required
Not Displayed              Displayed                Displayed                Displayed
Maximum Allowed TEC On Mode Power in              On Mode Power in         Name of Brightest
for Hospitality TVs: Default Mode as              Brightest Selectable     Selectable Picture
(Volt100)            Shipped:                     Preset Mode:             Mode:




Conditionally Required   Conditionally Required   Conditionally Required   Required
Displayed                Not Displayed            Not Displayed            Not Displayed
                                                                        If DAM is Present, Enter
Signal Source for                              If DAM is Present, Enter Typical Power
Power and Luminance   If Other Selected,       Typical Time in DAM in Consumed While in
Tests:                Please Explain:          Minutes Per 24 Hours: DAM in Watts:



DVD, Blu-Ray, Other
Required              Conditionally Required   Conditionally Required   Conditionally Required
Not Displayed         Not Displayed            Not Displayed            Not Displayed
                                                                                Internet Capable
For Which Activities Does the TV Have the DAM Function:                         Television?
Download channel listing information for use by an electronic programming guide,
Monitor for emergency messaging/communications, Otherwise communicate through
a network protocol                                                               Yes, No
Conditionally Required                                                           Required
Not Displayed                                                                    Not Displayed
Enter Typical Power
Consumed in Sleep        Enter Typical Power
Mode With Active         Consumed in On Mode                      Number of Sleep
Internet Connection in   with Active Internet                     Modes in Addition to
Watts:                   Connection in Watts: 3D Television?      Default Sleep Mode:



                                                  Yes, No         1, 2, 3 or more, 0
Conditionally Required   Conditionally Required   Required        Required
Not Displayed            Not Displayed            Not Displayed   Not Displayed
                                                                       Calculated TEC value
Additional Sleep Mode                                                  (if hospitality TV): (Volt
1 Power:                 Technology                  Display Type      230)

                         Analog, Digital, Analog &   DLP, LCD, OLED,
                         Digital                     Plasma, Other
Conditionally Required   Required                    Required          Conditionally Required
Not Displayed            Not Displayed               Displayed         Displayed
                                                                                 Additional Sleep Mode
Calculated TEC value       Calculated TEC Value Calculated TEC value             2 - Features/Settings
(if hospitality TV): (Volt (If Hospitality TV): (Volt (if hospitality TV): (Volt Causing This Sleep
220)                       115)                       100)                       Mode:




Conditionally Required    Conditionally Required    Conditionally Required    Conditionally Required
Displayed                 Displayed                 Displayed                 Not Displayed
                         Additional Sleep Mode
                         3 - Features/Settings
Additional Sleep Mode    Causing This Sleep       Additional Sleep Mode
2 Power:                 Mode:                    3 Power:




Conditionally Required   Conditionally Required   Conditionally Required
Not Displayed            Not Displayed            Not Displayed
Native Resolution (Horizontal x352 x 480, 352 x (Product x 520, be Tested at This Setting): 380, 480 x 480,
176 x 144, 352 x 240, 352 x 288, Vertical Pixels) 576, 432 Must 480 x 272, 480 x 320, 480 x
480 x 530, 480 x 576, 480 x 580, 486 x 440, 576 x 310, 576 x 370, 576 x 520, 576 x 570, 640 x 480, 704 x 480,
720 x 480, 720 x 486, 720 x 540, 720 x 576, 768 x 576, 852 x 480, 864 x 486, 960 x 720, 1024 x 576, 1280 x
720, 1280 x 1080, 1366 x 768, 1440 x 1024, 1440 x 1080, 1920 x 1080, 2880 x 2048, Other
Required
Displayed
Viewable Screen Area:                             If Other, Please Enter   Sleep Mode Power
(sq inches)             Aspect Ratio:             Aspect Ratio:            Limit (Volt 230)



                        16:10, 4:3, 16:9, Other
Required                Required                  Conditionally Required   Conditionally Required
Displayed               Not Displayed             Not Displayed            Displayed
Active Mode True                                  Active Mode True
Power Factor Limit       Sleep Mode Power         Power Factor Limit       Sleep Mode Power
(Volt 230)               Limit (Volt 220)         (Volt 220)               Limit (Volt 115)




Conditionally Required   Conditionally Required   Conditionally Required   Conditionally Required
Not Displayed            Displayed                Not Displayed            Displayed
                                                                           On Mode Power
                                                                           Consumption for TVs
                                                                           with Automatic
Active Mode True                                  Active Mode True         Brightness Control
Power Factor Limit       Sleep Mode Power         Power Factor Limit       (Pa1_broadcast):
(Volt 115)               Limit (Volt 100)         (Volt 100)               (Volt230)




Conditionally Required   Conditionally Required   Conditionally Required   Conditionally Required
Not Displayed            Displayed                Not Displayed            Not Displayed
On Mode Power            On Mode Power            On Mode Power
Consumption for TVs      Consumption for TVs      Consumption for TVs
with Automatic           with Automatic           with Automatic           If a Family/Series
Brightness Control       Brightness Control       Brightness Control       Qualification,
(Pa1_broadcast):         (Pa1_broadcast):         (Pa1_broadcast):         Additional Models
(Volt220)                (Volt115)                (Volt100)                Represented




Conditionally Required   Conditionally Required   Conditionally Required   Conditionally Required
Not Displayed            Not Displayed            Not Displayed            Not Displayed

				
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