Form EIA-22M Monthly Biodiesel Production Survey

U.S. Department of Energy

Energy Information Administration

Form EIA-22M

(Month/Year)

Monthly Biodiesel Production Survey

Page 1

Form Approved

OMB No. 1905-NEW

Expires xx/xx/xxxx

Burden: 3.0 Hours

Respondent ID:

This report is mandatory under the Federal Energy Administration Act of 1974 (Public Law 93-275). Failure to comply may result in criminal fines, civil penalties and other sanctions as provided by law. For further information concerning sanctions and data protections see the sanction provision and the provisions on sanctions and the provision concerning the confidentiality of information in the Instructions. Title 18 USC 1001 makes it a criminal offense for any person knowingly and willingly to make to any Agency or Department of the United States any false, fictitious, or fraudulent statements as to any matter within its jurisdiction.

Please read the instructions provided before completing this form.

GENERAL REPORTING INSTRUCTIONS: Form EIA-22M shall be submitted by all entities producing biodiesel that meets ASTM D 6751-07B specifications and is used for commercial purposes. A company should submit separate forms for each of its plants.

Please make any corrections to the mailing label in the area provided at the right and return the completed form in the business reply envelope provided.

1. Respondent Identification

A. Preparer Information

Preparer Name:

Preparer Company Name:

Preparer Street Address:

Preparer City, State, Zip:

Preparer Phone #:

Preparer Fax #:

Preparer E-mail:

B. Plant Information

Plant Name:

Plant Street Address:

Plant City, State, Zip:

Plant Contact Name:

Plant Contact Title:

Plant Contact Phone #:

Plant Contact Fax #:

Plant Contact E-mail:

C. Company Information
		Company Name:
		Company Street Address:
		Company City, State, Zip:
		Company Contact Name:
		Company Contact Title:
		Company Contact Phone #:
		Company Contact Fax #:
		Company Contact E-mail:

U.S. Department of Energy

Energy Information Administration

Form EIA-22M

(November 2008)

Monthly Biodiesel Production Survey

Page 2

Form Approved

OMB No. 1905-XXXX

Expires XX/XX/XXXX

Burden: 3.0 Hours

Respondent ID:

D. Company Supervisory Contact Information

Supervisory Contact Name:

Supervisory Contact Title:

Supervisory Contact Street Address:

Supervisory Contact City, State, Zip:

Supervisory Contact Phone #:

Supervisory Contact Fax #:

Supervisory Contact E-mail:

2. Plant Information and Operating Status

A. Annual Production Capacity (Gallons)

B. Does this plant operate as a Farmer’s Cooperative?

Yes

No

C. Type of Plant Operating Status – Please Check Only one.

• 1. Active

• 2. Inactive

• 3. Permanently Ceased Operation

• 4. Sold to Another Company

• 5. Leased to Another Company

If you checked Box 1 or 3, please complete all of Section 3. If you checked Box 2, complete questions 3.A.f. only.

If you checked Box 4 or 5, please complete Section 2. D. with information about the new company before completing Section 3.

If Plant was sold or leased, please provide the following: Date of Transaction :
				Month			Day		Year
Name of New Company Sold to or Leased to	Name of New Contact Name
Address of New Company (Street)	(City)	(County)	(State)			(Zip Code)
New Company Contact E-mail	New Company Contact Phone Number	New Company Contact Fax Number

U.S. Department of Energy

Energy Information Administration

Form EIA-22M

(November 2008)

Monthly Biodiesel Production Survey

Page 3

Form Approved

OMB No. 1905-XXXX

Expires xx/xx/xxxx

Burden: 3.0 Hours

Respondent ID:

3. Production, Inputs, Stocks, and Sales

A. Volumetric Balance, Production, and Inputs to Production of B100			Gallons
	a.	Beginning-of-Month Stocks of B100
	b.	Total B100 Production During the Month
	c.	Total B100 Sales During the Month
	d.	Total B100 Included in Sales of Biodiesel Blends
	e.	B100 Losses or Adjustment (+/-)*
	f.	End-of-Month Stocks of B100

Note: Beginning-of-month stocks plus production less sales +/- adjustments should equal end-of-month stocks.

* Explain B100 Losses or Adjustments listed above in the Remarks section.

B. Co-Product Production

Pounds

OR

Gallons

a.

Glycerol Production

b.

Other Co-Product Production

c.

Glycerol Production Determined By Laboratory Test? (Y or N)

C. Inputs to Production	Pounds
a. Feedstock used in B100 Production
1. Vegetable Oils
Canola Oil
Castor Oil
Coconut Oil
Corn Oil
Cottonseed Oil
Palm Oil
Peanut Oil
Soybean Oil
Sunflower Oil
Tung Oil
Other Vegetable Oil
2. Animal Fats
Tallow
White Grease
Other Animal Fats (Lard, Poultry Fat, etc…)
3. Recycled Feedstock
Yellow Grease
Other Recycled Feedstock (Brown Grease, etc…)
4. Algae
5. Other Feedstock
b. Alcohol Used in Production
c. Catalysts Used in Production

U.S. Department of Energy Energy Information Administration Form EIA-22M (November 2008)

Monthly Biodiesel Production Survey Page 4

Form Approved OMB No. 1905-XXXX Expires xx/xx/xxxx Burden: 3.0 Hours

Respondent ID:

D. Sales of B100 and Blended Biodiesel

Sales for Which Producer Claimed Tax Credit*

Sales for Which Producer Did Not Claim Tax Credit*

Volume

(Gallons)

Revenue

(Dollars)

Volume

(Gallons)

Revenue

(Dollars)

Total Sales

If you sold biodiesel to end users, please also complete Section E.

1. Sales to End Users

a) B98-B100

a1) Diesel Included in B98-B100 Blends

b) Other Biodiesel Blends

b1) Diesel Included in Other Blends

2. Sales for Resale

a) B98-B100

a1) Diesel Included in B98-B100 Blends

b) Other Biodiesel Blends

b1) Diesel Included in Other Blends

* The term “tax credit” includes Federal income and excise tax credits for biodiesel blending. It excludes the Federal small producer credit for biodiesel and any State tax incentive.

E. End Use Sales of Biodiesel	Volume (Gallons)
	On-Road Transportation	Off-Road Transportation	Heating	Other Uses
1. B98-B100
2. Diesel Included in B98-B100
3. Other Biodiesel Blends
4. Diesel Included in Other Blends

4. Remarks. Attach another sheet of paper if necessary.