State Electronics Challenge

Baseline & Annual Reporting Form

Data submitted to the SEC will be reported only as aggregate data from all SEC Partners, and will not be attributed to specific Partners. Information specific to a Partner will not be released without the Partner’s express permission.

No information provided to the SEC, including name, phone number, address, and email address, will be shared, sold, or distributed. All such contact information is for SEC internal use only.

SECTION 1: GENERAL INFORMATION

SEC Partner Organization:

Contact:

Title:

Address:

City:

State:

Zip:

Phone:

Email:

Year for this Report ("Reporting Year"):

Reporting Year Began: (month)

Reporting Year Ended (month)

SECTION 2: ACQUISITION & PROCUREMENT

1. How much did your organization spend on the procurement of Information Technology (IT) equipment in the reporting year?

2. Did your organization include Electronic Product Environmental Assessment Tool (EPEAT™)-registered computer products in bids, contracts, and/or leases for IT equipment in the reporting year? (For more information on EPEAT™, see http://www.epeat.net.)

Yes

Don't know

Not applicable

3. For computer equipment purchased and/or leased in the reporting year, how many of the following units were:

	Desktop Computers *# of units*	CRT Monitors *# of units*	LCD Monitors *# of units*	Laptop Computers *# of units*
EPEAT™-Registered (Bronze)
EPEAT™-Registered (Silver)
EPEAT™-Registered (Gold)
EPEAT™-Registered (Rating Unknown)
Not EPEAT™-registered
Don’t Know

4. Did your organization include “green” procurement language in bids, contracts, and/or leases for IT equipment not currently registered by EPEAT™ (e.g., printers, copiers, facsimile machines, cell phones) in the reporting year?

Yes	Equipment Types:
No
Don't know
Not applicable

SECTION 3: OPERATION & MAINTENANCE

1. How many computers are currently in service at your organization?

Desktop computers

CRT monitors

LCD monitors

Laptop computers

2. Are ENERGY STAR® features enabled on computers and monitors at your organization?

Yes, only monitors

Yes, only computers

Yes, monitors and computers

Don't know

Estimated percentage of enabled computers: %
Estimated percentage of enabled monitors: %

3. What is the average lifespan of a computer at your organization?

Months

4. Are printers and copiers at your facility set to default to double-sided printing?

Yes

Some. Estimated percentage of printers set to double-sided default: %

Don't know

SECTION 4: END-OF-LIFE MANAGEMENT

1 .How did your organization manage computer equipment taken out of service in the reporting year?

	Desktop Computers *# of units*	CRT Monitors *# of units*	LCD Monitors *# of units*	Laptop Computers *# of units*
Transferred or Donated for Reuse
Sent for Recycling
Sent for Disposal (e.g., Waste-to-Energy, Landfill Facilities)
In Storage
Don't Know

2. If your organization sent electronic equipment to be recycled, how did you ensure that it was managed in an environmentally sound manner: (Check all that apply.)

Used a state contract or contractor
Conducted onsite review of the recycler
Relied on an onsite review conducted by another organization
Ensured that the recycler follows management practices that are consistent with EPA’s Plug-In To eCycling Guidelines for Materials Management
Ensured that the recycler was certified by a recognized organization (such as the International Association of Electronics Recyclers or Institute of Scrap Recycling Industries). Please specify:
Ensured that exported electronic products are being sent for legitimate reuse, recycling, or refurbishment
Other (Please specify: )
Don't know

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