EIA-22S Supplement to EIA-22M Monthly Biodiesel Production Surve

U.S. Department of Energy

Energy Information Administration

Form EIA-22S

(Month/Year)

Supplement to the EIA-22M Monthly Biodiesel Production Survey

Collecting Annual Data for 2006, 2007, and 2008

Page 1

Form Approved

OMB No. 1905-0167

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-22S 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-22S

(November 2008)

Supplement to the EIA-22M Monthly Biodiesel Production Survey

Collecting Annual Data for 2006, 2007, and 2008

Page 2

Form Approved

OMB No. 1905-0167

Expires 11/30/2011

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. Plant Capacity Information - Volume (Gallons)	2006	2007	2008
Annual Production Capacity

B. Type of Plant Operating Status	2006	2007	2008
Active
Inactive

3. Historical Production

A. B100 Biodiesel Production - Volume (Gallons)

2006

B. Co-Product Production	2006			2007			2008
	Pounds	OR	Gallons	Pounds	OR	Gallons	Pounds	OR	Gallons
Glycerol
Other
Glycerol Production Determined By Laboratory Test? (Y or N)

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

2007

2008

Annual Production