Form EIA-1605 Voluntary Reporting of Greenhouse Gases

Voluntary Reporting of Greenhouse Gases

Final Form EIA-1605_100729

Voluntary Reporting of Greenhouse Gases

OMB: 1905-0194

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U.S. Department of Energy
U.S. Energy Information Administration
Form EIA-1605

Voluntary Reporting of Greenhouse Gases

Form Approved
OMB No. 1905-0194
Expiration Date: TBD

Form EIA-1605
Voluntary Reporting of Greenhouse Gases
Revised Pursuant to 10 CFR Part 300
Guidelines for Voluntary Greenhouse Gas Reporting
This report is voluntary under Public Law 102-486 (42 USC 13385).

U.S. Energy Information Administration
U.S. Department of Energy
July 29, 2010

20100716

U.S. Department of Energy
U.S. Energy Information Administration
Form EIA-1605

Voluntary Reporting of Greenhouse Gases

Form Approved
OMB No. 1905-0194
Expiration Date: TBD

TABLE OF CONTENTS
SCHEDULE I. ENTITY INFORMATION ...................................................................................................... 1
Section 1. Entity Statement .................................................................................................................... 1
Section 2. Entity Emissions Inventory .................................................................................................... 7
Part A. Aggregated Emissions by Gas (for independently verified reports only) ............................ 7
1. Aggregated Domestic Emissions by Gas .............................................................................. 7
2. Aggregated Foreign Emissions by Gas ................................................................................. 8
Part B. Inventory of Domestic Emissions and Carbon Flux ........................................................... 10
1. Direct Emissions .................................................................................................................. 10
2. Indirect Emissions From Purchased Energy ....................................................................... 17
3. Other Indirect Emissions ..................................................................................................... 18
4. Terrestrial Carbon Fluxes and Stocks ................................................................................. 19
5. De Minimis Emissions Sources ........................................................................................... 23
Part C. Inventory of Foreign Emissions and Carbon Flux............................................................. 24
Part D. Total Emissions and Carbon Flux ..................................................................................... 25
1. Total Domestic Emissions and Carbon Flux ....................................................................... 25
2. Total Foreign Emissions and Carbon Flux .......................................................................... 26
Part E. Emissions Inventory Rating Summary .............................................................................. 27
Section 3. Emissions Offsets .............................................................................................................. 29
Part A. Offsets Obtained by Agreement With Another Reporter................................................... 29
Part B. Offsets Obtained by Agreement With a Non-reporter ...................................................... 30
Section 4. Entity-Level Emission Reductions ..................................................................................... 31
SCHEDULE II. SUBENTITY INFORMATION ..........................................................................................
Section 1. Subentity Statement ...........................................................................................................
Section 2. Subentity Emissions Inventory ..........................................................................................
Section 3. Summary of Emission Reductions From Subentities ........................................................

32
32
34
35

SCHEDULE III. EMISSION REDUCTIONS SUMMARY ...........................................................................
Section 1. Registered Emission Reductions .......................................................................................
Part A. Domestic Net Entity-Level Reductions and Carbon Storage ............................................
Part B. Foreign Net Entity-Level Reductions and Carbon Storage ...............................................
Section 2. Reported Emission Reductions ..........................................................................................
Part A. Domestic Net Entity-Level Reductions and Carbon Storage ............................................
Part B. Foreign Net Entity-Level Reductions and Carbon Storage ...............................................

36
36
36
37
38
38
40

SCHEDULE IV. VERIFICATION AND CERTIFICATION ......................................................................... 42
Section 1. Independent Verification ..................................................................................................... 42
Section 2. Reporter Self Certification .................................................................................................. 45
Addendum A. Inventory of Foreign, Subentity, or Offset Emissions ..................................................A1
Part A. Aggregated Emissions by Gas (for independently verified reports only) ................................ A1
Part B. Inventory of Emissions and Carbon Flux .................................................................................. A3
1. Direct Emissions ........................................................................................................................ A3
2. Indirect Emissions From Purchased Energy ............................................................................ A10
3. Other Indirect Emissions .......................................................................................................... A11
4. Terrestrial Carbon Fluxes and Stocks...................................................................................... A12
5. De Minimis Emissions Sources ................................................................................................ A16
Part C. Total Foreign, Subentity, or Offset Emissions and Carbon Flux ............................................ A17
Addendum B. Emission Reduction Methods .........................................................................................B1
B1. Changes in Emissions Intensity ..................................................................................................... B1
B2. Changes in Absolute Emissions..................................................................................................... B4
B3. Changes in Carbon Storage........................................................................................................... B7
July 29, 2010

Form EIA-1605 – Voluntary Reporting of Greenhouse Gases

U.S. Department of Energy
U.S. Energy Information Administration
Form EIA-1605

Voluntary Reporting of Greenhouse Gases

Form Approved
OMB No. 1905-0194
Expiration Date: TBD

B4. Changes in Avoided Emissions ..................................................................................................... B9
B5. Energy Generation and Distribution ............................................................................................. B12
B6. Coal Mine Methane Recovery ...................................................................................................... B15
B7. Landfill Methane Recovery........................................................................................................... B21
B8. Geologic Sequestration ................................................................................................................ B27
B9. Electricity Transmission and Distribution Improvements ............................................................. B30
B10. Anaerobic Digestion at Wastewater Treatment Facilities .......................................................... B33
B11. Anaerobic Digestion of Animal Waste........................................................................................ B39
B12. Recycling of Fly Ash ................................................................................................................... B42
B13. Demand-Side Management and Other Reduction Programs .................................................... B45
B14. Combined Heat and Power ........................................................................................................ B48
B15. Other Action-Specific Methods .................................................................................................. B53
B16. Destruction of Chlorofluorocarbons ........................................................................................... B56
Addendum C. Country-Specific Factors Used to Estimate Emissions From Foreign Sources........C1
Addendum D. Non-Reporter Offset Entity Information .........................................................................D1
Section 1. Offset Entity Statement....................................................................................................... D1
Section 2. Offset Entity Emissions Inventory ....................................................................................... D5
Part A. Aggregated Emissions by Gas .......................................................................................... D5
Part B. Inventory of Emissions and Carbon Flux .......................................................................... D5
Section 2. Offset Entity-Level Reduction Methods and Reductions .................................................... D6

July 29, 2010

Form EIA-1605 – Voluntary Reporting of Greenhouse Gases

U.S. Department of Energy
U.S. Energy Information Administration
Form EIA-1605

Voluntary Reporting of Greenhouse Gases

Form Approved
OMB No. 1905-0194
Expiration Date: TBD

NOTE: 18 U.S.C. §1001 makes it a criminal offense for any person knowingly and willfully to
make to any Agency or Department of the United States any false, fictitious, or fraudulent
statements as to any matter within its jurisdiction. Public reporting burden for this collection of
information is estimated to average 60 hours per response, including the time for reviewing
instructions, searching existing data sources, gathering and maintaining the data, and
completing and reviewing the collection of information.
REPORTING YEAR _______________
(Reporting Year is the calendar year for which you are reporting emissions. If this is a Start Year report,
enter the Start Year, which is the last calendar year of the initial Base Period.)

SCHEDULE I. ENTITY INFORMATION
SECTION 1. ENTITY STATEMENT
1. Enter Entity Identification:
Entity Name: _______________________________________
Address 1: _____________________________
Address 2: _____________________________
City:______________________ State: _____ Zip: _____-____
Entity URL : ________________________________________
Entity Tax Payer Identification Number (optional): ___________________

2. Enter Contact Information:
Contact Name: ______________________________________
Title: ______________________________________________
 Contact address is the same as entity address above
Entity Name: ____________________________
Address 1: _____________________________
Address 2: _____________________________
City:______________________ State: _____ Zip: _____-____
Tel: (__ __ __) __ __ __ -__ __ __ __ ext.: _______
Fax: (__ __ __) __ __ __ -__ __ __ __
E-Mail: ____________________________________________

3. Enter Report Characteristics
a. Report Type (check one):
 Start Year Report
 Reporting Year Report
b. Entity Type (check one):
 Large emitter (more than 10,000 metric tons carbon dioxide equivalent annually) intending to
register emission reductions
 Small emitter (less than or equal to 10,000 metric tons carbon dioxide equivalent annually)
intending to register emission reductions
If this is a Start Year Report, enter the total annual average entity-wide Base Period
emissions for the entity:
_______________________ metric tons CO2 equivalent
If this is a Reporting Year report, enter the total entity-wide Reporting Year emissions for
the entity, if required, and check the box indicating the reason emissions were estimated:
_______________________ metric tons CO2 equivalent
 Five years have elapsed since last estimate of entity-wide emissions were reported
 Emissions have changed significantly since previous report

July 29, 2010

Form EIA-1605 – Schedule I, Entity Information

U.S. Department of Energy
U.S. Energy Information Administration
Form EIA-1605

Voluntary Reporting of Greenhouse Gases

Form Approved
OMB No. 1905-0194
Expiration Date: TBD

 Emitter intending to report but not register emissions and/or emission reductions
 Emitter intending to report but not register emission reductions
 Emitter intending to report emissions only
c.

Scope of Inventory:
 Entity-wide
 Partial. Indicate the selected elements of the entity, selected gases, or selected sources
included and/or excluded below:
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________

d. Subentities:
This report includes subentity reports (check one)
 Yes
 No
If yes, identify the subentities included below. Give each subentity a unique name to distinguish it
clearly from the other subentities.
No.
1
2
3
4
5
6
7
8
9
10

Subentity Name

e. Independent Verification:
This report has been verified by an independent third party:
 Yes
If yes, indicate the level of detail provided in the report’s emissions inventory:
 This report includes aggregated emissions data by gas; or
 This report includes detailed emissions data by gas and source.

 No

4. Indicate Any Significant Changes to Previous Entity Statement (not applicable for Start Year reports)
 The entity has not undergone significant changes since the last Voluntary Reporting of
Greenhouse Gases report
 The entity has undergone significant changes since the last Voluntary Reporting of Greenhouse
Gases report was filed. Check the appropriate box below:

Data are being resubmitted for the base period:

For the entire entity

For one or more subentities

New base period has been selected:

For the entire entity (describe): _____________________________________
______________________________________________________________

For one or more subentities (describe in relevant subentity statement in Schedule
II)

Changes have been made in the entity's scope or organizational boundaries, of the
following nature:

Acquisition or divestiture of discrete business units, subsidiaries, facilities or
plants
Describe: _____________________________________

July 29, 2010

Form EIA-1605 – Schedule I, Section 1. Entity Statement

U.S. Department of Energy
U.S. Energy Information Administration
Form EIA-1605

Voluntary Reporting of Greenhouse Gases

Form Approved
OMB No. 1905-0194
Expiration Date: TBD






Closure or opening of significant facilities
Describe: ______________________________________

Transfer of economic activity to or from specific operations covered by a
previous report
Describe: ______________________________

Significant changes in land holdings
Describe: _____________________________________

Higher level of aggregation than in the previous year.
Describe (List subsidiary entities now included, including a listing of any non-U.S.
operations added and the specific countries in which the foreign operations are
located): ________________________________________________________
_______________________________________________________________

Changes in activity or operations, specify:
 Change in output
 Change in contractual arrangements
 Change in equipment and processes
 Change in outsourcing or insourcing of significant activities
Describe the change and explain its influence on reported emissions or
sequestration: ___________________________________________________
________________________________________________________________
Emission reduction calculation method changed
Other change, not listed above, describe: _______________________________
______________________________________________________________________

5. Identify the Entity’s Primary Economic Activities
Identify the primary (and secondary, if applicable) 3-digit North American Industrial Classification
System (NAICS) code for the entity (a list of NAICS codes is offered in Appendix A):
Primary NAICS: __ __ __
Secondary NAICS: __ __ __
6. Enter the Entity Category
Select the category below that describes the entity:
 Corporation
Corporation Type (check one)
 Corporation (i.e., C Corporation; most corporations)
 S Corporation
 Limited Liability Corporation (LLC)
 Limited Liability Partnership (LLP)
 Partnership
 Sole Proprietorship
 Other, specify: ________________________
Public or Private Status (check one)
 Publicly Traded (Stock ticker symbol: _______)
 Privately Held
Ownership Status (check one)
 Holding/Parent Company
 Wholly Owned Subsidiary
 Joint Venture (partners: _____________________________)
 Other Subsidiary
 Utility (Non-Investor Owned) (check one)
 Cooperative
 Municipal Utility
 Municipal Cooperative

July 29, 2010

Form EIA-1605 – Schedule I, Section 1. Entity Statement

U.S. Department of Energy
U.S. Energy Information Administration
Form EIA-1605

Form Approved
OMB No. 1905-0194
Expiration Date: TBD

Voluntary Reporting of Greenhouse Gases

 Other, specify: ________________________
 Government (check one)
 Federal
 State
 Regional (e.g., multi-state)
 Local (e.g., city, county, or other sub-state level government)
 Native American Tribal Government
 Other, specify: ________________________
 Government Corporation or Authority (check one)
 Federal
 State
 Regional (e.g., multi-state)
 Local (e.g., city, county, or other sub-state level government)
 Other, specify: ________________________
 Non-Profit Organization
 Cooperative (e.g., non-profit electric cooperative)
 Trade Association (specify type):
 Reporting on behalf of its members, specified in attached list
 Reporting on its own achievements
 All other Non-Profit Organizations (charities, fraternal orders, etc.
Specify: ____________________________________________________)
 Individual or Household
 Other, specify: _________________________________________
7. Describe the Entity Organization
Is your entity a holding company:
 Yes
 No
If your entity is a subsidiary, identify your entity's Parent or Holding Company: __________________
________________________________________________________________________________
8. Describe the Entity’s Organizational Boundaries
a. Method for Determining Organizational Boundaries
 Financial control
 Operational control. Explain how the use of this other approach results in organizational
boundaries that differ from results of the financial control approach:
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
 Equity share. Explain how the use of this other approach results in organizational boundaries
that differ from results of the financial control approach:
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
 Other. Describe method and explain how the use of this other approach results in
organizational boundaries that differ from results of the financial control approach:
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
b. List All Large Wholly Owned Subsidiaries Included in This Report:
Subsidiary Name

July 29, 2010

Form EIA-1605 – Schedule I, Section 1. Entity Statement

Primary NAICS

U.S. Department of Energy
U.S. Energy Information Administration
Form EIA-1605

Form Approved
OMB No. 1905-0194
Expiration Date: TBD

Voluntary Reporting of Greenhouse Gases

c. List Any Large Partially Owned Subsidiary, Joint Venture, and Leased or Operated Emissions
Source Included in This Report:
1

Name or
Description
of Emissions
Source

Relationship
to Reporting
Entity

Partners

% Interest
Held By
Reporting
Entity

Method for
Determining
Inclusion in Report

% of
Emissions
Included
in This
Report

9. Describe the Geographic Scope of Activities (check one)
 This report covers U.S. activities only
 Nationwide (if operating in all 10 U.S. Census Regions)
 Multiple States (if not nationwide, enter states using 2-letter abbreviations from Appendix B:
__________________________________________)
 Single State (enter 2-letter abbreviation for state from Appendix B: _________________)
 This report covers U.S. and non-U.S. activities
U.S. Activities:
 Nationwide (if operating in all 10 U.S. Census Regions)
 Multiple States (if not nationwide, enter states using 2-letter abbreviations from Appendix B:
_________)
 Single State (enter 2-letter abbreviation for state from Appendix B: _______________)
Foreign Activities: List all foreign countries in which reported activities occurred using the 3-digit
codes found in Appendix C, and the NAICS code that best corresponds to the primary activity in
that country from Appendix A:
Country
______
______
______
______

Primary NAICS code
______
______
______
______

10. Describe the Scope of the Emissions Inventory
Check the types of emission sources or sinks that are covered in the emissions inventory:
 Stationary source combustion
 Fugitive emissions from geologic reservoirs
 Mobile source combustion
 Indirect emissions from purchased energy
 Industrial processes
 Other indirect emissions
 Agricultural sources
 Terrestrial carbon fluxes and stocks

11. Describe the Entity Base Period

July 29, 2010

Form EIA-1605 – Schedule I, Section 1. Entity Statement

U.S. Department of Energy
U.S. Energy Information Administration
Form EIA-1605

Voluntary Reporting of Greenhouse Gases

Form Approved
OMB No. 1905-0194
Expiration Date: TBD

Indicate number of years in the Base Period:
1
2
3
4
Enter last year in Base Period: _____________
 Check here if you are reporting subentities that use a different base period from the entity

12. Describe Any Entity Program Affiliation(s)
Domestic Voluntary Initiatives
List the voluntary GHG-reduction initiative(s) with which the entity has an affiliation
(see list of codes in Appendix D):
_____ ______ ______ ______ ______
Other, specify: ______________________
Domestic Registries and Exchanges
List the U.S. GHG registry(ies) and/or exchange(s) with which the entity has an affiliation
(see list of codes in Appendix D):
_____ ______ ______ ______ ______
Other, specify: ______________________
International Registries and Exchanges
List the non-U.S. GHG registry(ies) and/or exchange(s) with which the entity has an affiliation
(see list of codes in Appendix D):
_____ ______ ______ ______ ______
Other, specify: ______________________

13. Request Confidentiality of Entity Information
Check box if applicable:
 Requesting confidential treatment for the information reported on this form.
(NOTE that if you request confidentiality, you must, in the space below, explain, on an elementby-element basis, the reasons why your reported information should be kept confidential. To
assist in this determination, respondents should demonstrate that their information contains trade
secrets or commercial or financial information whose release would be likely to cause substantial
harm to their company's competitive position.)
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________

14. Enter Supplementary Information for Entity
Use this space (and attach additional sheets if necessary) to supply any supporting information you
feel helps explain your entity or report that is not accommodated directly in this reporting form.
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________

July 29, 2010

Form EIA-1605 – Schedule I, Section 1. Entity Statement

U.S. Department of Energy
U.S. Energy Information Administration
Form EIA-1605

Form Approved
OMB No. 1905-0194
Expiration Date: TBD

Voluntary Reporting of Greenhouse Gases

SECTION 2. ENTITY EMISSIONS INVENTORY
 Check box if all methods used to estimate emissions and sequestration have a B rating or higher. If checked, do not complete “Weighted
Rating” column of Parts A, B, C, and D, and skip Part E completely.
Part A. Aggregated Emissions by Gas (for independently verified reports only)
1. Enter Aggregated Domestic Emissions by Gas (for independently verified reports only)
1

Item
A
A1
A2
A3
A4
A5
A6
A7
B
B1
B2
B3
C
D
E
E1
E2
E3
E4
E5
E6
E7
F

Source
Direct Emissions
Carbon Dioxide
Methane
Nitrous Oxide
Sulfur Hexafluoride
HFC (Specify)
PFC (Specify)
CFC (Specify)
Indirect Emissions From Purchased
Energy (Inventory)
Carbon Dioxide
Methane
Nitrous Oxide
Indirect Emissions From Purchased
Energy (Reductions)
Carbon Flux
Other Indirect Emissions
Carbon Dioxide
Methane
Nitrous Oxide
Sulfur Hexafluoride
HFC (Specify)
PFC (Specify)
CFC (Specify)
Captured CO2 Sequestered in an onsite
Geologic Reservoir

July 29, 2010

Gas

Units

CO2
CH4
N2O
SF6

CO2
CH4
N2O

CO2e

CO2

CO2
CH4
N2O
SF6

CO2

Base Period Emissions or Carbon Flux
Base
Period
Yr 1
Yr 2
Yr 3
Yr 4
Average

Form EIA-1605 – Schedule I, Section 2. Entity Emissions Inventory

Reporting
Year
Emissions or
Carbon Flux

Weighted
Rating

U.S. Department of Energy
U.S. Energy Information Administration
Form EIA-1605
1

Item
G

Source
Captured CO2 Transferred to Another
Entity for Sequestration in a Geologic
Reservoir

Form Approved
OMB No. 1905-0194
Expiration Date: TBD

Voluntary Reporting of Greenhouse Gases
3

Gas

Units

CO2

Base Period Emissions or Carbon Flux
Base
Period
Yr 1
Yr 2
Yr 3
Yr 4
Average

Reporting
Year
Emissions or
Carbon Flux

Weighted
Rating

Reporting
Year
Emissions or
Carbon Flux

Weighted
Rating

mt = metric ton

2. Enter Aggregated Foreign Emissions by Gas (for independently verified reports only)
1

Item
A
A1
A2
A3
A4
A5
A6
A7
B
B1
B2
B3
C
D
E
E1
E2
E3
E4
E5
E6
E7
F

July 29, 2010

Gas

Units

CO2
CH4
N2O
SF6

CO2
CH4
N2O

CO2e

CO2

CO2
CH4
N2O
SF6

CO2

Base Period Emissions or Carbon Flux
Base
Period
Yr 1
Yr 2
Yr 3
Yr 4
Average

Form EIA-1605 – Schedule I, Section 2. Entity Emissions Inventory

U.S. Department of Energy
U.S. Energy Information Administration
Form EIA-1605
1

Item
G

Source
Captured CO2 Transferred to Another
Entity for Sequestration in a Geologic
Reservoir

Form Approved
OMB No. 1905-0194
Expiration Date: TBD

Voluntary Reporting of Greenhouse Gases
3

Gas

Units

CO2

Base Period Emissions or Carbon Flux
Base
Period
Yr 1
Yr 2
Yr 3
Yr 4
Average

Reporting
Year
Emissions or
Carbon Flux

Weighted
Rating

mt = metric ton

July 29, 2010

Form EIA-1605 – Schedule I, Section 2. Entity Emissions Inventory

U.S. Department of Energy
U.S. Energy Information Administration
Form EIA-1605

Form Approved
OMB No. 1905-0194
Expiration Date: TBD

Voluntary Reporting of Greenhouse Gases

Part B. Inventory of Domestic Emissions and Carbon Flux (optional for independently verified reports)
1. Enter Direct Emissions
a. Stationary Combustion (incorporate all emissions, including CO2 captured from stationary combustion for geologic sequestration)
1

Source Category
Fossil Fuel
Combustion

Fuel Type

Specific
Facility/Source
Name
(optional)

Nonstandard Fuel
Combustion

Waste Fuels
Combustion

Biomass
Combustion

Base
Period
Average

Reporting
Year
Emissions

Estimation
Method

Rating

Base Period Emissions

Gas
CO2
CH4
N2O
CO2
CH4
N2O
CO2
CH4
N2O
CO2
CH4
N2O
CO2
CH4
N2O
CO2
CH4
N2O
CO2
CH4
N2O
CO2
CH4
N2O
CH4

Units
mt
kg
kg
mt
kg
kg
mt
kg
kg
mt
kg
kg
mt
kg
kg
mt
kg
kg
mt
kg
kg
mt
kg
kg
kg

N2O

Nonfuel Use of
Fossil Fuels

CO2

Subtotal

CO2e

Yr 1

Yr 2

Yr 3

Yr 4

mt = metric ton; kg = kilogram

July 29, 2010

Form EIA-1605 – Schedule I, Section 2. Entity Emissions Inventory

U.S. Department of Energy
U.S. Energy Information Administration
Form EIA-1605

Form Approved
OMB No. 1905-0194
Expiration Date: TBD

Voluntary Reporting of Greenhouse Gases

b. Mobile Sources (incorporate all emissions, including CO2 captured from mobile sources for geologic sequestration)
1

Source Category
Highway Vehicles

Fuel Type

Specific
Vehicle
Class/Fleet
Name
(optional)

Off-Road Vehicles

Water Borne
Vessels

Aircraft

Mobile Refrigeration
and Air-Conditioning

Subtotal

Base Period
Average

Reporting
Year
Emissions

Estimation
Method

Rating

Base Period Emissions

Gas
CO2
CH4
N2O
CO2
CH4
N2O
CO2
CH4
N2O
CO2
CH4
N2O
CO2
CH4
N2O
CO2
CH4
N2O
CO2
CH4
N2O
CO2
CH4
N2O
HFC134a

CO2e

Units
mt
kg
kg
mt
kg
kg
mt
kg
kg
mt
kg
kg
mt
kg
kg
mt
kg
kg
mt
kg
kg
mt
kg
kg
kg

Yr 1

Yr 2

Yr 3

Yr 4

mt = metric ton; kg = kilogram

July 29, 2010

Form EIA-1605 – Schedule I, Section 2. Entity Emissions Inventory

U.S. Department of Energy
U.S. Energy Information Administration
Form EIA-1605

Form Approved
OMB No. 1905-0194
Expiration Date: TBD

Voluntary Reporting of Greenhouse Gases

c. Sector-Specific Industrial Process Emissions (incorporate all emissions, including CO2 captured from industrial process emissions for geologic
sequestration)
1

Process/Fugitive
Emissions

Specific
Facility/
Source
Name
(optional)

Base Period
Average

Reporting Year
Emissions

Estimation
Method

Rating

Base Period Emissions

Gas

Units

Yr 1

Yr 2

Yr 3

Yr 4

Industrial Processes
Adipic Acid
Production
Aluminum
Production (CO2
only)
Ammonia
Production
Cement Production
– Clinker Production
Cement Production
– Cement Kiln Dust
Hydrogen
Production
Iron and Steel
Production – All
Processes*
Iron and Steel
Production –
Reducing Agents
Iron and Steel
Production –
Furnace Additives
Iron and Steel
Production – Crude
Iron Production
Iron and Steel
Production –
Conversion of Iron
to Steel

N2O
CO2

CO2

mt = metric ton; kg = kilogram

July 29, 2010

Form EIA-1605 – Schedule I, Section 2. Entity Emissions Inventory

U.S. Department of Energy
U.S. Energy Information Administration
Form EIA-1605

Form Approved
OMB No. 1905-0194
Expiration Date: TBD

Voluntary Reporting of Greenhouse Gases

c. Sector-Specific Industrial Process Emissions (continued)
1

Process/Fugitive
Emissions

Specific
Facility/
Source
Name
(optional)

Base Period
Average

Reporting Year
Emissions

Estimation
Method

Rating

Base Period Emissions

Gas

Units

Yr 1

Yr 2

Yr 3

Yr 4

Industrial Processes – Iron and Steel Production
Iron and Steel
Production –
Electrode
Consumption in
Electric Arc
Furnaces
Iron and Steel
Production –
Secondary Steel
Production in
Electric Arc
Furnaces

CO2

Iron and Steel
Production – Other

CO2

Lime Production
Limestone and
Dolomite Use

CO2

Methanol
Production

CO2

Methane Emissions
From Production of
Other
Petrochemicals
Nitric Acid
Production
Soda Ash
Production
Soda Ash Use

CH4

CH4
CH4

N2O
CO2

CO2

mt = metric ton; kg = kilogram
1
Use this line only if specific data on reducing agent, additive, iron ore and/or crude iron consumption are not available.

July 29, 2010

Form EIA-1605 – Schedule I, Section 2. Entity Emissions Inventory

U.S. Department of Energy
U.S. Energy Information Administration
Form EIA-1605

Form Approved
OMB No. 1905-0194
Expiration Date: TBD

Voluntary Reporting of Greenhouse Gases

c. Sector-Specific Industrial Process Emissions (continued)
1

Process/Fugitive
Emissions

Specific
Facility/
Source
Name
(optional)

Base
Period
Average

Reporting
Year
Emissions

Estimation
Method

Rating

Base Period Emissions

Gas

Units

Yr 1

Yr 2

Yr 3

Yr 4

Energy
Coal Mines
Oil and Natural Gas
Industries

CH4
CH4
CO2
N2O

Waste Handling
Domestic and
Industrial Wastewater
Handling
Landfills

CH4
N2O
CH4

High GWP Gases
Aluminum Production
(for PFC, specify gas)
HCFC-22 Production
SF6 Emissions From
Electrical Equipment
Industrial Use and
Production of HFCs,
PFCs, and SF6 (for
HFCs and PFCs,
specify gas)
Magnesium
Production
Semiconductor
Manufacture (for
HFCs and PFCs,
specify gas)
Other (for HFCs,
PFCs, and CFCs
specify gas)

Subtotal

PFC: ___
SF6
HFC-23
SF6
HFC: ___
PFC: ___
SF6
SF6
HFC: ___
PFC: ___
SF6
CO2
CH4
N2O
SF6
PFC: ___
HFC: ___
CFC: ___
CO2e

mt = metric ton; kg = kilogram

July 29, 2010

Form EIA-1605 – Schedule I, Section 2. Entity Emissions Inventory

U.S. Department of Energy
U.S. Energy Information Administration
Form EIA-1605

Form Approved
OMB No. 1905-0194
Expiration Date: TBD

Voluntary Reporting of Greenhouse Gases

d. Agricultural Sources (incorporate all emissions, including CO2 captured from agricultural sources for geologic sequestration)
1

Source Category

Specific
Source
Name
(optional)

Enteric Fermentation

Base
Period
Average

Reporting
Year
Emissions

Estimation
Method

Rating

Base Period Emissions

Gas

Units

Yr 1

Yr 2

Yr 3

Yr 4

CH4
CH4

Livestock Waste
N2O
N2O
Residue Burning
CH4
st

Rice Cultivation – 1
Harvest
nd
Rice Cultivation – 2
(“Ratoon”) Harvest
Nitrous Oxide From
Agricultural Soils –
Nitrogen Application
Nitrous Oxide From
Agricultural Soils –
Organic Soils
Lime Application
Cultivation of Organic
Soils
Other Agricultural
Sources (specify
source and gas):
_________________
Subtotal

CH4
CH4
N2O

N2O
CO2

CO2

CO2e

mt = metric ton; kg = kilogram

July 29, 2010

Form EIA-1605 – Schedule I, Section 2. Entity Emissions Inventory

U.S. Department of Energy
U.S. Energy Information Administration
Form EIA-1605

Form Approved
OMB No. 1905-0194
Expiration Date: TBD

Voluntary Reporting of Greenhouse Gases

e. Fugitive Emissions Associated With Geologic Reservoirs
1

Specific
Source/
Reservoir
Name
(optional)

Source Category
Fugitive Emissions From
the Extraction of Naturally
Occurring CO2
Fugitive Emissions During
Extraction of CO2 From
Anthropogenic Sources
Fugitive Emissions During
Transport and Processing
Fugitive Emissions of
CO2 During Injection and
Extraction for Enhanced
Resource Recovery
Post-Injection Seepage of
Carbon Dioxide to the
Atmosphere

Base
Period
Average

Reporting
Year

Estimation
Method

Rating

Base Period Emissions

Gas

Units

CO2

Yr 1

Yr 2

Yr 3

Yr 4

mt = metric ton

f. Captured CO 2 Emissions from Anthropogenic Sources (captured CO 2 emissions should also be included as emissions in Questions 1a through
1d above).
1

Base Period Average Quantity

Stationary Combustion

Source

Gas
CO2

Unit of Measure
metric tons

Sector-Specific Industrial Process Emissions

CO2

metric tons

Other (Mobile & Agricultural Sources)

CO2

metric tons

Subtotals

CO2

metric tons

July 29, 2010

Onsite

Offsite

Form EIA-1605 – Schedule I, Section 2. Entity Emissions Inventory

Total

Reporting Year Quantity
Onsite

Offsite

Total

U.S. Department of Energy
U.S. Energy Information Administration
Form EIA-1605

Form Approved
OMB No. 1905-0194
Expiration Date: TBD

Voluntary Reporting of Greenhouse Gases

2. Enter Indirect Emissions From Purchased Energy
a. Physical Quantities of Energy Purchased
1

Base
Period
Average

Reporting Year
Consumption

System
Type/Fuel Used
for Generation

Base Period Consumption

Energy Type
Electricity
Steam
Hot Water
Chilled Water

Units
MWh
MMBtu
MMBtu
Ton-Hours Cooling

Yr 1

Yr 2

Yr 3

Yr 4

b. Emissions From Purchased Energy for Emissions Inventory
1

Source
Electricity

Steam

Hot Water

Chilled Water

Total

Specific
Facility/
Region
Name
(optional)

Base
Period
Average

Reporting
Year
Emissions

Estimation
Method

Rating

Base Period Emissions

Gas
CO2
CH4
N2O
CO2
CH4
N2O
CO2
CH4
N2O
CO2
CH4
N2O
CO2e

Units
mt
kg
kg
mt
kg
kg
mt
kg
kg
mt
kg
kg
mt

Yr 1

Yr 2

Yr 3

Yr 4

mt = metric ton; kg = kilogram

July 29, 2010

Form EIA-1605 – Schedule I, Section 2. Entity Emissions Inventory

U.S. Department of Energy
U.S. Energy Information Administration
Form EIA-1605

Form Approved
OMB No. 1905-0194
Expiration Date: TBD

Voluntary Reporting of Greenhouse Gases

Emissions From Purchased Energy for Emission Reductions (Not included in emissions inventory. Complete only if calculating reductions at
the entity-level using Addendum B1 or B2.)
1

Reporting
Year
Emissions

Estimation
Method

Rating

Base Period Emissions

Source
Electricity
Steam, Hot Water, and
Chilled Water*
Total

Gas

Units

CO2e

Yr 1

Yr 2

Yr 3

Yr 4

Base
Period
Average

Yr 4

Base
Period
Average

Reporting
Year
Emissions

Estimation
Method

Rating

mt = metric ton
*Sum emissions reported for these sources in Question 2b above.

3. Enter Other Indirect Emissions*
1

Base Period Emissions

Source
Employee Commuting
Manufacture & Sale of
Energy Efficient Products
Consumption of Energyintensive Products
Nitrous Oxide Emissions
from Fertilizer Application
Other:

Gas

Subtotal

CO2e

Units

Yr 1

Yr 2

Yr 3

N2O

mt = metric ton
*Do not include in emission inventory.

July 29, 2010

Form EIA-1605 – Schedule I, Section 2. Entity Emissions Inventory

U.S. Department of Energy
U.S. Energy Information Administration
Form EIA-1605

Form Approved
OMB No. 1905-0194
Expiration Date: TBD

Voluntary Reporting of Greenhouse Gases

4. Enter Terrestrial Carbon Fluxes and Stocks
a. Forestry Activities
1

Categories

Forestry Activities
Wood Products Method 1
Wood Products Method 2
Land Restoration and Forest Preservation
Sustainably Managed Forests
Incidental Lands
Other Terrestrial Carbon Fluxes
Total Reporting Year Terrestrial Carbon Flux

Gas

Units
mt
mt
mt
mt

Reporting Year Stock Change or Carbon Flux

Rating

CO2
CO2
CO2
CO2
CO2
CO2
CO2
CO2

mt
mt

mt = metric ton

July 29, 2010

Form EIA-1605 – Schedule I, Section 2. Entity Emissions Inventory

U.S. Department of Energy
U.S. Energy Information Administration
Form EIA-1605

Form Approved
OMB No. 1905-0194
Expiration Date: TBD

Voluntary Reporting of Greenhouse Gases

5. Identify and Estimate De Minimis Emissions Sources
1

De Minimis
Emissions Type

Total

De Minimis
Emissions Source

Gas

Unit of Measure

Base Period
Average
De Minimis
Emissions

Reporting Year De
Minimis
Emissions*

Year Last
Estimated*

CO2e

metric tons

*De minimis emissions must be re-estimated after any significant increase in such emissions, or every five years, whichever occurs first.

July 29, 2010

Form EIA-1605 – Schedule I, Section 2. Entity Emissions Inventory

U.S. Department of Energy
U.S. Energy Information Administration
Form EIA-1605

Voluntary Reporting of Greenhouse Gases

Form Approved
OMB No. 1905-0194
Expiration Date: TBD

Part C. Inventory of Foreign Emissions and Carbon Flux (optional for independently verified reports)
Complete and attach one copy of Addendum A, Inventory of Foreign or Subentity Emissions (if applicable). Also complete and attach one copy of
Addendum C, Country-Specific Factors from Foreign Sources.

July 29, 2010

Form EIA-1605 – Schedule I, Section 2. Entity Emissions Inventory

U.S. Department of Energy
U.S. Energy Information Administration
Form EIA-1605

Form Approved
OMB No. 1905-0194
Expiration Date: TBD

Voluntary Reporting of Greenhouse Gases

Part D. Total Emissions and Carbon Flux
1. Enter Total Domestic Emissions and Carbon Flux
1

Base Period
Average

Reporting Year
Emissions or
Carbon Flux

Base Period Emissions
Item
A
B
C

Gas/
Units

Source
Direct Emissions
Indirect Emissions From Purchased Energy for
Emissions Inventory
Indirect Emissions From Purchased Energy for
Calculation of Emission Reductions
Total Emissions (A + B)*

Yr 2

Yr 3

Yr 4

mtCO2e
mtCO2e
mtCO2e
mtCO2e

Carbon Flux

mtCO2e

Captured CO 2 Sequestered in an Onsite Geologic
Reservoir**

mtCO2e

Total Inventory Emissions (D – E – F)

Yr 1

mtCO2e

Other Indirect Emissions

mtCO2e

Captured CO2 Transferred to Another Entity for
Sequestration in a Geologic Reservoir**

mtCO2e

mtCO2e = metric tons carbon dioxide equivalent
*Do not include Indirect Emissions from Purchased Energy for Calculation of Emission Reductions (Item C) in Total Emissions.
**Do not include CO2 extracted and captured from natural sources or CO2 recycled during enhanced resource recovery operations.

July 29, 2010

Form EIA-1605 – Schedule I, Section 2. Entity Emissions Inventory

U.S. Department of Energy
U.S. Energy Information Administration
Form EIA-1605

Form Approved
OMB No. 1905-0194
Expiration Date: TBD

Voluntary Reporting of Greenhouse Gases

2. Enter Total Foreign Emissions and Carbon Flux
1

Base Period
Average

Reporting Year
Emissions or
Carbon Flux

Base Period Emissions
Item
A
B
C

Gas/
Units

Source
Direct Emissions

Total Emissions (A + B)*

Yr 3

Yr 4

mtCO2e
mtCO2e
mtCO2e

Carbon Flux

mtCO2e

Captured CO 2 Sequestered in an Onsite Geologic
Reservoir**

mtCO2e

Total Inventory Emissions (D - E - F)

Yr 2

mtCO2e

Indirect Emissions From Purchased Energy for
Emissions Inventory
Indirect Emissions From Purchased Energy for
Calculation of Emission Reductions

Yr 1

mtCO2e

Other Indirect Emissions

mtCO2e

Captured CO2 Transferred to Another Entity for
Sequestration in a Geologic Reservoir**

mtCO2e

July 29, 2010

Form EIA-1605 – Schedule I, Section 2. Entity Emissions Inventory

U.S. Department of Energy
U.S. Energy Information Administration
Form EIA-1605

Form Approved
OMB No. 1905-0194
Expiration Date: TBD

Voluntary Reporting of Greenhouse Gases

Part E. Emissions Inventory Rating Summary
Do not complete Part E if all the methods used to estimate emissions were rated B or higher.
If this is a Start Year Report, complete Question 1 only. If this is a Reporting Year Report, complete Question 2 for reporting year data; complete
Question 1 only if you have submitted revised Base Period emissions data.
1. Enter Base Period Data (enter domestic and foreign sources separately)
1

Rating
Category

Weighting
Factor

Direct
Emissions

Indirect Emissions
From Purchased
Energy
Carbon Flux
Domestic Sources

Total Emissions

Weighted Total
2
Emissions

1
3

Totals
Weighted
Average
4
Rating
Foreign Sources
A

1
3

Totals
Weighted
Average
4
Rating
1

Sum Columns 3, 4 and 5 and enter result in Column 6 to get Total Emissions by Rating Category. Note: Enter carbon flux as a positive value, regardless of whether it was positive or
negative carbon flux.
2
Calculate Weighted Emissions by Rating Category by multiplying Column 2 by Column 6.
3
Sum values for Total Emissions (Column 6) and Weighted Total Emissions (Column 7) and enter in the Totals row.
4
Calculate Inventory Weighted Average Rating by dividing Weighted Total Emissions (Column 7) in the Totals row by Total Emissions (Column 6) in the Totals row.

July 29, 2010

Form EIA-1605 – Schedule I, Section 2. Entity Emissions Inventory

U.S. Department of Energy
U.S. Energy Information Administration
Form EIA-1605

Form Approved
OMB No. 1905-0194
Expiration Date: TBD

Voluntary Reporting of Greenhouse Gases

2. Enter Reporting Year Data (enter domestic and foreign sources separately)
1

Rating
Category

Weighting
Factor

Direct
Emissions

Indirect Emissions
From Purchased
Energy
Carbon Flux
Domestic Sources

Total Emissions
1
and Carbon Flux

Weighted Total
Emissions and
2
Carbon Flux

1
3

Totals
Weighted
Average
4
Rating
Foreign Sources
A

1
3

Totals
Weighted
Average
4
Rating
1

Sum Columns 3, 4 and 5 and enter result in Column 6 to get Total Emissions by Rating Category. Note: Enter carbon flux as a positive value, regardless of whether it was positive or
negative carbon flux.
2
Calculate Weighted Emissions and Carbon Flux by Rating Category by multiplying Column 2 by Column 6.
3
Sum values for Total Emissions (Column 6) and Weighted Total Emissions and Carbon Flux (Column 7) and enter in the Totals row.
4
Calculate Inventory Weighted Average Rating by dividing Weighted Total Emissions (Column 7) in the Totals row by Total Emissions (Column 6) in the Totals row.

July 29, 2010

Form EIA-1605 – Schedule I, Section 2. Entity Emissions Inventory

U.S. Department of Energy
U.S. Energy Information Administration
Form EIA-1605

Form Approved
OMB No. 1905-0194
Expiration Date: TBD

Voluntary Reporting of Greenhouse Gases

SECTION 3. EMISSION OFFSETS
Complete Section 3 only if this is a Reporting Year report.
This Report Includes Offsets Obtained by Agreement With (check all that apply):
 Other reporters to the Voluntary Reporting of Greenhouse Gases Program (complete Part A)
 Non-reporters (complete Part B)

Part A. Offsets Obtained by Agreement With Other Reporters. (Offsets may only be registered, or
reported but not registered, in this part if the reporter has an agreement with the other reporting entity to
register or report the reduction.) Identify the entities from which you have obtained offsets and enter the
quantity or quantities of emission reductions obtained in metric tons CO2e.
1. Enter Information in the Table Below for Offsets Obtained From Other Reporters
1

Name of Other
Reporter

Name of Other
Reporter’s
Subentity
(If Applicable)

Domestic
or Foreign

Gas

Unit of
Measure

Quantity

Registered
by Other
Reporter?*
(Y/N)

*If you are registering reductions, the offsets obtained from another reporter must have been registered by that other reporter.

July 29, 2010

Form EIA-1605 – Schedule I, Section 3. Emissions Offsets

U.S. Department of Energy
U.S. Energy Information Administration
Form EIA-1605

Form Approved
OMB No. 1905-0194
Expiration Date: TBD

Voluntary Reporting of Greenhouse Gases

Part B. Offset Obtained by Agreement With a Non-reporter. Complete Part B if you have obtained
emission offsets from a non-reporter to the 1605(b) Program. Also complete and attach one copy of
Schedules I, II (if applicable), III, and the form for the appropriate emission reduction method (Addendum
B1-B16) completed by, or on behalf of, the non-reporter.
1. Enter Information in the Table Below for Offsets Obtained From Non-reporters
1

Name of
Non-reporter

Name of
Non-reporter’s
Subentity
(If Applicable)

Domestic
or
Foreign

Gas

Unit of
Measure

Quantity

Non-reporter
Has Met
Requirements
for
Registration?*
(Y/N)

*If you are registering reductions, the non-reporters providing offsets must meet all the requirements for registering reductions.

July 29, 2010

Form EIA-1605 – Schedule I, Section 3. Emissions Offsets

U.S. Department of Energy
U.S. Energy Information Administration
Form EIA-1605

Voluntary Reporting of Greenhouse Gases

Form Approved
OMB No. 1905-0194
Expiration Date: TBD

SECTION 4. ENTITY-LEVEL EMISSION REDUCTIONS
If this is a Reporting Year report and you are estimating reductions for the entire entity or for just one
portion of your entity, complete and attach the requested copies of the appropriate addendum (Addendum
B1-B16) for the method used to estimate the reduction. If you are estimating reductions for two or more
subentities, proceed to Schedule II.
1. Indicate the method used (or, in the case of a Start Year report, the method that will be used) to
estimate entity-wide emission reductions for the entity. In the event that emission reductions are not
being reported for this entity, check last box below:


















Changes in Emissions Intensity (Addendum B1)
Changes in Absolute Emissions (Addendum B2)
Changes in Carbon Storage (Addendum B3)
Changes in Avoided Emissions (Addendum B4)
Energy Generation and Distribution (Addendum B5)
Coal Mine Methane Recovery (Addendum B6)
Landfill Methane Recovery (Addendum B7)
Geologic Sequestration (Addendum B8)
Electricity Transmission and Distribution Improvements (Addendum B9)
Capture of Methane from Anaerobic Digestion at Wastewater Treatment Facilities (Addendum
B10)
Anaerobic Digestion of Animal Waste (Addendum B11)
Recycling of Fly Ash (Addendum B12)
Demand-Side Management and Other Emission Reduction Programs (Addendum B13)
Combined Heat and Power Generators (Addendum B14)
Other Action-Specific Methods (Addendum B15)
Destruction of Chlorofluorocarbons (Addendum B16)
Emission reductions are not being reported for this entity

2. If registering reductions on Addendum B1 or B5 for this entity, are you also reporting but not
registering reductions using the Changes in Absolute Emissions method (Addendum B2)? ∗
 Yes
 No
3. Complete and attach one copy of the appropriate emission reduction addendum (Addendum B1-B16)
for the method used to estimate entity-level reductions of domestic emissions
4. If you are reporting non-U.S. emissions within one entity-level report, attach one copy of the
appropriate emission reduction addendum for your foreign emission reductions. If you choose to use
a different emission reduction estimation method or Base Period for foreign emissions, you must
create a separate subentity. Likewise, if you choose to disaggregate foreign emissions by region or
country, you must create a separate subentity for each region or country.

∗

You may choose to supplement your report of registered reductions using an intensity-based method
with a report of reductions in absolute emissions even if the output of the entity is declining. The absolute
emission reductions included in this supplemental report are not eligible for registration.

July 29, 2010

Form EIA-1605 – Schedule I, Section 4. Entity-Level Emission Reductions

U.S. Department of Energy
U.S. Energy Information Administration
Form EIA-1605

Voluntary Reporting of Greenhouse Gases

Form Approved
OMB No. 1905-0194
Expiration Date: TBD

SCHEDULE II. SUBENTITY INFORMATION
SECTION 1. SUBENTITY STATEMENT
1. Enter the Subentity Identification:
Subentity Name:
___________________________________________________
Description:
___________________________________________________
Relationship to Entity (describe): ____________________________________________
2. Enter the Reason for Delineation of the Subentity (check all that apply and explain below):
 Distinct estimation method; indicate method employed (check only one)
 Changes in Emissions Intensity
 Changes in Absolute Emissions
 Changes in Carbon Storage
 Changes in Avoided Emissions
 Action-Specific Emission Reductions
 Emission Reductions from Energy Generation and Distribution
 Distinct output metric (for intensity calculation), indicate metric used: _________________
 Foreign country operations, specify country(ies): ____________________________
 Distinct Base Period from other subentities (for new or acquired operations)
 Emission reduction calculation method changed
 Small emitter registering emission reductions associated with more than one specific activity
 Reporting but not registering emission reductions associated with more than one specific activity
 Distinct organizational unit or other component of entity (e.g., discrete business line, facility, plant,
vehicle fleet, or energy using system).
 Not practicable to assess change in net emissions for the following reasons:
_____________________________________________________________________________
_____________________________________________________________________________
3. Enter Any Significant Changes to Previous the Subentity Statement (if applicable):
 The subentity has not undergone significant change since the last Voluntary Reporting of
Greenhouse Gases report.
 The subentity was not included in the previous report
 The subentity's primary activity is new
 The subentity's primary activity existed prior to this report
 The subentity was not included in any other entity's previous reports
 The subentity was included in another entity's previous reports, explain:
_______________________________________________________________
 The subentity was included in the previous report, but has undergone significant changes, as
follows:
 Data are being resubmitted for the Base Period
 A new Base Period (using a different year or years) has been established.
Briefly describe the significant changes since the most recent Voluntary Reporting of
Greenhouse Gases Program report filed:
__________________________________________________________________________
__________________________________________________________________________
4. Describe the Subentity’s Primary Economic Activities (NAICS Code):
Enter the primary (and secondary, if applicable) 3-digit North American Industrial Classification
System (NAICS) code for the subentity (A list of NAICS codes is provided in Appendix A):
Primary NAICS: __ __ __
Secondary NAICS: __ __ __

July 29, 2010

Form EIA-1605 – Schedule II, Section 1. Subentity Statement

U.S. Department of Energy
U.S. Energy Information Administration
Form EIA-1605

Form Approved
OMB No. 1905-0194
Expiration Date: TBD

Voluntary Reporting of Greenhouse Gases

5. Describe the Organizational Boundaries of the Subentity:
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________

6. Describe the Scope of the Emissions Inventory for the Subentity
Check the types of emission sources or sinks that are covered in the emissions inventory:
 Stationary source combustion
 Fugitive emissions from geologic reservoirs
 Mobile source combustion
 Indirect emissions from purchased energy
 Industrial processes
 Other indirect emissions
 Agricultural sources
 Terrestrial carbon fluxes and stocks

7. Describe the Geographic Scope of Activities of the Subentity (check the applicable box)
 This report covers U.S. activities only
 Nationwide (if operating in all 10 U.S. Census Regions)
 Multiple States (if not nationwide, select state codes from Appendix B:
______________________________)
 Single State (select state code from Appendix B: ___________________)
 This subentity covers only non-U.S. activities
(Required, if applicable) List the foreign country(ies) in which reported activities occurred, using
the 3-digit codes found in Appendix C: ___________

8. Indicate the Inclusion of Emission Reductions
Are emission reductions included in this year's subentity report?
 Yes
 No, explain: _____________________________________________________________
_____________________________________________________________________________

9. Define the Subentity Base Period
Indicate number of years in the Base Period:  1  2
Enter last year in Base Period: ____________

 3

 4

10. Enter Any Supplementary Information for the Subentity
Use this space (and attach additional sheets if necessary) to supply any supporting information you
feel helps explain your entity or report that isn’t accommodated directly in this reporting form.
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________

July 29, 2010

Form EIA-1605 – Schedule II, Section 1. Subentity Statement

U.S. Department of Energy
U.S. Energy Information Administration
Form EIA-1605

Voluntary Reporting of Greenhouse Gases

Form Approved
OMB No. 1905-0194
Expiration Date: TBD

SECTION 2. SUBENTITY EMISSIONS INVENTORY
Complete and attach Addendum A, Inventory of Foreign or Subentity Emissions.

July 29, 2010

Form EIA-1605 – Schedule II, Section 2. Subentity Emissions Inventory

U.S. Department of Energy
U.S. Energy Information Administration
Form EIA-1605

Voluntary Reporting of Greenhouse Gases

Form Approved
OMB No. 1905-0194
Expiration Date: TBD

SECTION 3. SUBENTITY EMISSION REDUCTIONS
If this is a Reporting Year report, complete and attach the appropriate form from Addendum B1-B16 for
this subentity.
1. Indicate the method used (or, in the case of a Start Year report, the method that will be used) to
estimate emission reductions for this subentity. In the event that emission reductions are not being
reported for this subentity, check the last box below:


















∗

You may choose to supplement your report of registered reductions using an intensity-based method
with a report of reductions in absolute emissions even if the output of the subentity is declining. The
absolute emission reductions included in this supplemental report are not eligible for registration.

July 29, 2010

Form EIA-1605 – Schedule II, Section 3. Summary of Subentity Emission Reductions

U.S. Department of Energy
U.S. Energy Information Administration
Form EIA-1605

Form Approved
OMB No. 1905-0194
Expiration Date: TBD

Voluntary Reporting of Greenhouse Gases

SCHEDULE III. EMISSION REDUCTIONS
SECTION 1. REGISTERED EMISSION REDUCTIONS
Part A. Enter Domestic Net Entity-Level Registered Reductions and Carbon Storage (metric tons
CO2e)
1

Emission Reductions

Item
A

Method/Source
Direct

Indirect From Purchased Energy

B1
B2

Direct
Indirect From Purchased Energy
Changes in Carbon Storage

Changes in Avoided Emissions

Energy Generation and Distribution

Coal Mine Methane Recovery

Landfill Methane Recovery

Geologic Sequestration
Electricity Transmission and Distribution
Improvements

Anaerobic Digestion at Wastewater Treatment
Facilities

Anaerobic Digestion of Animal Waste

Recycling of Fly Ash

Demand-Side Management or Other Emission
Reduction Programs

Combined Heat and Power

Other Action-Specific Methods

Direct

Indirect From Purchased Energy
Subtotal (Sum rows A1 through O)

P
Q

Offsets

Offsets Obtained From Other Reporters

Offsets Obtained From Non-reporters

R
S
T

July 29, 2010

(Subtract
Column 3 from
Column 2)

Changes in Absolute Emissions

Net
Registered
Reductions

Changes in Emissions Intensity

A1
B

Gross
Registered
Reductions

Registered
Reductions
Distributed
to Other
Reporters

Subtotal (Sum rows P through Q2)
Reduction Deficits Carried Over From Last Year’s
Report (From Schedule III, Section 1, Part A, Item
T in Last Year’s Report. If negative, enter value. If
zero or positive, enter zero.)
TOTAL (Add row R to row S)

Form EIA-1605 – Schedule III. Emission Reductions

U.S. Department of Energy
U.S. Energy Information Administration
Form EIA-1605

Form Approved
OMB No. 1905-0194
Expiration Date: TBD

Voluntary Reporting of Greenhouse Gases

Part B. Enter Foreign Net Entity-Level Registered Reductions and Carbon Storage (metric tons
CO2e)
1

Emission Reductions

Item
A

Method/Source
Direct

Indirect From Purchased Energy
Direct

Indirect From Purchased Energy
Changes in Carbon Storage

Changes in Avoided Emissions

Energy Generation and Distribution

Coal Mine Methane Recovery

Landfill Methane Recovery

Geologic Sequestration
Electricity Transmission and Distribution
Improvements

I
J

Anaerobic Digestion at Wastewater Treatment
Facilities

Anaerobic Digestion of Animal Waste

Recycling of Fly Ash

Demand-Side Management or Other Emission
Reduction Programs

Combined Heat and Power

Other Action-Specific Methods

Direct

Indirect From Purchased Energy
Subtotal (Sum rows A1 through O)

P
Q

Offsets

Offsets Obtained From Other Reporters

Offsets Obtained From Non-reporters

R
S
T

July 29, 2010

(Subtract
Column 3 from
Column 2)

Changes in Absolute Emissions

B1
C

Net
Registered
Reductions

Changes in Emissions Intensity

A1
B

Gross
Registered
Reductions

Registered
Reductions
Distributed
to Other
Reporters

Subtotal (Sum rows P through Q2)
Reduction Deficits Carried Over From Last Year’s
Report (From Schedule III, Section 1, Part B, Item
T in Last Year’s Report. If negative, enter value. If
zero or positive, enter zero.)
TOTAL (Add row R to row S)

Form EIA-1605 – Schedule III. Emission Reductions

U.S. Department of Energy
U.S. Energy Information Administration
Form EIA-1605

Form Approved
OMB No. 1905-0194
Expiration Date: TBD

Voluntary Reporting of Greenhouse Gases

SECTION 2. REPORTED BUT NOT REGISTERED EMISSION REDUCTIONS
Part A. Enter Domestic Net Entity-Level Reported but not Registered Reductions and Carbon
Storage
1

Emission Reductions
Net
Reported
Reported
Reductions
Reductions
Gross
Distributed
(Subtract
Reported
to Other
Column 3 from
Item
Method/Source
Reductions
Reporters
Column 2)
Carbon Dioxide, Methane, Nitrous Oxide, Hydrofluorocarbons, Perfluorocarbons, and Sulfur
Hexafluoride (metric tons CO2e)
A

Changes in Emissions Intensity

Direct

Indirect From Purchased Energy

Other Indirect

Changes in Absolute Emissions

Direct

Indirect From Purchased Energy

Other Indirect

Changes in Carbon Storage

Changes in Avoided Emissions

Energy Generation and Distribution

Coal Mine Methane Recovery

Landfill Methane Recovery

Geologic Sequestration

Electricity Transmission and Distribution
Improvements

Anaerobic Digestion at Wastewater Treatment
Facilities

Anaerobic Digestion of Animal Waste

Recycling of Fly Ash

Demand-Side Management or Other Emission
Reduction Programs

Combined Heat and Power

Other Action-Specific Methods

Direct

Indirect From Purchased Energy

Other Indirect
Subtotal (Sum rows A1 through O)

P
Q

July 29, 2010

Offsets

Form EIA-1605 – Schedule III. Emission Reductions

U.S. Department of Energy
U.S. Energy Information Administration
Form EIA-1605

Form Approved
OMB No. 1905-0194
Expiration Date: TBD

Voluntary Reporting of Greenhouse Gases
1

Offsets Obtained From Other Reporters

Offsets Obtained From Non-reporters

T
U

Subtotal (Sum rows P through Q2)
Reduction Deficits Carried Over From Last Year’s
Report (From Schedule III, Section 2, Part A, Item
T in last year’s report. If negative, enter value. If
zero or positive, enter zero.)
TOTAL (Add row R to row S)
Emission Reductions Also Registered as Emission
Intensity Reductions

Chlorofluorocarbons (CFCs) and Other Gases (Kilograms of native gas) Attach additional copies of
Part A if reporting reductions in domestic emissions of more than one gas.
V

July 29, 2010

Destruction of CFCs or Reductions of Other
Gases. Specify Gas: ___________
Reduction Deficit for this CFC or Other Gas
Carried Over From Last Year’s Report (From
Schedule III, Section 2, Part A, Item X in last year’s
report. If negative, enter value. If zero or positive,
enter zero.)
TOTAL (Add row V to row W)

Form EIA-1605 – Schedule III. Emission Reductions

U.S. Department of Energy
U.S. Energy Information Administration
Form EIA-1605

Form Approved
OMB No. 1905-0194
Expiration Date: TBD

Voluntary Reporting of Greenhouse Gases

Part B. Enter Foreign Net Entity-Level Reported but not Registered Reductions and Carbon
Storage
1

Changes in Emissions Intensity

Direct

Indirect From Purchased Energy

Other Indirect

Changes in Absolute Emissions

Direct

Indirect From Purchased Energy

Other Indirect

Changes in Carbon Storage

Changes in Avoided Emissions

Energy Generation and Distribution

Coal Mine Methane Recovery

Landfill Methane Recovery

Geologic Sequestration

Electricity Transmission and Distribution
Improvements

Anaerobic Digestion at Wastewater Treatment
Facilities

Anaerobic Digestion of Animal Waste

Recycling of Fly Ash

Demand-Side Management or Other Emission
Reduction Programs

Combined Heat and Power

Other Action-Specific Methods

Direct

Indirect From Purchased Energy

Other Indirect
Subtotal (Sum rows A1 through O)

P
Q
Q1

July 29, 2010

Offsets
Offsets Obtained From Other Reporters

Form EIA-1605 – Schedule III. Emission Reductions

U.S. Department of Energy
U.S. Energy Information Administration
Form EIA-1605

Form Approved
OMB No. 1905-0194
Expiration Date: TBD

Voluntary Reporting of Greenhouse Gases
1

Offsets Obtained From Non-reporters
Subtotal (Sum rows P through Q2)
Reduction Deficits Carried Over From Last Year’s
Report (From Schedule III, Section 2, Part B, Item
T in Last Year’s Report. If negative, enter value. If
zero or positive, enter zero.)
TOTAL (Add row R to row S)
Emission Reductions Also Registered as Emission
Intensity Reductions

Chlorofluorocarbons (CFCs) or Other Gases (Kilograms of native gas) Attach additional copies of
Part B if reporting reductions in foreign emissions of more than one gas.
V

July 29, 2010

Destruction of CFCs or Reductions of Other
Gases. Specify Gas: ___________
Reduction Deficit for this CFC or Other Gas
Carried Over From Last Year’s Report (From
Schedule III, Section 2, Part B, Item X in last year’s
report. If negative, enter value. If zero or positive,
enter zero.)
TOTAL (Add row V to row W)

Form EIA-1605 – Schedule III. Emission Reductions

U.S. Department of Energy
U.S. Energy Information Administration
Form EIA-1605

Voluntary Reporting of Greenhouse Gases

Form Approved
OMB No. 1905-0194
Expiration Date: TBD

SCHEDULE IV. VERIFICATION AND CERTIFICATION
SECTION 1. INDEPENDENT VERIFICATION (To be completed by independent verifier)
If your report has been independently verified by a qualified verifier in accord with Section 300.11 of 10
CFR Part 300, Guidelines for Voluntary Greenhouse Gas Reporting, that verifier must complete Schedule
IV, Section 1. Otherwise, skip to Section 2 of Schedule IV, Reporter Self Certification.
1. Enter the Name of the Entity Whose Report Has Been Independently Verified
Name of Entity: ___________________________________________
2. Describe the Identity of the Independent Verifier
Name of Verifying Company or Individual: _________________________________________
Street: ____________________________________________
P.O. Box: ________
City: _____________________________________ State: _________ Zip: ________
Contact Name:______________________________
Contact Title: _______________________________
Telephone: (_______) _____ - ____________ Fax: (____) _____ - ___________
E-Mail Address: ___________________________
3. Define the Independent Verifier’s Qualifications
a. Corporate Accreditation(s) (check all that apply):
 California Climate Action Registry
 American National Standards Institute and Registrar Accreditation Board (ANSI-RAB)
 CDM Executive Board
 United Kingdom Accreditation Scheme
 International Standards Organization (ISO)
 Other, specify: _______________________________________
b. Independent Verifier Personnel Accreditation(s):

Name

Title

Relevant
Degree

Accreditation

Lead Verifier

Meets Requirements of
§300.11(b) of 10 CFR
Part 300
 Yes

 No

 Yes

 No

 Yes

 No

Independent Verification Approach (check all that apply)
The independent verification of data on this form included the following activities:
 Strategic Review and Assessment
 Assurance that all sources have been included
 Review of greenhouse gas data management systems
 Review of greenhouse gas inventory training procedures
 Review of data collection quality assurance/quality control procedures
 Confirmation of required records maintenance
 Desk Audit
 Review for accuracy, completeness, and consistency with DOE guidelines of entity
statements
 Assessment of any significant changes in entity boundaries
 Review for arithmetic accuracy, internal consistency and plausibility
 Independent review of activity data for a sample of sources
 Independent review of activity data for all sources

July 29, 2010

Form EIA-1605 – Schedule IV. Verification and Certification

U.S. Department of Energy
U.S. Energy Information Administration
Form EIA-1605

Voluntary Reporting of Greenhouse Gases

Form Approved
OMB No. 1905-0194
Expiration Date: TBD

 Field Audit
 Independent measurements at a sample of sources
 Independent measurement for all sources
4. Certification of Independent Verification
We are an independent verifier of _________[entity]_________’s emissions report. We do not hold
any financial interest in the outcome of this audit. We are not owned in whole or in part by
_________[entity]_________ nor do we provide any ongoing operational or support services to
_________[entity]_________ except services consistent with independent financial accounting or
independent certification of compliance with government or private standards.
This is to certify that ________[entity]_________has had its greenhouse gas emissions report
covering the period __________ to __________ verified according to the Voluntary Reporting of
Greenhouse Gases Guidelines found in 10 CFR Part 300.11(d). We have found that the report
meets the requirements of 10 CFR 300.11(e), including the following:
•

The information reported on this form is accurate and complete;

•

The information reported on this form has been compiled in accordance with the Voluntary
Reporting of Greenhouse Gases Guidelines found in 10 CFR Part 300;

•

The information reported on this form is consistent with information submitted in prior years, if
any, or any inconsistencies with prior year information are documented and explained in
Schedule I, Entity Statement;

•

The reporting entity has taken due diligence to ensure that emissions, emission reductions, or
sequestration reported in this EIA-1605(b) report are not double counted in this report, or
reported by any other entity;

•

For any emissions, emission reductions, or sequestration included in this report that were
achieved by a third-party entity, there exists a written agreement with each third party
indicating that it has agreed that the reporting entity should be recognized as the entity
entitled to report these emissions, emission reductions, or sequestration;

•

None of the emissions, emission reductions, or sequestration reported was produced by
shifting emissions to other entities or to non-reporting parts of the entity;

•

None of any reported changes in avoided emissions associated with the sale of electricity,
steam, hot or chilled water generated from non-emitting or low-emitting sources are
attributable to the acquisition of a generating facility that has been previously operated,
unless the base year generation values are derived from records of the facility’s operation
prior to its acquisition; and

•

The reporting entity will maintain sufficient records to document the analysis and calculations
underpinning this verification for a period of no less than three years.

July 29, 2010

Form EIA-1605 – Schedule IV. Verification and Certification

U.S. Department of Energy
U.S. Energy Information Administration
Form EIA-1605

Voluntary Reporting of Greenhouse Gases

Form Approved
OMB No. 1905-0194
Expiration Date: TBD

Lead Certifier of Verifying Firm
(Print Name)

Lead Certifier of Verifying Firm
(Signature)

Date

Corporate Officer of Verifying Firm
(Print Name)

Corporate Officer of Verifying Firm
(Signature)

Date

July 29, 2010

Form EIA-1605 – Schedule IV. Verification and Certification

U.S. Department of Energy
U.S. Energy Information Administration
Form EIA-1605

Voluntary Reporting of Greenhouse Gases

Form Approved
OMB No. 1905-0194
Expiration Date: TBD

SECTION 2. REPORTER SELF CERTIFICATION
1. Certification
I certify to the best of my knowledge and belief that:
 This form meets the following three requirements for reporting reductions.
•

The information reported on this form is accurate and complete;

•

The information reported on this form has been compiled in accordance with the Voluntary
Reporting of Greenhouse Gases Guidelines found in 10 CFR Part 300; and

•

 This form meets the above three requirements for reporting reductions and the five additional
requirements for registering reductions listed below.
•

Reasonable steps have been taken to ensure that direct emissions, emission reductions,
and/or sequestration reported are neither double counted nor reported by any other entity;

•

Any emission reductions reported or registered by the entity that were achieved by another
entity (other than a very small emitter that participated in a demand-side management
program) are included in this report only if: the other entity does not intend to report or
register these reductions directly; there exists a written agreement with each other entity
providing that the reporting entity is the entity entitled to report or register these emission
reductions; and the information reported on the other entity would meet the requirements of
this part if the entity were reporting directly to DOE/EIA.

•

None of the emissions, emission reductions, or sequestration were produced by shifting
emissions to other entities or to non-reporting parts of the entity;

•

None of any reported changes in avoided emissions associated with the sale of electricity,
steam, hot or chilled water generated from non-emitting or low-emitting sources are
attributable to the acquisition of a generating facility that has been previously operated,
unless the entity’s base period includes generation values from the acquiring facility’s
operation prior to its acquisition; and

•

The entity maintains records documenting the analysis and calculations underpinning the
data reported on this form and records documenting the analysis and calculations
underpinning the base values used in calculating annual reductions are maintained in
accordance with 10 CFR 300.9(d).

Certifying Official’s Name: _________________________________________________________
Title: __________________________________________________________________________
Mailing Address:
Street or P.O. Box__________________________________________________________
City: ______________________________________ State: _____ Zip Code: __________
Telephone: ( ____ ) _____ - ____________
E-Mail: ___________________________________________
Signature:

_______________________________________

Date:

_______________________________________

Form EIA-1605 – Schedule IV. Verification and Certification

U.S. Department of Energy
U.S. Energy Information Administration
Form EIA-1605

Form Approved
OMB No. 1905-0194
Expiration Date: TBD

Voluntary Reporting of Greenhouse Gases

Addendum A. Inventory of Foreign, Subentity Emissions, or Offset Emissions
This emissions inventory is for:
 Entity-wide foreign operations
 A domestic or foreign subentity. Enter Name of Subentity: ___________________________________________________
 A domestic or foreign offset provider. Enter Name of Offset Provider: ___________________________________________
Complete Part A if an independent third party has verified this report and you wish to report aggregated emissions by gas rather than source
category. Otherwise, complete Part B.
Part A. Aggregated Emissions by Gas (for independently verified reports only)
1. Enter Aggregated Emissions by Gas (for independently verified reports only)
1

Item
A

Source

Gas

Units
mt

Carbon Dioxide

CO2

Methane

CH4

Nitrous Oxide

N2O

Sulfur Hexafluoride

SF6

HFC (Specify)

PFC (Specify)

B
B1
B2
B3
C
D
E
E1

Base Period Emissions or Carbon Flux
Base
Period
Yr 1
Yr 2
Yr 3
Yr 4
Average

Reporting
Year
Emissions or
Carbon Flux

Weighted
Rating*

Direct Emissions

CFC (Specify)
Indirect Emissions From Purchased
Energy (Inventory)
Carbon Dioxide
Methane
Nitrous Oxide
Indirect Emissions From Purchased
Energy (Reductions)
Carbon Flux
Other Indirect Emissions
Carbon Dioxide

July 16, 2010

CO2
CH4
N2O

CO2e

CO2

Form EIA-1605 – Addendum A. Subentity Emissions Inventory

U.S. Department of Energy
U.S. Energy Information Administration
Form EIA-1605
1

Item
E2
E3
E4
E5
E6
E7
F
G

Source
Methane
Nitrous Oxide
Sulfur Hexafluoride
HFC (Specify)
PFC (Specify)
CFC (Specify)
Captured CO2 Sequestered in an Onsite
Geologic Reservoir
Captured CO2 Transferred to Another
Entity for Sequestration in a Geologic
Reservoir

Form Approved
OMB No. 1905-0194
Expiration Date: TBD

Voluntary Reporting of Greenhouse Gases
3

Gas
CH4
N2O
SF6

Units

CO2

Base Period Emissions or Carbon Flux
Base
Period
Yr 1
Yr 2
Yr 3
Yr 4
Average

Reporting
Year
Emissions or
Carbon Flux

Weighted
Rating*

mt = metric ton
*Complete column 11, weighted rating, if this copy of Addendum A is being completed for entity-wide foreign operations. Do not complete column 11 if this copy of Addendum A is
being done for a subentity, domestic or foreign.

July 16, 2010

Form EIA-1605 – Addendum A. Subentity Emissions Inventory

U.S. Department of Energy
U.S. Energy Information Administration
Form EIA-1605

Form Approved
OMB No. 1905-0194
Expiration Date: TBD

Voluntary Reporting of Greenhouse Gases

Part B. Inventory of Emissions and Carbon Flux (optional for independently verified reports)
1. Enter Direct Emissions
a. Stationary Combustion (incorporate all emissions, including CO2 captured from stationary combustion for geologic sequestration)
1

Source Category
Fossil Fuel
Combustion

Nonstandard Fuel
Combustion

Waste Fuels
Combustion

Biomass
Combustion
Nonfuel Use of
Fossil Fuels
Subtotal

Fuel
Type

Specific
Facility/Source
Name
(optional)

Base Period
Average

Reporting
Year
Emissions

Estimation
Method

Rating*

Base Period Emissions

Gas
CO2
CH4
N2O
CO2
CH4
N2O
CO2
CH4
N2O
CO2
CH4
N2O
CO2
CH4
N2O
CO2
CH4
N2O
CO2
CH4
N2O
CO2
CH4
N2O
CH4
N2O
CO2
CO2e

Units
mt
kg
kg
mt
kg
kg
mt
kg
kg
mt
kg
kg
mt
kg
kg
mt
kg
kg
mt
kg
kg
mt
kg
kg
kg
kg
mt

Yr 1

Yr 2

Yr 3

Yr 4

mt = metric ton; kg = kilogram
*Complete column 12, weighted rating, if this copy of Addendum A is being completed for entity-wide foreign operations. Do not complete column 11 if this copy of Addendum A is
being done for a domestic or foreign subentity.

July 16, 2010

Form EIA-1605 – Addendum A. Subentity Emissions Inventory

U.S. Department of Energy
U.S. Energy Information Administration
Form EIA-1605

Form Approved
OMB No. 1905-0194
Expiration Date: TBD

Voluntary Reporting of Greenhouse Gases

b. Mobile Sources (incorporate all emissions, including CO2 captured from mobile sources for geologic sequestration)
1

Source
Category
Highway
Vehicles
Off-Road
Vehicles
Water Borne
Vessels
Aircraft

Mobile
Refrigeration
and AirConditioning

Subtotal

Fuel
Type

Specific
Vehicle
Class/Fleet
Name
(optional)

Base
Period
Average

Reporting
Year
Emissions

Estimation
Method

Rating*

Base Period Emissions

Gas
CO2
CH4
N2O
CO2
CH4
N2O
CO2
CH4
N2O
CO2
CH4
N2O
HFC134a

Units
mt
kg
kg
mt
kg
kg
mt
kg
kg
mt
kg
kg
kg

CO2e

Yr 1

Yr 2

Yr 3

Yr 4

mt = metric ton; kg = kilogram
*Complete column 12, weighted rating, if this copy of Addendum A is being completed for entity-wide foreign operations. Do not complete column 12 if this copy of Addendum A is
being completed for a domestic or foreign subentity.

July 16, 2010

Form EIA-1605 – Addendum A. Subentity Emissions Inventory

U.S. Department of Energy
U.S. Energy Information Administration
Form EIA-1605

Form Approved
OMB No. 1905-0194
Expiration Date: TBD

Voluntary Reporting of Greenhouse Gases

c. Sector-Specific Industrial Process Emissions (incorporate all emissions, including CO2 captured from industrial processes emissions for
geologic sequestration)
1

Process/Fugitive
Emissions

Specific
Facility/
Source
Name
(optional)

Base
Period
Average

Reporting
Year
Emissions

Estimation
Method

Rating*

Base Period Emissions

Gas

Units

Yr 1

Yr 2

Yr 3

Yr 4

Industrial Processes
Adipic Acid
Production
Aluminum
Production
(CO2 only)
Ammonia Production
Cement Production –
Clinker Production
Cement Production –
Cement Kiln Dust

N2O

Hydrogen Production
Iron and Steel
Production – All
Processes*
Iron and Steel
Production –
Reducing Agents
Iron and Steel
Production –
Furnace Additives
Iron and Steel
Production – Crude
Iron Production
Iron and Steel
Production –
Conversion of Iron to
Steel

CO2

mt = metric ton
*Complete column 12, weighted rating, if this copy of Addendum A is being completed for entity-wide foreign operations. Do not complete column 12 if this copy of Addendum A is
being completed for a domestic or foreign subentity.

July 16, 2010

Form EIA-1605 – Addendum A. Subentity Emissions Inventory

U.S. Department of Energy
U.S. Energy Information Administration
Form EIA-1605

Form Approved
OMB No. 1905-0194
Expiration Date: TBD

Voluntary Reporting of Greenhouse Gases

c. Sector-Specific Industrial Process Emissions (continued)
1

Process/Fugitive
Emissions

Specific
Facility/
Source
Name
(optional)

Base
Period
Average

Reporting
Year
Emissions

Estimation
Method

Rating**

Base Period Emissions

Gas

Units

Yr 1

Yr 2

Yr 3

Yr 4

Industrial Processes – Iron and Steel Production
Iron and Steel
Production – Electrode
Consumption in
Electric Arc Furnaces
Iron and Steel
Production –
Secondary Steel
Production in Electric
Arc Furnaces

CO2

Iron and Steel
Production – Other

CO2

Lime Production

CO2

Limestone and
Dolomite Use

CO2

Methanol Production

CH4

CH4
Methane Emissions
From the Production
of Other
Petrochemicals

CH4

Nitric Acid Production

N2O

Soda Ash Production

CO2

Soda Ash Use

CO2

mt = metric ton
* Use this line only if specific data on reducing agent, additive, iron ore and/or crude iron consumption are not available.
** Complete column 12, weighted rating, if this copy of Addendum A is being completed for entity-wide foreign operations. Do not complete column 12 if this copy of Addendum A is
being completed for a domestic or foreign subentity.

July 16, 2010

Form EIA-1605 – Addendum A. Subentity Emissions Inventory

U.S. Department of Energy
U.S. Energy Information Administration
Form EIA-1605

Process/Fugitive
Emissions
Coal Mines
Oil and Natural Gas
Industries

Specific
Facility/
Source
Name
(optional)

Form Approved
OMB No. 1905-0194
Expiration Date: TBD

Voluntary Reporting of Greenhouse Gases

Base
Period
Average

Reporting
Year
Emissions

Estimation
Method

Rating*

Base Period Emissions

Gas
CH4
CH4
CO2
N2O

Units

Yr 1

Yr 2
Energy

Yr 3

Yr 4

mt
Waste Handling

Domestic and
Industrial Wastewater
Landfills

CH4
N2O
CH4

Aluminum Production
(specify gas)
HCFC-22 Production
SF6 Emissions From
Industrial Use and
Production of HFCs,
PFCs, and SF6 (for
HFCs and PFCs,
Magnesium
Semiconductor
Manufacture (for
HFCs and PFCs,
specify gas)

PFCs
SF6
HFC-23
SF6
HFCs

High GWP Gases

Other (for HFCs
PFCs, and CFCs,
specify gas)

Subtotal

PFCs
SF6
SF6
PFCs
HFCs
SF6
CO2
CH4
N2O
SF6
PFC:___
HFC:___
CFC:___
CO2e

July 16, 2010

Form EIA-1605 – Addendum A. Subentity Emissions Inventory

U.S. Department of Energy
U.S. Energy Information Administration
Form EIA-1605

Form Approved
OMB No. 1905-0194
Expiration Date: TBD

Voluntary Reporting of Greenhouse Gases

d. Agricultural Sources (incorporate all emissions, including CO2 captured from agricultural sources for geologic sequestration)
1

Source Category

Specific
Source
Name
(optional)

Enteric Fermentation

Base
Period
Average

Reporting
Year
Emissions

Estimation
Method

Rating*

Base Period Emissions

Gas

Units

Yr 1

Yr 2

Yr 3

Yr 4

CH4
CH4

Livestock Waste
N2O
N2O
Residue Burning
CH4
st

Rice Cultivation – 1
Harvest
nd
Rice Cultivation – 2
(“ratoon”) harvest
Nitrous Oxide From
Agricultural Soils –
Nitrogen Application
Nitrous Oxide From
Agricultural Soils –
Organic Soils
Lime Application
Cultivation of Organic
Soils
Other Agricultural
Sources (specify
source and gas):
________________
Subtotal

CH4
CH4
N2O

N2O
CO2

CO2

CO2e

July 16, 2010

Form EIA-1605 – Addendum A. Subentity Emissions Inventory

U.S. Department of Energy
U.S. Energy Information Administration
Form EIA-1605

Form Approved
OMB No. 1905-0194
Expiration Date: TBD

Voluntary Reporting of Greenhouse Gases

e. Fugitive Emissions Associated With Geologic Reservoirs
1

Specific
Source/
Reservoir
Name
(optional)

Source Category
Fugitive Emissions From
the Extraction of Naturally
Occurring CO2
Fugitive Emissions During
Extraction of CO2 From
Anthropogenic Sources
Fugitive Emissions During
Transport and Processing
Fugitive Emissions of CO2
During Injection and
Extraction for Enhanced
Resource Recovery
Post-Injection Seepage of
Carbon Dioxide to the
Atmosphere

Base Period
Average

Reporting
Year

Estimation
Method

Rating*

Base Period Emissions

Gas

Units

CO2

Yr 1

Yr 2

Yr 3

Yr 4

f. Captured CO 2 Emissions From Anthropogenic Sources (captured CO 2 emissions should also be included as emissions in Questions 1a through
1d above).
1

Base Period Average Quantity

Stationary Combustion

Source

Gas
CO2

Unit of Measure
metric tons

Sector-Specific Industrial Process Emissions

CO2

metric tons

Other (Mobile and Agricultural Sources)

CO2

metric tons

Subtotals

CO2

metric tons

July 16, 2010

Onsite

Offsite

Form EIA-1605 – Addendum A. Subentity Emissions Inventory

Total

Reporting Year Quantity
Onsite

Offsite

Total

U.S. Department of Energy
U.S. Energy Information Administration
Form EIA-1605

Form Approved
OMB No. 1905-0194
Expiration Date: TBD

Voluntary Reporting of Greenhouse Gases

2. Enter Indirect Emissions From Purchased Energy*
a. Physical Quantities of Energy Purchased
1

Base
Period
Average

Reporting Year
Consumption

System
Type/Fuel Used
for Generation

Base Period Consumption

Source
Electricity
Steam
Hot Water
Chilled Water

Units
MWh
MMBtu
MMBtu
Ton-Hours Cooling

Yr 1

Yr 2

Yr 3

Yr 4

b. Emissions From Purchased Energy for Emissions Inventory
1

Source
Electricity

Steam

Hot Water

Chilled Water

Total

Specific
Facility/
Region
Name
(optional)

Base
Period
Average

Reporting
Year
Emissions

Estimation
Method

Rating

Base Period Emissions

Gas
CO2
CH4
N2O
CO2
CH4
N2O
CO2
CH4
N2O
CO2
CH4
N2O
CO2e

Units
mt
kg
kg
mt
kg
kg
mt
kg
kg
mt
kg
kg
mt

Yr 1

Yr 2

Yr 3

Yr 4

July 16, 2010

Form EIA-1605 – Addendum A. Subentity Emissions Inventory

A10

U.S. Department of Energy
U.S. Energy Information Administration
Form EIA-1605

Form Approved
OMB No. 1905-0194
Expiration Date: TBD

Voluntary Reporting of Greenhouse Gases

Emissions From Purchased Energy for Calculating Emissions Reductions in Addendum B (Not included in emissions inventory. Complete only
if calculating reductions for this subentity using Addendum B1 or B2.)
1

Yr 4

Base
Period
Average

Reporting
Year
Emissions

Estimation
Method

Rating*

Base Period Emissions

Source
Electricity
Steam, Hot Water, and
Chilled Water**
Total

Gas

Units

CO2e

Yr 1

Yr 2

Yr 3

3. Enter Other Indirect Emissions*
1

Yr 4

Base
Period
Average

Reporting
Year
Emissions

Estimation
Method

Rating**

Base Period Emissions

Source
Employee Commuting
Manufacture & Sale of
Energy Efficient Products
Consumption of Energyintensive Products
Nitrous Oxide Emissions
from Fertilizer Application
Other:

Gas

Subtotal

CO2e

Units

Yr 1

Yr 2

Yr 3

N2O

mt = metric ton
*Do not include in emission inventory.
**Complete column 11, weighted rating, if this copy of Addendum A is being completed for entity-wide foreign operations. Do not complete column 11 if this copy of Addendum A is
being done for a domestic or foreign subentity.

July 16, 2010

Form EIA-1605 – Addendum A. Subentity Emissions Inventory

A11

U.S. Department of Energy
U.S. Energy Information Administration
Form EIA-1605

Form Approved
OMB No. 1905-0194
Expiration Date: TBD

Voluntary Reporting of Greenhouse Gases

4. Enter Terrestrial Carbon Fluxes and Stocks
a. Forestry Activities
1

Categories
Afforestation, Mine
Land Reclamation, and
Forest Restoration
Agroforestry
4
Forest Management
Short-Rotation Biomass
Energy Plantations
Urban Forestry
5
Timber Harvesting
6
Other
Total

Specific
Source/
Area Name
(optional)

Gas

Units

CO2

CO2
CO2

mt
mt

CO2

CO2
CO2
CO2
CO2

mt
mt
mt
mt

Base
Period

Carbon Stocks
Estimated
Carbon Stocks
Reporting
in Year Prior to
Year Carbon
Reporting Year
Stocks

Reporting
Year Stock
Change or
1,2
Carbon Flux

Estimation
3
Method

Rating*

mt = metric ton
1
Carbon flux can be positive or negative; positive values indicate a net increase in terrestrial carbon stocks; negative values indicate a net loss of carbon to the atmosphere, i.e.,
emissions. Carbon flux may be calculated directly using flux based approaches or as the change in carbon stocks between the reporting year and the previous year.
2
Reporters using methods that estimate carbon flux only should enter a carbon flux value in the column “Reporting Year Stock Change or Carbon Flux” and leave columns blank for
Carbon Stock data.
3
Methods include lookup tables, models, measurement, or a combination of these methods. If using a model, please indicate the name.
4
Forest management includes management decisions taken at any stage of forest rotation. Forest preservation is a special case and is reported separately in Question 4c below.
5
Activities such as thinning should be included under Forest Management.
6
“Other” includes activities not covered in the previous categories practiced by landowners that may result in changes in carbon fluxes or stocks.
*Complete column 9, weighted rating, if this copy of Addendum A is being completed for entity-wide foreign operations. Do not complete column 9 if this copy of Addendum A is being
done for a domestic or foreign subentity.

July 16, 2010

Form EIA-1605 – Addendum A. Subentity Emissions Inventory

A12

U.S. Department of Energy
U.S. Energy Information Administration
Form EIA-1605

Form Approved
OMB No. 1905-0194
Expiration Date: TBD

Voluntary Reporting of Greenhouse Gases

b. Wood Products:
i
Method 1: Track and report emissions in year they occur.
1

Category
Wood Products

Gas
CO2

Units

Estimated Carbon Stocks
in Harvested Wood
Products in Year Prior to
Reporting Year

Estimated Carbon
Stocks in
Harvested Wood
Products in
Reporting Year

Reporting Year
Stock Change

Estimation
Method

Rating*

mt = metric ton
*Complete column 8, weighted rating, if this copy of Addendum A is being completed for entity-wide foreign operations. Do not complete column 8 if this copy of Addendum A is being
done for a domestic or foreign subentity.

Method 2: Estimate and report residual carbon after 100 years in reporting year.
1

Category
Wood products

Gas

Units

Stock of Carbon in Harvested
Wood

100 year Residual
Carbon Stock

Estimation
Method

Rating*

CO2

mt = metric ton
*Complete column 7, weighted rating, if this copy of Addendum A is being completed for entity-wide foreign operations. Do not complete column 7 if this copy of Addendum A is being
done for a domestic or foreign subentity.

Name/Description
of Tract of Land
1.
2.
3.
4.
Total

Type of Restriction (e.g.,
Easement, Deed
Restrictions, etc.)

Year
Protected

Area
(Acres)

Units

50% of Carbon
Stock Accumulated
in 50 Years from
Inception of
Preservation
Activity

Estimation
Method

Rating*

*Complete column 8, weighted rating, if this copy of Addendum A is being completed for entity-wide foreign operations. Do not complete column 8 if this copy of Addendum A is being
done for a domestic or foreign subentity.

July 16, 2010

Form EIA-1605 – Addendum A. Subentity Emissions Inventory

A13

U.S. Department of Energy
U.S. Energy Information Administration
Form EIA-1605

Form Approved
OMB No. 1905-0194
Expiration Date: TBD

Voluntary Reporting of Greenhouse Gases

Reporting
Year Carbon
Stocks

Loss

Estimation
Method

Rating*

Carbon Stocks

Name/Description
Tract of Land

Area
(Acres)

Type of
Disturbance

Year

Base Period
Average

Units

Carbon
Stocks in
Year Before
Disturbance

1.
2.
3.
4.
Total
*Complete column 11, weighted rating, if this copy of Addendum A is being completed for entity-wide foreign operations. Do not complete column 11 if this copy of Addendum A is
being done for a domestic or foreign subentity.

e. Sustainably Managed Forests
1

Name/Description of Tract of Land

Area
(Acres)

Has Sustainability Been
Verified by Third Party
Certifier (Y/N)

Identify System Used To
Determine Sustainability

1.
2.
3.
4.
Total

Incidental Lands Excluded From Terrestrial Carbon Fluxes and Stocks in Question 4a
1

Name/Description of Tract of Land

Type of Land

Area (Acres)

1.
2.
3.
4.
Total

July 16, 2010

Form EIA-1605 – Addendum A. Subentity Emissions Inventory

A14

U.S. Department of Energy
U.S. Energy Information Administration
Form EIA-1605

Form Approved
OMB No. 1905-0194
Expiration Date: TBD

Voluntary Reporting of Greenhouse Gases

g. Other Terrestrial Carbon Fluxes
1

Estimated
Carbon
Stocks in
Reporting
Year

Reporting
Year Stock
Change or
Carbon
1,2
Flux

Estimation Method

Carbon Stocks

Categories
Crops on Mineral
Soils
Pasture/Grazing
Land-Use Change
Other:__________
____
Total

Specific
Source/
Area Name
(optional)

Gas

Units

CO2

CO2
CO2

mt
mt

CO2

Base
Period
Average

Estimated
Carbon Stocks
in Year Prior to
Reporting Year

Rating*

h. Terrestrial Carbon Flux Summary
1

Categories
Forestry Activities
Wood Products Method 1
Wood Products Method 2
Land Restoration and Forest Preservation
Sustainably Managed Forests
Incidental Lands
Other Terrestrial Carbon Fluxes
Total Reporting Year Terrestrial Carbon Flux

Gas
CO2
CO2
CO2
CO2
CO2
CO2
CO2
CO2

Units
mt
mt
mt
mt

Reporting Year Stock Change or Carbon
Flux

Rating*

mt
mt

mt = metric ton
*Complete column 5, weighted rating, if this copy of Addendum A is being completed for entity-wide foreign operations. Do not complete column 5 if this copy of Addendum A is being
done for a domestic or foreign subentity.

July 16, 2010

Form EIA-1605 – Addendum A. Subentity Emissions Inventory

A15

U.S. Department of Energy
U.S. Energy Information Administration
Form EIA-1605

Form Approved
OMB No. 1905-0194
Expiration Date: TBD

Voluntary Reporting of Greenhouse Gases

5. Identify and Estimate De Minimis Emissions Sources
1

De Minimis
Emissions Type

TOTAL

De Minimis
Emissions Source

Gas

Unit of Measure

Base Period
Average
De Minimis
Emissions

Reporting Year De
Minimis
Emissions*

Year Last
Estimated*

CO2e

metric tons

*De minimis emissions must be re-estimated after any significant increase in such emissions, or every five years, whichever occurs first.

July 16, 2010

Form EIA-1605 – Addendum A. Subentity Emissions Inventory

A16

U.S. Department of Energy
U.S. Energy Information Administration
Form EIA-1605

Form Approved
OMB No. 1905-0194
Expiration Date: TBD

Voluntary Reporting of Greenhouse Gases

Part C. Total Foreign, Subentity, or Offset Emissions and Carbon Flux
1. Enter Total Emissions and Carbon Flux
1

Base Period
Average

Reporting Year
Emissions or
Carbon Flux

Base Period Emissions
Item
A
B
C

Gas/
Units

Source
Direct Emissions

Total Emissions (A + B)*

Yr 3

Yr 4

mtCO2e
mtCO2e
mtCO2e

Carbon Flux

mtCO2e

Captured CO 2 Sequestered in an Onsite Geologic
Reservoir**

mtCO2e

Total Inventory Emissions (D – E – F)

Yr 2

mtCO2e

Indirect Emissions From Purchased Energy for
Emissions Inventory
Indirect Emissions From Purchased Energy for
Calculation of Emission Reductions

Yr 1

mtCO2e

Other Indirect Emissions

mtCO2e

Captured CO2 Transferred to Another Entity for
Sequestration in a Geologic Reservoir**

mtCO2e

July 16, 2010

Form EIA-1605 – Addendum A. Subentity Emissions Inventory

A17

U.S. Department of Energy
U.S. Energy Information Administration
Form EIA-1605

Form Approved
OMB No. 1905-0194
Expiration Date: TBD

Voluntary Reporting of Greenhouse Gases

Addendum B1. Changes in Emissions Intensity
If Reporting Subentities, Enter Name of Subentity: ___________________________________
Part A. Output
1. Enter Physical, Economic, or Indexed Output Measures for the Base Period and Reporting Year
1

Item

Output
Measure

Unit of
Measure

Yr 4

Avg.

Reporting
Year

Base Period
Yr 1

Yr 2
Yr 3
Physical Measure

Economic Measure
B

Current $

Constant
Year
($2000)

[Physical or
Economic]

Indexed Measure

2. If Providing an Output Measure Not Described in the Technical Guidelines (see Table 2.2), Indicate
Reason Why Alternative Measure Was Selected (check all that apply):
 Industry/trade group standard
 Reported to state/federal government agencies
 Used in annual reports
 Other
3. Define and Describe the Output Measure Used and Provide a Rationale for Why the Measure Was
Selected:

July 16, 2010

Form EIA-1605 − Addendum B1. Changes in Emissions Intensity

U.S. Department of Energy
U.S. Energy Information Administration
Form EIA-1605

Form Approved
OMB No. 1905-0194
Expiration Date: TBD

Voluntary Reporting of Greenhouse Gases

Part B. Emissions, Emissions Intensity, and Emission Reductions
1. Enter Base Period and Reporting Year Emissions (metric tons CO 2 e)
1

Item
E
F

Description

Direct
Emissions*

Indirect
Emissions
From
Purchased
Energy**

Other
Indirect
Emissions

Base Period Emissions
Reporting Year Emissions

*Include CO 2 captured and sequestered in geologic reservoirs.
**Calculate indirect emissions from purchased electricity using electricity end use factors for emission reductions from Appendix F.

2. Calculate and Enter Base Period and Reporting Year Intensity (metric tons CO 2 e per unit of output)
1

Item
G
H

Description

Direct
Emissions

Indirect
Emissions
From
Purchased
Energy

Other
Indirect
Emissions

Base Period Intensity [E / (A7, C7, or D7)]
Reporting Year Intensity [F / (A8, C8, or D8)]

3. Calculate and Enter Emission Reductions (metric tons CO2e)
1

Item
I

Description

Source of Reductions
Indirect
Emissions
Other
From
Direct
Indirect
Purchased
Emissions
Energy
Emissions*

Emission Reductions [(G – H) * A8, C8, or D8]

*Reductions of Other Indirect Emissions may not be registered.

4. Identify and Describe the Types of Actions That Were the Likely Cause of the Reductions Achieved
[Enter codes from Appendix M]
Enter Action
Type Code
Describe Action

July 16, 2010

Form EIA-1605 − Addendum B1. Changes in Emissions Intensity

U.S. Department of Energy
U.S. Energy Information Administration
Form EIA-1605

Form Approved
OMB No. 1905-0194
Expiration Date: TBD

Voluntary Reporting of Greenhouse Gases

5. Identify Cause(s) of the Emission Reduction(s) (check all that apply):
 Voluntary action
 Plant closing
 Government requirement
 Federal requirement
 State requirement
 Local requirement
6. Summarize Benefits and Costs of the Actions Taken To Reduce Greenhouse Gas Emissions
(optional):

Part C. Distribution of Emission Reductions to Other 1605(b) Reporters
1. Where Applicable, Enter Emission Reductions Distributed to Other 1605(b) Reporters (metric tons
CO2e)
1

Name of Recipient

Emissions Type*

Gas

Units
metric
tons
metric
tons
metric
tons
metric
tons
metric
tons
metric
tons
metric
tons

Amount

CO2e
CO2e
CO2e
CO2e
Total Direct Emission Reductions
Total Indirect Emission Reductions
From Purchased Energy
Total Other Indirect Emission
Reductions

CO2e
CO2e
CO2e

*Direct, Indirect from Purchased Energy, Other Indirect.

July 16, 2010

Form EIA-1605 − Addendum B1. Changes in Emissions Intensity

U.S. Department of Energy
U.S. Energy Information Administration
Form EIA-1605

Form Approved
OMB No. 1905-0194
Expiration Date: TBD

Voluntary Reporting of Greenhouse Gases

Addendum B2. Changes in Absolute Emissions
If Reporting Subentities, Enter Name of Subentity: ___________________________________
Requirement for Using Method To Register Reductions: Reporting Year output must be equal to or
greater than the Base Period output.
Part A. Output
1. Enter Physical, Economic, or Indexed Output Measures for Base Period and Reporting Year

Item

Output
Measure

Unit of
Measure

Yr 4

Avg.

Reporting
Year

Base Period
Yr 1
Yr 2
Yr 3
Physical Measure

Economic Measure
B

Current $

Constant
Year ($2000)

[Physical or
Economic]

Indexed Measure

2. Is the Reporting Year Output Equal To or Greater Than the Base Period Average Output?
 Yes
 No (If No, you may only report reductions on this addendum.)
3. If Providing an Output Measure Not Described in the Technical Guidelines (see Table 2.2), Indicate
the Reason Why Alternative Measure Was Selected (check all that apply):
 Industry/trade group standard
 Reported to state/federal government agencies
 Used in annual reports
 Other
4. Define and Describe the Output Measure Used and Provide a Rationale for Why the Measure Was
Selected:

July 16, 2010

Form EIA-1605 − Addendum B2. Changes in Absolute Emissions

U.S. Department of Energy
U.S. Energy Information Administration
Form EIA-1605

Form Approved
OMB No. 1905-0194
Expiration Date: TBD

Voluntary Reporting of Greenhouse Gases

Part B. Emissions and Emission Reductions
1. Enter Emissions and Calculate Emission Reductions (metric tons CO 2 e)
1

Item
E
F
G
H

Description
Base Period
Reporting Year
Registered Emission Reductions (E - F)
Reported Emission Reductions (E - F)

Source of Emissions
Indirect
Emissions
Other
From
Direct
Indirect
Purchased
Emissions*
Energy**
Emissions

*Include CO 2 captured and sequestered in geologic reservoirs (onsite and offsite).
**Calculate indirect emissions from purchased electricity using electricity end use factors for emission reductions from Appendix F.

2. Identify and Describe the Types of Actions That Were the Likely Cause of the Reductions Achieved
[Enter codes from Appendix M]
Enter Action
Type Code
Describe Action

3. Identify the Cause(s) of the Emission Reduction(s) (check all that apply):
 Voluntary action
 Plant closing
 Government requirement
 Federal requirement
 State requirement
 Local requirement
4. Summarize Benefits and Costs of the Actions Taken To Reduce Greenhouse Gas Emissions
(Optional):

July 16, 2010

Form EIA-1605 − Addendum B2. Changes in Absolute Emissions

U.S. Department of Energy
U.S. Energy Information Administration
Form EIA-1605

Form Approved
OMB No. 1905-0194
Expiration Date: TBD

Voluntary Reporting of Greenhouse Gases

Part C. Distribution of Emission Reductions to Other 1605(b) Reporters
1. Where Applicable, Enter Emission Reductions Distributed to Other 1605(b) Reporters (metric tons
CO2e)
1

Name of Recipient

Emissions Type*

Gas

Units
metric
tons
metric
tons
metric
tons
metric
tons
metric
tons
metric
tons
metric
tons

Amount

CO2e
CO2e
CO2e
CO2e
Total Direct Emission Reductions
Total Indirect Emission Reductions
From Purchased Energy
Total Other Indirect Emission
Reductions

CO2e
CO2e
CO2e

*Direct, Indirect from Purchased Energy, Other Indirect.

July 16, 2010

Form EIA-1605 − Addendum B2. Changes in Absolute Emissions

U.S. Department of Energy
U.S. Energy Information Administration
Form EIA-1605

Form Approved
OMB No. 1905-0194
Expiration Date: TBD

Voluntary Reporting of Greenhouse Gases

Addendum B3. Changes in Carbon Storage
If Reporting Subentities, Enter Name of Subentity: ___________________________________
Part A. Terrestrial Carbon Flux
1. Enter Reporting Year Inventory of Terrestrial Carbon Flux
1

Item

Categories

Forestry Activities

Wood Products – Method 1

Wood Products – Method 2

Land Restoration and Forest Preservation

Sustainably Managed Forests

Incidental Lands

Other Terrestrial Carbon Fluxes

Total Reporting Year Terrestrial Carbon Flux

Units of
Measure
metric tons
CO2e
metric tons
CO2e
metric tons
CO2e
metric tons
CO2e
metric tons
CO2e
metric tons
CO2e
metric tons
CO2e
metric tons
CO2e

Reporting Year
Stock Change or
Carbon Flux*

*From Schedule I, Section 2, Part B, Question 4, if reporting for entity only. From Addendum A, Part B, Question 4, if reporting for a
subentity.

2. Identify and Describe the Types of Actions That Were the Likely Cause of the Reductions Achieved
[Enter codes from Appendix M]
Enter Action
Type Code
Describe Action

July 16, 2010

Form EIA-1605 − Addendum B3. Changes in Carbon Storage

U.S. Department of Energy
U.S. Energy Information Administration
Form EIA-1605

Form Approved
OMB No. 1905-0194
Expiration Date: TBD

Voluntary Reporting of Greenhouse Gases

4. Summarize Benefits and Costs of the Actions Taken To Reduce Greenhouse Gas Emissions
(optional):

Part B. Distribution of Emission Reductions to Other 1605(b) Reporters
1. Where Applicable, Enter Emission Reductions Distributed to Other 1605(b) Reporters (metric tons
CO2e)
1

Name of Recipient

Gas
CO2e
CO2e
CO2e
CO2e
CO2e

Units
metric tons
metric tons
metric tons
metric tons
metric tons

Amount

TOTAL

July 16, 2010

Form EIA-1605 − Addendum B3. Changes in Carbon Storage

U.S. Department of Energy
U.S. Energy Information Administration
Form EIA-1605

Voluntary Reporting of Greenhouse Gases

Form Approved
OMB No. 1905-0194
Expiration Date: TBD

Addendum B4. Changes in Avoided Emissions
If Reporting Subentities, Enter Name of Subentity: ___________________________________
Part A. Generated Energy Source and Characteristics
1. Did the Entity or Subentity Emit Greenhouse Gases in the Base Period (including any capacity
acquired since the Base Period)?
 Yes (If Yes, you must estimate reductions using Addendum B5, Emission Reductions from
Energy Generation and Distribution)
 No
2. Has the Entity or Subentity Acquired or Divested Generation Capacity Since the Base Period?
 Yes (Go to Question 3)
 No (Go to Question 4)
3. Was the Acquired or Divested Capacity Operational During the Base Period for the Entity or
Subentity?
 Yes (If Yes, you must adjust Base Period generation to reflect any capacity that was acquired or
divested)
 No
4. Identify Energy Product Type Sold (check all that apply)
 Electricity
 Steam
 Hot water
 Chilled water
Part B. Energy Generation, Emissions, and Emission Reductions
1. Activity Data, Emission Coefficients, Conversion Factors, and Emission Reductions
a. Select Geographic Scope of the Avoided Emissions Benchmark(s) (based on the regions in
Appendix F):
 Single Domestic Region
 Multiple Domestic Regions
 Foreign Region(s)
b. If Reporting Reductions for a Single Domestic Region, Enter the Number of the Region (1 through
15) from Appendix F: ________________________
c.

If Reporting Reductions for Multiple or Foreign Regions, Enter the Weighted Avoided Emissions
Benchmark and Briefly Explain How It Was Calculated:
Avoided
Benchmark
Emissions
Type
Benchmark
Explanation
Electricity (metric
tons CO2e/MWh)
Thermal*
(kilograms
CO2e/ton-hour)
*Complete this row only if you are reporting avoided emissions from foreign chilled water generation. If you are producing chilled
water from both electric and natural gas chillers, enter a weighted factor and explain above.

July 16, 2010

Form EIA-1605 − Addendum B4. Changes in Avoided Emissions

U.S. Department of Energy
U.S. Energy Information Administration
Form EIA-1605

Form Approved
OMB No. 1905-0194
Expiration Date: TBD

Voluntary Reporting of Greenhouse Gases

d. Enter Activity Data, Emission Coefficients, Conversion Factors, and Emission Reductions
1

Item
A
B
C
D
E
F

Description
Base Period Energy
Sold
Reporting Year Total
Emissions (metric
tons CO2e)
Reporting Year
Energy Generated
Reporting Year
Emissions Intensity
(B / C)
Reporting Year
Energy Sold
Reporting Year
Incremental Energy
Sold (E - A)

Avoided Emissions
Intensity Benchmark

Emission Reduction
[(G - D) * F] (metric
tons CO2e)

Total

Electricity

Steam

Hot Water

Chilled
Water

MWh

MMBtu

ton hours

MWh

MMBtu

ton hours

metric tons
CO2e/MWh

metric tons
CO2e/MMBtu

metric tons
CO2e/ton hour

MWh

MMBtu

ton hours

MWh

MMBtu

ton hours

metric tons
CO2e/MWh

metric tons
CO2e/MMBtu

metric tons
CO2e/ton hour

2. Identify and Describe the Types of Actions That Were the Likely Cause of the Reductions Achieved
[Enter codes from Appendix M]
Enter Action
Type Code
Describe Action

July 16, 2010

Form EIA-1605 − Addendum B4. Changes in Avoided Emissions

B10

U.S. Department of Energy
U.S. Energy Information Administration
Form EIA-1605

Form Approved
OMB No. 1905-0194
Expiration Date: TBD

Voluntary Reporting of Greenhouse Gases

4. Summarize Benefits and Costs of the Actions Taken To Reduce Greenhouse Gas Emissions
(optional):

Part C. Distribution of Emission Reductions to Other 1605(b) Reporters
1. Where Applicable, Enter Emission Reductions Distributed to Other 1605(b) Reporters (metric tons
CO2e)
1

Name of Recipient

Gas
CO2e
CO2e
CO2e
CO2e
CO2e

Units
metric tons
metric tons
metric tons
metric tons
metric tons

Amount

TOTAL

July 16, 2010

Form EIA-1605 − Addendum B4. Changes in Avoided Emissions

B11

U.S. Department of Energy
U.S. Energy Information Administration
Form EIA-1605

Voluntary Reporting of Greenhouse Gases

Form Approved
OMB No. 1905-0194
Expiration Date: TBD

Addendum B5. Energy Generation and Distribution
If Reporting Subentities, Enter Name of Subentity: ___________________________________

Part A. Energy Generation and Emissions
1. Energy Product Type Exported (check all that apply)
 Electricity
 Steam
 Hot water
 Chilled water
2. Select Geographic Scope of Avoided Emissions Benchmark(s) (based on the regions in Appendix F):
 Single Domestic Region
 Multiple Domestic Regions
 Foreign Region(s)
3. If Reporting Reductions for a Single Domestic Region, Enter Number of the Region (1 through 15)
from Appendix F: ________________________
4. If Reporting Reductions for Multiple or Foreign Regions, Enter the Weighted Avoided Emissions
Benchmark and Briefly Explain How It Was Calculated:
Avoided
Benchmark
Emissions
Type
Benchmark
Explanation
Electricity (metric
tons CO2e/MWh)
Thermal*
(kilograms
CO2e/ton-hour)
*Complete this row only if you are reporting avoided emissions from foreign chilled water generation. If you are producing chilled
water from both electric and natural gas chillers, enter a weighted factor and explain above.

July 16, 2010

Form EIA-1605 − Addendum B5. Energy Generation and Distribution

B12

U.S. Department of Energy
U.S. Energy Information Administration
Form EIA-1605

Form Approved
OMB No. 1905-0194
Expiration Date: TBD

Voluntary Reporting of Greenhouse Gases

5. Emissions, Energy Generation, and Emissions Intensity
1

Item
A
B
C
D
E

Description
Base Period Emissions
(metric tons CO2e)
Base Period Exported
Energy
Base Period Emissions
Intensity (A / B)

Electricity

Steam

Hot Water

Chilled Water

MWh

MMBtu

ton hours

metric tons CO2e/
MWh

metric tons CO2e/
MMBtu

metric tons CO2e/
ton hours

MWh

MMBtu

ton hours

metric tons CO2e/
MWh

metric tons CO2e/
MMBtu

metric tons CO2e/
ton hours

MWh

MMBtu

ton hours

metric tons CO2e/
MWh

metric tons CO2e/
MMBtu

metric tons CO2e/
ton hours

Reporting Year Emissions
(metric tons CO2e)
Reporting Year Exported
Energy

Reporting Year Emissions
Intensity (D / E)

Reporting Year
Incremental Exported
Energy (E - B)

Avoided Emissions
Benchmark

Part B. Emission Reductions
1. Calculate and Enter Emission Reductions
1

Item
I

Description
Emission Reductions From
Improvements in Historical
Emissions Intensity [(C - F) * B]
(metric tons CO2e)
Emission Reductions From
Incremental Exported Energy [(H
- F) * G] (metric tons CO2e)
Total Emission Reductions From
Energy Generation and Exports
(I + J) (metric tons CO2e)

Electricity

Steam

Hot
Water

Chilled
Water

Total

2. Identify and Describe the Types of Actions That Were the Likely Cause of the Reductions Achieved
[Enter codes from Appendix M]
Enter Action
Type Code
Describe Action

July 16, 2010

Form EIA-1605 − Addendum B5. Energy Generation and Distribution

B13

U.S. Department of Energy
U.S. Energy Information Administration
Form EIA-1605

Form Approved
OMB No. 1905-0194
Expiration Date: TBD

Voluntary Reporting of Greenhouse Gases

Enter Action
Type Code

Describe Action

3. Identify the Cause(s) of the Emission Reduction(s) (check all that apply):
 Voluntary
 Plant closing
 Government requirement
 Federal requirement
 State requirement
 Local requirement
4. Summarize Benefits and Costs of the Actions Taken To Reduce Greenhouse Gas Emissions
(optional):

Part C. Distribution of Emission Reductions to Other 1605(b) Reporters
1. Where Applicable, Enter Emission Reductions Distributed to Other 1605(b) Reporters (metric tons
CO2e)
1

Name of Recipient

Gas
CO2e
CO2e
CO2e
CO2e
CO2e

Units
metric tons
metric tons
metric tons
metric tons
metric tons

Amount

TOTAL

July 16, 2010

Form EIA-1605 − Addendum B5. Energy Generation and Distribution

B14

U.S. Department of Energy
U.S. Energy Information Administration
Form EIA-1605

Form Approved
OMB No. 1905-0194
Expiration Date: TBD

Voluntary Reporting of Greenhouse Gases

Addendum B6. Coal Mine Methane Recovery
If Reporting Subentities, Enter Name of Subentity:_______________________________________
Part A. Action Identification
1. Enter Location of Coal Mine(s):
1

Name

2. Enter Date Methane Recovery Began:

City

Location
State
(if domestic
subentity)

Month_________

Country
(if foreign
subentity)

Year_____________

3. Describe Action: __________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
4. Was the Action Reported Last Year?
 Yes
 No

Part B. Action Quantification
1. Enter Action Characteristics
1

Coal Mine Name

July 16, 2010

Seam Affected

Month Cut
Through

Year Cut
Through

Form EIA-1605 − Addendum B6. Reductions From Coal Mine Methane Recovery

B15

U.S. Department of Energy
U.S. Energy Information Administration
Form EIA-1605

Form Approved
OMB No. 1905-0194
Expiration Date: TBD

Voluntary Reporting of Greenhouse Gases

2. Enter Volume of Gas Captured by Source and Disposition (Mscf)
1

Year 4

Base
Period
Average

Reporting
Year

Year 4

Base
Period
Average

Reporting
Year

Base Period

Source and Disposition

Year 1

Year 2

Year 3

DEGASIFICATION DURING MINING
Ventilation Systems
Flared
Electricity Used Onsite
Electricity Sold to Grid
Injected Into Pipeline
Direct Use Onsite
Total Ventilation Systems
Other Degasification Methods
Flared
Electricity Used Onsite
Electricity Sold to Grid
Injected Into Pipeline
Direct Use Onsite
Total Other Degasification
PRE-MINING DEGASIFICATION
Flared
Electricity Used Onsite
Electricity Sold to Grid
Injected Into Pipeline
Direct Use Onsite
Total Pre-Mining Degasification
Total All Methods

3. Enter Average Heat Content of Gas Captured (Btu/scf)
1

Base Period

Source and Disposition

Year 1

Year 2

Year 3

DEGASIFICATION DURING MINING
Ventilation Systems
Flared
Electricity Used Onsite
Electricity Sold to Grid
Injected Into Pipeline
Direct Use Onsite
Other Degasification Methods
Flared
Electricity Used Onsite
Electricity Sold to Grid
Injected Into Pipeline
Direct Use Onsite
PRE-MINING DEGASIFICATION
Flared
Electricity Used Onsite
Electricity Sold to Grid
Injected Into Pipeline
Direct Use Onsite

July 16, 2010

Form EIA-1605 − Addendum B6. Reductions From Coal Mine Methane Recovery

B16

U.S. Department of Energy
U.S. Energy Information Administration
Form EIA-1605

Form Approved
OMB No. 1905-0194
Expiration Date: TBD

Voluntary Reporting of Greenhouse Gases

4. Enter Total Energy Content of Gas Captured and Combusted (MMBtu)
1

Year 4

Base
Period
Average

Reporting
Year

Year 4

Base
Period
Average

Reporting
Year

Base Period

Source and Disposition

Year 1

Year 2

Year 3

5. Enter Mass of Methane Captured (metric tons CO2e)
1

Base Period

Source and Disposition
Total Methane Captured

Year 1

Year 2

Year 3

Part C. Emission Reductions
1. Calculate Changes in Methane Capture
1

Item
A
B
C

Description
Average Annual Quantity of Methane Captured in Base
Period
Methane Captured in Reporting Year
Change in Methane Captured (B – A)

Units of Measure

Quantity

metric tons CO2e
metric tons CO2e
metric tons CO2e

2. Calculate Changes in Disposition of Electricity Generation From Captured Methane (MWh)
1

Year 4

Base
Period
Average

Reporting
Year

Base Period

Item

D
E
F

Disposition
Electricity Used Onsite
Electricity Sales
Total Generation

July 16, 2010

Year 1

Year 2

Year 3

Form EIA-1605 − Addendum B6. Reductions From Coal Mine Methane Recovery

B17

U.S. Department of Energy
U.S. Energy Information Administration
Form EIA-1605

Form Approved
OMB No. 1905-0194
Expiration Date: TBD

Voluntary Reporting of Greenhouse Gases

3. Carbon Dioxide Displaced From Electricity Used Onsite (avoided emissions)
a. Select Geographic Scope of Avoided Emissions Benchmark (based on the regions in Appendix
F):
 Single Domestic Region
 Multiple Domestic Regions
 Foreign Region(s)
b. If Reporting Reductions for a Single Domestic Region, Enter Number of the Region (1 through
15) from Appendix F: ________________________
c.

If Reporting Reductions for Multiple or Foreign Regions, Enter the Weighted Avoided Emissions
Benchmark and Briefly Explain How It Was Calculated:
Avoided Emissions
Benchmark
(metric tons CO2e/MWh)
Explanation

d. Calculate Carbon Dioxide Displaced From Electricity Used Onsite
1

Item
G
H
I
J
K

Description
Base Period Average Electricity Used Onsite
Reporting Year Electricity Used Onsite
Reporting Year Incremental Electricity Used Onsite (H –
G)
Reporting Year Total Emissions From Electricity Used
Onsite*
Reporting Year Emissions Intensity of Electricity Used
Onsite (J / H)

Avoided Emissions Benchmark

Emission Reductions [(L - K) * I]

Units of Measure
MWh
MWh

Quantity

MWh
metric tons CO2e
metric tons CO2e
/MWh
metric tons CO2e
/MWh
metric tons CO2e

*Include emissions from supplemental fossil fuel use only.

4. Calculate Carbon Dioxide Displaced From Electricity Sales (avoided emissions)
a. Select Geographic Scope of Avoided Emissions Benchmark (based on the regions in Appendix
F):
 Single Domestic Region
 Multiple Domestic Regions
 Foreign Region(s)
b. If Reporting Reductions for a Single Domestic Region, Enter Number of the Region (1 through
15) from Appendix F: ________________________
c.

July 16, 2010

Form EIA-1605 − Addendum B6. Reductions From Coal Mine Methane Recovery

B18

U.S. Department of Energy
U.S. Energy Information Administration
Form EIA-1605

Form Approved
OMB No. 1905-0194
Expiration Date: TBD

Voluntary Reporting of Greenhouse Gases

d. Calculate Carbon Dioxide Displaced From Electricity Used Onsite (avoided emissions)
1

Item
N
O
P
Q
R

Description
Base Period Average Electricity Sold
Reporting Year Electricity Sold
Reporting Year Incremental Electricity Sold (O – N)
Reporting Year Total Emissions From Electricity Sold
Reporting Year Emissions Intensity of Electricity Sold (Q /
O)

Avoided Emissions Benchmark

Emission Reductions [(S – R) * P]

Units of Measure
MWh
MWh
MWh
metric tons CO2e
metric tons CO2e
/MWh
metric tons CO2e
/MWh
metric tons CO2e

Quantity

5. Calculate Carbon Dioxide Emissions From Flaring
1

Item
U
V
W
X

Description
Base Period Average Methane Flared
Reporting Year Methane Flared
Incremental Methane Flared (V – U)
Change in Carbon Dioxide Emissions From Flaring

Units of Measure
MMBtu
MMBtu
MMBtu
metric tons CO2e

Quantity

6. Summarize Emission Reductions
1

Item
Y
Z
AA
BB
CC

Description
Change in Methane Captured and
Combusted
Carbon Dioxide Displaced From
Electricity Used Onsite
Carbon Dioxide Displaced From
Electricity Sales
Carbon Dioxide Emissions From
Flaring
Net Change in Greenhouse Gas
Emissions (Y + Z + AA – BB)

July 16, 2010

Units of
Measure
metric tons
CO2e
metric tons
CO2e
metric tons
CO2e
metric tons
CO2e
metric tons
CO2e

Emission Reductions
Direct
Avoided
TOTAL

Form EIA-1605 − Addendum B6. Reductions From Coal Mine Methane Recovery

B19

U.S. Department of Energy
U.S. Energy Information Administration
Form EIA-1605

Form Approved
OMB No. 1905-0194
Expiration Date: TBD

Voluntary Reporting of Greenhouse Gases

7. Identify and Describe the Types of Actions That Were the Likely Cause of the Reductions Achieved
[Enter codes from Appendix M]
Enter Action
Type Code
Describe Action

8. Identify Cause(s) of the Emission Reduction(s) (check all that apply):
 Voluntary action
 Plant closing
 Government requirement
 Federal requirement
 State requirement
 Local requirement
9. Summarize Benefits and Costs of the Actions Taken To Reduce Greenhouse Gas Emissions
(optional):

Part D. Distribution of Emission Reductions to Other 1605(b) Reporters
1. Where Applicable, Enter Emission Reductions Distributed to Other 1605(b) Reporters (metric tons
CO2e)
1

Name of Recipient

Gas
CO2e
CO2e
CO2e
CO2e
CO2e

Units
metric tons
metric tons
metric tons
metric tons
metric tons

Amount

TOTAL

July 16, 2010

Form EIA-1605 − Addendum B6. Reductions From Coal Mine Methane Recovery

B20

U.S. Department of Energy
U.S. Energy Information Administration
Form EIA-1605

Form Approved
OMB No. 1905-0194
Expiration Date: TBD

Voluntary Reporting of Greenhouse Gases

Addendum B7. Landfill Methane Recovery
If Reporting Subentities, Enter Name of Subentity:

__________________________________________

Part A. Action Identification
1. Enter Location of Landfill(s):
1

Name

City

2. Enter Date Methane Recovery Began:

Location
State
(if domestic
subentity)

Month_________

Country
(if foreign
subentity)

Year_____________

Part B. Action Quantification
1. Enter Action Characteristics
1

Name of Landfill
Affected

July 16, 2010

Year Opened

Year
Closed

Year Gas
Recovery
Installed

Waste in Place (MMT)

Form EIA-1605 − Addendum B7. Landfill Methane Recovery

B21

U.S. Department of Energy
U.S. Energy Information Administration
Form EIA-1605

Form Approved
OMB No. 1905-0194
Expiration Date: TBD

Voluntary Reporting of Greenhouse Gases

2. Enter Volume of Landfill Gas Captured by Disposition (Mscf)
1

Year 4

Base
Period
Average

Reporting
Year

Year 4

Base
Period
Average

Reporting
Year

Year 3

Year 4

Base
Period
Average

Reporting
Year

Year 4

Base
Period
Average

Reporting
Year

Base Period

Source and Disposition
Flared
Electricity Used Onsite
Electricity Sold Offsite
Injected Into Pipeline
Direct Use Onsite
Direct Use Offsite
Total

Year 1

Year 2

Year 3

3. Enter Average Heat Content of Gas Captured (Btu/scf)
1

Base Period

Source and Disposition
Flared
Electricity Used Onsite
Electricity Sold Offsite
Injected Into Pipeline
Direct Use Onsite
Direct Use Offsite

Year 1

Year 2

Year 3

4. Enter Total Energy Content of Gas Captured and Combusted (MMBtu)
1

Base Period

Source and Disposition
Flared
Electricity Used Onsite
Electricity Sold Offsite
Injected Into Pipeline
Direct Use Onsite
Direct Use Offsite
Total

Year 1

Year 2

5. Enter Mass of Methane Captured (metric tons CO2e)
1

Base Period

Source and Disposition
Flared
Electricity Used Onsite
Electricity Sold Offsite
Injected Into Pipeline
Direct Use Onsite
Direct Use Offsite
Total

July 16, 2010

Year 1

Year 2

Year 3

Form EIA-1605 − Addendum B7. Landfill Methane Recovery

B22

U.S. Department of Energy
U.S. Energy Information Administration
Form EIA-1605

Form Approved
OMB No. 1905-0194
Expiration Date: TBD

Voluntary Reporting of Greenhouse Gases

Part C. Emission Reductions
1. Calculate Changes in Methane Capture
1

Item
A
B
C

Description
Average Annual Quantity of Methane Captured in Base
Period
Methane Captured in Reporting Year
Change in Methane Captured (B - A)

Units of Measure
metric tons CO2e

Quantity

metric tons CO2e
metric tons CO2e

2. Calculate Changes in Disposition of Electricity Generation From Captured Methane (MWh)
1

Year 4

Base
Period
Average

Reporting
Year

Base Period

Item
D
E
F

Source and Disposition
Electricity Used Onsite
Electricity Sales
Total Generation

Year 1

Year 2

Year 3

3. Calculate Carbon Dioxide Displaced From Electricity Used Onsite
a. Select Geographic Scope of Avoided Emissions Benchmark (based on the regions in Appendix
F):
 Single Domestic Region
 Multiple Domestic Regions
 Foreign Region(s)
b. If Reporting Reductions for a Single Domestic Region, Enter Number of the Region (1 through
15) from Appendix F: ________________________
c.

d. Calculate Carbon Dioxide Displaced From Electricity Used Onsite (avoided emissions)
1

Item
G
H
I
J
K

Avoided Emissions Benchmark

Emission Reductions [(L - K) * I]

Units of Measure
MWh
MWh

Quantity

MWh
metric tons CO2e
metric tons CO2e
/MWh
metric tons CO2e
/MWh
metric tons CO2e

*Include emissions from supplemental fossil fuel use only.

July 16, 2010

Form EIA-1605 − Addendum B7. Landfill Methane Recovery

B23

U.S. Department of Energy
U.S. Energy Information Administration
Form EIA-1605

Form Approved
OMB No. 1905-0194
Expiration Date: TBD

Voluntary Reporting of Greenhouse Gases

d. Calculate Carbon Dioxide Displaced From Electricity Sales
Item
N
O
P
Q
R

Description
Base Period Average Electricity Sold
Reporting Year Electricity Sold
Reporting Year Incremental Electricity Sold (O – N)
Reporting Year Total Emissions From Electricity Sold*
Reporting Year Emissions Intensity of Electricity Sold (Q /
O)

Units of Measure
MWh
MWh
MWh
metric tons CO2e
metric tons CO2e
/MWh
metric tons CO2e
/MWh
metric tons CO2e

Quantity

Avoided Emissions Benchmark

Emission Reductions [(S - R) * P]

*Include emissions from supplemental fossil fuel use only

5. Calculate Carbon Dioxide Displaced by Methane Supplied to a Natural Gas Distribution Network
Item
U
V
W

Description
Base Period Average Methane Supplied to a Natural Gas
Distribution Network
Reporting Year Methane Supplied to a Natural Gas
Distribution Network
Incremental Methane Supplied to a Natural Gas
Distribution Network (V - U)

Units of Measure

Quantity

Natural Gas Emissions Factor

Change in Carbon Dioxide Emissions From Methane
Supplied to a Natural Gas Distribution Network (W * X)

July 16, 2010

MMBtu
MMBtu
MMBtu
metric tons
CO2/MMBtu
metric tons CO2

Form EIA-1605 − Addendum B7. Landfill Methane Recovery

B24

U.S. Department of Energy
U.S. Energy Information Administration
Form EIA-1605

Form Approved
OMB No. 1905-0194
Expiration Date: TBD

Voluntary Reporting of Greenhouse Gases

6. Summarize Emission Reductions
1

Item
Z
AA
BB
CC
DD

Description
Change in Methane Captured
and Combusted
Carbon Dioxide Displaced From
Electricity Used Onsite
Carbon Dioxide Displaced From
Electricity Sales
Carbon Dioxide Displaced by
Methane Supplied to a Natural
Gas Distribution Network
Net Change in Greenhouse Gas
Emissions (Z + AA + BB + CC)

Units of
Measure
metric tons
CO2e
metric tons
CO2e
metric tons
CO2e
metric tons
CO2e

Direct

Emission Reductions
Indirect
Avoided

TOTAL

metric tons
CO2e

7. Identify and Describe the Types of Actions That Were the Likely Cause of the Reductions Achieved
[Enter codes from Appendix M]
Enter Action
Type Code
Describe Action

8. Identify the Cause(s) of the Emission Reduction(s) (check all that apply):
 Voluntary action
 Plant closing
 Government requirement
 Federal requirement
 State requirement
 Local requirement
9. Summarize Benefits and Costs of the Actions Taken To Reduce Greenhouse Gas Emissions
(optional):

July 16, 2010

Form EIA-1605 − Addendum B7. Landfill Methane Recovery

B25

U.S. Department of Energy
U.S. Energy Information Administration
Form EIA-1605

Form Approved
OMB No. 1905-0194
Expiration Date: TBD

Voluntary Reporting of Greenhouse Gases

Part D. Distribution of Emission Reductions to Other 1605(b) Reporters
1. Where Applicable, Enter Emission Reductions Distributed to Other 1605(b) Reporters (metric tons
CO2e)
1

Name of Recipient

Gas
CO2e
CO2e
CO2e
CO2e
CO2e

Units
metric tons
metric tons
metric tons
metric tons
metric tons

Amount

TOTAL

July 16, 2010

Form EIA-1605 − Addendum B7. Landfill Methane Recovery

B26

U.S. Department of Energy
U.S. Energy Information Administration
Form EIA-1605

Form Approved
OMB No. 1905-0194
Expiration Date: TBD

Voluntary Reporting of Greenhouse Gases

Addendum B8. Geologic Sequestration
If Reporting Subentities, Enter Name of Subentity: __________________________________________
Part A. Action Identification
1. Enter Name and Location of CO2 Injection Project:
1

If Onsite,
Agreement?
(Y/N)

Wells
Sealed or
Plan to Seal
Wells?
(Y/N)

Location

Name

City

State
or Country

2. Enter the Date CO2 Injection Began: Month_________

Storage
Onsite?
(Y/N)

Year_____________

3. Describe the Action:
_________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
4. Was the Action Reported Last Year?
 Yes
 No
5. Is the Reporting Entity Responsible for the Injection of CO2 Into a Permanent Storage Reservoir?
 Yes
 No
6. If the Answer to Question 5 is No, Does the Reporter Have a Written Agreement With the
Sequestering Party Allowing the Reporter To Claim the Reductions?
 Yes
 No
 Not-applicable, explain: ______________________________________
__________________________________________________________
__________________________________________________________
__________________________________________________________
__________________________________________________________

July 16, 2010

Form EIA-1605 − Addendum B8. Geologic Sequestration

B27

U.S. Department of Energy
U.S. Energy Information Administration
Form EIA-1605

Form Approved
OMB No. 1905-0194
Expiration Date: TBD

Voluntary Reporting of Greenhouse Gases

Part B. Action Quantification
1. Enter Source of Carbon Dioxide Sequestered in Current Reporting Year (metric tons CO2e)

Item
A1
A2
A3
A4
A5
B

Name of Source

Location of Source

3
CO2
Extracted/
Captured

4
CO2 Acquired
Via Transfer
or Purchase

5
Total CO2
Captured or
Acquired

6
Name of
Storage Site

Totals (sum of items A1-A5)

2. Enter Amount Sequestered in Current Reporting Year (metric tons CO2e)
1

Item

Name
of
Storage
Site

Post-Injection Leakage/Seepage
During Current Reporting Year

Enhanced
CO2 Injected in
Resource
Current
Monitoring
Recovery?
Reporting Year
Method
CO2 Sequestered by Reporting Entity
Yes/No
Yes/No
Yes/No
CO2 Sequestered by Third Party
Yes/No
Yes/No
Yes/No
Totals (sum of items C1-D3)

C1
C2
C3
D1
D2
D3
E

Location of
Storage
Site

Quantity

Net CO2
Sequestered in
Current Reporting
Year

3. Enter Average Amount Sequestered in Base Period (metric tons CO2e)
1

Item

Name
of
Storage
Site

F1
F2
F3
G1
G2
G3

Location of
Storage
Site

Average Annual Post-Injection
Leakage/Seepage in Base Period

Average
Annual CO2
Enhanced
Resource
Injected in
Monitoring
Recovery?
Base Period
Method
CO2 Sequestered by Reporting Entity
Yes/No
Yes/No
Yes/No
CO2 Sequestered by Third Party
Yes/No
Yes/No
Yes/No

Quantity

Average Annual
Net CO2
Sequestered in
Base Period

Totals (sum of items F1-G3)

Part C. Emission Reductions
1. Calculate Emission Reductions
1
Item

Description
Emission Reductions (E7 - H7)

July 16, 2010

Unit of Measure
metric tons CO2e

Quantity

Form EIA-1605 − Addendum B8. Geologic Sequestration

B28

U.S. Department of Energy
U.S. Energy Information Administration
Form EIA-1605

Form Approved
OMB No. 1905-0194
Expiration Date: TBD

Voluntary Reporting of Greenhouse Gases

2. Identify and Describe the Types of Actions That Were the Likely Cause of the Reductions Achieved
[Enter codes from Appendix M]
Enter Action
Type Code
Describe Action

Part D. Distribution of Emission Reductions to Other 1605(b) Reporters
1. Where Applicable, Enter Emission Reductions Distributed to Other 1605(b) Reporters (metric tons
CO2e)
1

Name of Recipient

Gas
CO2e
CO2e
CO2e
CO2e
CO2e

Units
metric tons
metric tons
metric tons
metric tons
metric tons

Amount

TOTAL

July 16, 2010

Form EIA-1605 − Addendum B8. Geologic Sequestration

B29

U.S. Department of Energy
U.S. Energy Information Administration
Form EIA-1605

Form Approved
OMB No. 1905-0194
Expiration Date: TBD

Voluntary Reporting of Greenhouse Gases

Addendum B9. Electricity Transmission and Distribution Improvements
If Reporting Subentities, Enter Name of Subentity: ___________________________________
Part A. Action Identification
1. Date Action Was Initiated:

Month_________

Year_____________

2. Did You Report Transmission and Distribution Improvements Last Year?
 Yes
 No
3. Are You Reporting as a Control Area or as a Member of a Control Area?
 Yes
 No
Part B. Activity Data
1. Enter Activity Data

Item
A
B
C
D
E
F
G
H
I
J
K
L
M
N
O

Description

Units of
Measure
(kWh or kVAh)

Quantity

Base Period
Electricity Entering T&D System From Own Generation
Electricity Delivered Through T&D System to End Users
(NOTE: Should Equal Total Wholesale and Retail Sales)
Electricity Imported Into T&D System
Electricity Exported From T&D System
Net Imports of Electricity (C – D)
Actual Net Interchange (ANI) If Reporting on Control
Area Basis
Loss Ratio (A + E - B) / (A + E) or [A - (B + F)] / (A - F)Ϯ
Reporting Year
Electricity Entering T&D System From Own Generation
Electricity Delivered Through T&D System to End Users
(NOTE: Should Equal Total Wholesale and Retail Sales)
Electricity Imported Into T&D System
Electricity Exported From T&D System
Net Imports of Electricity (J - K)
Actual Net Interchange (ANI) If Reporting on Control
Area Basis
Loss Ratio (H + L - I) / (H + L) or [H - (I + M)] / (H - M)Ϯ
Change In Loss Intensity (G - N) * (H + L) or (G - N) * (H
- M)Ϯ

kWh or kVAh

ϮUse second equation if reporting on a control area basis

July 16, 2010 Form EIA-1605 − Addendum B9. Electricity Transmission and Distribution Improvements

B30

U.S. Department of Energy
U.S. Energy Information Administration
Form EIA-1605

Form Approved
OMB No. 1905-0194
Expiration Date: TBD

Voluntary Reporting of Greenhouse Gases

Part C. Emission Reductions
1. Select Geographic Scope of Avoided Emissions Benchmark (based on the regions in Appendix F):
 Single Domestic Region
 Multiple Domestic Regions
 Foreign Region(s)
2. If Reporting Reductions for a Single Domestic Region, Enter Number of the Region (1 through 15)
from Appendix F: ________________________
3. If Reporting Reductions for Multiple or Foreign Regions, Enter the Weighted Avoided Emissions
Benchmark and Briefly Explain How It Was Calculated:
Avoided Emissions
Benchmark
(metric tons CO2e/MWh)
Explanation

4. Calculate Emission Reductions
1

Item
P
Q
R
S
T

Description
Avoided Emissions Benchmark for Electricity
System Power Factor (If Loss Intensity Calculated In
kVAh)
Total Emission Reductions [(O * P) / 1000] or {[O * (P *
Q)] / 1000}ϯ
Direct Emission Reductions {R * [I / (I + L)]}
Avoided Emissions (from Avoided Electricity Imports) {R *
[L / (I + L)]}

Units of
Measure
metric tons
CO2e/MWh

Quantity

metric tons CO2e
metric tons CO2e
metric tons CO2e

ϮUse second equation if calculating losses in kVAh

5. Identify and Describe the Types of Actions That Were the Likely Cause of the Reductions Achieved
[Enter codes from Appendix M]
Enter Action
Type Code
Describe Action

July 16, 2010 Form EIA-1605 − Addendum B9. Electricity Transmission and Distribution Improvements

B31

U.S. Department of Energy
U.S. Energy Information Administration
Form EIA-1605

Form Approved
OMB No. 1905-0194
Expiration Date: TBD

Voluntary Reporting of Greenhouse Gases

6. Identify the Cause(s) of the Emission Reduction(s) (check all that apply):
 Voluntary action
 Plant closing
 Government requirement
 Federal requirement
 State requirement
 Local requirement
7. Summarize Benefits and Costs of the Actions Taken To Reduce Greenhouse Gas Emissions
(optional):

Part D. Distribution of Emission Reductions to Other 1605(b) Reporters
1. Where Applicable, Enter Emission Reductions Distributed to Other 1605(b) Reporters (metric tons
CO2e)
1

Name of Recipient

Gas
CO2e
CO2e
CO2e
CO2e
CO2e

Units
metric tons
metric tons
metric tons
metric tons
metric tons

Amount

TOTAL

July 16, 2010 Form EIA-1605 − Addendum B9. Electricity Transmission and Distribution Improvements

B32

U.S. Department of Energy
U.S. Energy Information Administration
Form EIA-1605

Form Approved
OMB No. 1905-0194
Expiration Date: TBD

Voluntary Reporting of Greenhouse Gases

Addendum B10. Anaerobic Digestion at Wastewater Treatment Facilities
If Reporting Subentities, Enter Name of Subentity: ___________________________________
Part A. Action Identification
1. Enter Locations of Wastewater Treatment Facilities:
1

Name

City

2. Enter Date Anaerobic Digester Use Began: Month_________

Location
State
(if domestic
subentity)

Country
(if foreign
subentity)

Year_____________

3. Describe Action: ___________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
4. Was the Action Reported Last Year?
 Yes
 No

July 16, 2010

Form EIA-1605 − Addendum B10. Capture of Methane From Anaerobic Digestion at Wastewater
Treatment Facilities

B33

U.S. Department of Energy
U.S. Energy Information Administration
Form EIA-1605

Form Approved
OMB No. 1905-0194
Expiration Date: TBD

Voluntary Reporting of Greenhouse Gases

Part B. Action Quantification
1. Enter Volume of Gas Captured and Disposition (Mscf)
1

Year 4

Base
Period
Average

Reporting
Year

Year 4

Base
Period
Average

Reporting
Year

Year 4

Base
Period
Average

Reporting
Year

Year 4

Base
Period
Average

Reporting
Year

Base Period

Source and Disposition
Flared
Electricity Generation
Injected Into Pipeline/Sale to
Supply Network
Direct Use Onsite
Direct Use Offsite
Total

Year 1

Year 2

Year 3

2. Enter Average Heat Content of Gas Captured and Utilized (Btu/scf)
1

Base Period

Source and Disposition
Flared
Electricity Generation
Injected Into Pipeline/Sale to
Supply Network
Direct Use Onsite
Direct Use Offsite

Year 1

Year 2

Year 3

3. Enter Total Energy Content of Gas Captured and Utilized (MMBtu)
1

Base Period

Source and Disposition
Flared
Electricity Generation
Injected Into Pipeline/Sale to
Supply Network
Direct Use Onsite
Direct Use Offsite
Total

Year 1

Year 2

Year 3

4. Enter Mass of Methane Captured and Utilized (metric tons CO2e)
1

Base Period

Source and Disposition
Total Methane Captured

July 16, 2010

Year 1

Year 2

Year 3

Form EIA-1605 − Addendum B10. Capture of Methane From Anaerobic Digestion at Wastewater
Treatment Facilities

B34

U.S. Department of Energy
U.S. Energy Information Administration
Form EIA-1605

Form Approved
OMB No. 1905-0194
Expiration Date: TBD

Voluntary Reporting of Greenhouse Gases

5. Enter Nitrous Oxide Emissions From Aerobic Conditions During the Base Period and Reporting Year
(metric tons CO2e)
1

Year 4

Base
Period
Average

Reporting
Year

Base Period
Unit of
Measure

Year 1

Year 2

Year 3

Part C. Emission Reductions
1. Calculate Changes in Methane Captured and Utilized
1

Item
A
B
C

Description
Base Period Average Annual Quantity of Methane
Captured
Reporting Year Methane Captured
Change in Methane Captured (B - A)

Units of Measure

Quantity

metric tons CO2e
metric tons CO2e
metric tons CO2e

2. Calculate Changes in Disposition of Electricity Generation From Captured Methane (MWh)
1

Year 4

Base
Period
Average

Reporting
Year

Base Period

Item
D
E
F

Source and Disposition
Electricity Used Onsite
Electricity Sold
Total Generation

Year 1

Year 2

Year 3

July 16, 2010

Form EIA-1605 − Addendum B10. Capture of Methane From Anaerobic Digestion at Wastewater
Treatment Facilities

B35

U.S. Department of Energy
U.S. Energy Information Administration
Form EIA-1605

Form Approved
OMB No. 1905-0194
Expiration Date: TBD

Voluntary Reporting of Greenhouse Gases

d. Calculate Carbon Dioxide Displaced From Electricity Used Onsite
Item
G
H
I
J
K

Description
Base Period Average Electricity Used Onsite
Reporting Year Electricity Used Onsite
Reporting Year Incremental Electricity Used Onsite (H - G)
Reporting Year Total Emissions From Electricity Used
Onsite*
Reporting Year Emissions Intensity of Electricity Used
Onsite (J / H)

Units of Measure
MWh
MWh
MWh

Quantity

Avoided Emissions Benchmark

Emission Reductions [(L - K) * I]

metric tons CO2e
metric tons CO2e
/MWh
metric tons CO2e
/MWh
metric tons CO2e

*Include emissions from supplemental fossil fuel use only. If biogas was co-combusted with fossil fuels in Base Period, use
Addendum B5 (Emission Reductions from Energy Generation and Distribution) to report/register reduction associated with exported
electricity.

4. Carbon Dioxide Displaced From Electricity Sales (avoided emissions)
a. Select Geographic Scope of Avoided Emissions Benchmark (based on the regions in Appendix
F):
 Single Domestic Region
 Multiple Domestic Regions
 Foreign Region(s)
b. If Reporting Reductions for a Single Domestic Region, Enter Number of the Region (1 through
15) from Appendix F: ________________________
c.

If Reporting Reductions for Multiple or Foreign Regions, Enter the Weighted Avoided Emissions
Benchmark and Briefly Explain How It Was Calculated:
Avoided Emissions
Explanation
Benchmark
(metric tons CO2e/MWh)

d. Calculate Carbon Dioxide Displaced From Electricity Sales
Item
N
O
P
Q
R

Description
Base Period Average Electricity Sold
Reporting Year Electricity Sold
Reporting Year Incremental Electricity Sold (O - N)
Reporting Year Total Emissions From Electricity Sold*
Reporting Year Emissions Intensity of Electricity Sold (Q
/ O)

Units of Measure
MWh
MWh
MWh
metric tons CO2e
metric tons CO2e
/MWh
metric tons CO2e
/MWh
metric tons CO2e

Quantity

Avoided Emissions Benchmark

Emission Reductions [(S - R) * P]

July 16, 2010

Form EIA-1605 − Addendum B10. Capture of Methane From Anaerobic Digestion at Wastewater
Treatment Facilities

B36

U.S. Department of Energy
U.S. Energy Information Administration
Form EIA-1605

Form Approved
OMB No. 1905-0194
Expiration Date: TBD

Voluntary Reporting of Greenhouse Gases

5. Calculate Carbon Dioxide Displaced by Methane Supplied to a Natural Gas Distribution Network
Item
U
V
W

Units of Measure

Quantity

MMBtu
MMBtu
MMBtu
metric tons
CO2/MMBtu

Natural Gas Emissions Factor

Change in Carbon Dioxide Emissions From Methane
Supplied to a Natural Gas Distribution Network (W * X)

metric tons CO2

6. Calculate Changes in Nitrous Oxide Emissions From Use of Anaerobic Digester
1

Item
Z
AA
BB

Description
Base Period Average Annual Nitrous Oxide Emissions
Reporting Year Quantity of Nitrous Oxide Emissions
Change in Nitrous Oxide Emissions (AA - Z)

Units of Measure
metric tons CO2e
metric tons CO2e
metric tons CO2e

Quantity

7. Summarize Emission Reductions
1

Item
CC
DD
EE
FF
GG
HH

Description
Increase in Methane Captured
and Utilized
Carbon Dioxide Displaced From
Electricity Used Onsite
Carbon Dioxide Displaced From
Electricity Sales
Carbon Dioxide Displaced by
Methane Supplied to a Natural
Gas Distribution Network
Change in Nitrous Oxide
Emissions
Net Change in Emissions (CC +
DD + EE + FF – GG)

Units of
Measure
metric tons
CO2e
metric tons
CO2e
metric tons
CO2e

Emission Reductions
Direct

Indirect

Avoided

TOTAL

metric tons
CO2e
metric tons
CO2e
metric tons
CO2e

8. Identify and Describe the Types of Actions That Were the Likely Cause of the Reductions Achieved
[Enter codes from Appendix M]
Enter Action
Type Code
Describe Action

July 16, 2010

Form EIA-1605 − Addendum B10. Capture of Methane From Anaerobic Digestion at Wastewater
Treatment Facilities

B37

U.S. Department of Energy
U.S. Energy Information Administration
Form EIA-1605

Form Approved
OMB No. 1905-0194
Expiration Date: TBD

Voluntary Reporting of Greenhouse Gases

Enter Action
Type Code

Describe Action

9. Identify the Cause(s) of the Emission Reduction(s) (check all that apply):
 Voluntary action
 Plant closing
 Government requirement
 Federal requirement
 State requirement
 Local requirement
10. Summarize Benefits and Costs of the Actions Taken To Reduce Greenhouse Gas Emissions
(optional):

Part D. Distribution of Emission Reductions to Other 1605(b) Reporters
1. Where Applicable, Enter Emission Reductions Distributed to Other 1605(b) Reporters (metric tons
CO2e)
1

Name of Recipient

Gas
CO2e
CO2e
CO2e
CO2e
CO2e

Units
metric tons
metric tons
metric tons
metric tons
metric tons

Amount

TOTAL

July 16, 2010

Form EIA-1605 − Addendum B10. Capture of Methane From Anaerobic Digestion at Wastewater
Treatment Facilities

B38

U.S. Department of Energy
U.S. Energy Information Administration
Form EIA-1605

Form Approved
OMB No. 1905-0194
Expiration Date: TBD

Voluntary Reporting of Greenhouse Gases

Addendum B11. Anaerobic Digestion of Animal Waste
If Reporting Subentities, Enter Name of Subentity: ___________________________________
Part A. Action Identification
1. Enter Location of Livestock Management Facilities:
1

Name

Location
State
(if domestic
subentity)

City

2. Date Anaerobic Digester Use Began: Month_________

Country
(if foreign
subentity)

Year_____________

3. Describe Action: ________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
4. Was the Action Reported Last Year?
 Yes
 No

Part B. Action Quantification
1. Enter Action Characteristics
1

Name of Facility

Species of Animals
Producing Waste Handled
by the Digester

No. of Animals
of the Species

July 16, 2010 Form EIA-1605 − Addendum B11. Capture of Methane From Anaerobic Digestion of Animal Waste

B39

U.S. Department of Energy
U.S. Energy Information Administration
Form EIA-1605

Form Approved
OMB No. 1905-0194
Expiration Date: TBD

Voluntary Reporting of Greenhouse Gases

Part C. Emission Reductions
1. Calculate Carbon Dioxide Displaced by Methane Supplied to a Natural Gas Distribution Network
Item
A
B
C

Units of Measure

Quantity

Natural Gas Emissions Factor

Change in Carbon Dioxide Emissions from Methane
Supplied to a Natural Gas Distribution Network (C * D)

MMBtu
MMBtu
MMBtu
metric tons
CO2e/MMBtu
metric tons CO2e

2. Identify and Describe the Types of Actions That Were the Likely Cause of the Reductions Achieved
[Enter codes from Appendix M]
Enter Action
Type Code
Describe Action

July 16, 2010 Form EIA-1605 − Addendum B11. Capture of Methane From Anaerobic Digestion of Animal Waste

B40

U.S. Department of Energy
U.S. Energy Information Administration
Form EIA-1605

Form Approved
OMB No. 1905-0194
Expiration Date: TBD

Voluntary Reporting of Greenhouse Gases

Part D. Distribution of Emission Reductions to Other 1605(b) Reporters
1. Where Applicable, Enter Emission Reductions Distributed to Other 1605(b) Reporters (metric tons
CO2e)
1

Name of Recipient

Gas
CO2e
CO2e
CO2e
CO2e
CO2e

Units
metric tons
metric tons
metric tons
metric tons
metric tons

Amount

TOTAL

July 16, 2010 Form EIA-1605 − Addendum B11. Capture of Methane From Anaerobic Digestion of Animal Waste

B41

U.S. Department of Energy
U.S. Energy Information Administration
Form EIA-1605

Form Approved
OMB No. 1905-0194
Expiration Date: TBD

Voluntary Reporting of Greenhouse Gases

Addendum B12. Recycling of Fly Ash
If Reporting Subentities, Enter Name of Subentity: ___________________________________
Part A. Action Identification
1. Enter Name and Location of Concrete Manufacturing Facilities Where Fly Ash Was Recycled:
1

Name

City

2. Enter Date Fly Ash Recycling Began: Month _________

Location
State
(if domestic
subentity)

Country
(if foreign
subentity)

Year _____________

3. Describe Action: __________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
4. Was the Action Reported Last Year?
 Yes
 No

July 16, 2010

Form EIA-1605 − Addendum B12. Recycling of Fly Ash

B42

U.S. Department of Energy
U.S. Energy Information Administration
Form EIA-1605

Form Approved
OMB No. 1905-0194
Expiration Date: TBD

Voluntary Reporting of Greenhouse Gases

Part B. Action Quantification
1. Enter Total Quantity of Fly Ash Used and Portland Cement Displaced in Base Period and Reporting
Year
1

Item
A

Description
Fly Ash Used in
Place of
Portland
Cement
Portland
Cement
Displaced

Unit of
Measure
metric
tons

Avg.

Reporting
Year
Quantity

Base Period Quantity
Yr 1

Yr 2

Yr 3

Yr 4

metric
tons

2. Calculate Substitution Ratio of Fly Ash for Portland Cement for Base Period and Reporting Year
1

Item
C
D

Description
Substitution Ratio for Base Period (B7 / A7)
Substitution Ratio for Reporting Year (B8 / A8)

Unit of Measure
---

Quantity

Part C. Emission Reductions
1. Calculate Reduction in Indirect Emissions
Item

Description

Unit of Measure
metric tons C
equivalent/ton
metric tons C
equivalent/ton
--

Quantity

Net Emissions Factor for Virgin Cement

Net Emissions Factor for Fly Ash

Conversion Factor for Carbon Equivalent to CO2e
Emissions Displaced in Base Period {A7 * [(E / C) - F] *
G}
Emissions Displaced in Reporting Year {A8 * [(E / C) – F]
* G}
Indirect Emission Reductions (I - H)

H
I
J

0.2396
0.0021
3.667

metric tons CO2e
metric tons CO2e
metric tons CO2e

2. Identify and Describe the Types of Actions That Were the Likely Cause of the Reductions Achieved
[Enter codes from Appendix M]
Enter Action
Type Code
Describe Action

July 16, 2010

Form EIA-1605 − Addendum B12. Recycling of Fly Ash

B43

U.S. Department of Energy
U.S. Energy Information Administration
Form EIA-1605

Form Approved
OMB No. 1905-0194
Expiration Date: TBD

Voluntary Reporting of Greenhouse Gases

Part D. Distribution of Emission Reductions to Other 1605(b) Reporters
1. Where Applicable, Enter Emission Reductions Distributed to Other 1605(b) Reporters (metric tons
CO2e)
1

Name of Recipient

Gas
CO2e
CO2e
CO2e
CO2e
CO2e

Units
metric tons
metric tons
metric tons
metric tons
metric tons

Amount

TOTAL

July 16, 2010

Form EIA-1605 − Addendum B12. Recycling of Fly Ash

B44

U.S. Department of Energy
U.S. Energy Information Administration
Form EIA-1605

Voluntary Reporting of Greenhouse Gases

Form Approved
OMB No. 1905-0194
Expiration Date: TBD

Addendum B13. Demand-Side Management and Other Reduction Programs
If Reporting Subentities, Enter Name of Subentity: ___________________________________
Part A. Action Identification
If you are reporting more than one program, copy Part A and complete for each program.
1. Enter Name of Program: ______________________________________
2. Describe the Program:______________________________________________________________
___________________________________________________________________________________
3. Enter All of the Following Information for the Program Listed Above:
Item

Program Characteristics

Values

Enter City of Program

Enter State of Program (if domestic)

Enter Country of Program (if foreign)

Enter Month Program Began

Enter Year Program Began

Describe Program Evaluation Method

Enter Name of 3 Party Verifier

Describe Qualifications of 3 Party Verifier

I.
J.

Enter Unit of Annual Energy Usage Reductions in RY
(if applicable)
Enter Quantity of Annual Energy Usage Reductions in RY
(if applicable)

Enter Greenhouse Gas Emission Reductions in RY
(metric tons CO2e)

Do the Reductions Qualify for Registration?*

 Yes

 No

*To register reductions, the DSM or other program must meet the criteria detailed on Page 103 of the Instructions for Form EIA1605 and program evaluations must be performed and/or certified by an independent and qualified third party verifier. The third
party must certify that the estimated annual energy usage or emission reductions were estimated in accordance with these
guidelines.

4. Indicate What the Program Provides to Very Small Emitters (entities that typically emit below 500 tons
of CO2e per year):
1

Information/ Other
Technical Assistance

Financial Incentives

Direct Installation/
Investment

Other Non-Commercial
Services

 Yes  No

 Yes

 No

5. Identify Sector(s) of Very Small Emitters Targeted:
1

Residential

Commercial

Small Industrial

If Other, Please Specify

 Yes  No

 Yes,_______________

July 16, 2010 Form EIA-1605 − Addendum B13. Demand-Side Management and Other Reduction Programs

B45

U.S. Department of Energy
U.S. Energy Information Administration
Form EIA-1605

Form Approved
OMB No. 1905-0194
Expiration Date: TBD

Voluntary Reporting of Greenhouse Gases

Part B. Emission Reductions
1. Summarize Energy Savings and Greenhouse Gas Emission Reductions by Program:
1

Program Name

Total Energy Savings
Unit
Amount

Total Emission Reductions
(CO2e)
Unit
Amount

Total Emission Reductions
2. Identify and Describe the Types of Actions That Were the Likely Cause of the Reductions Achieved
[Enter codes from Appendix M]
Enter Action
Type Code
Describe Action

July 16, 2010 Form EIA-1605 − Addendum B13. Demand-Side Management and Other Reduction Programs

B46

U.S. Department of Energy
U.S. Energy Information Administration
Form EIA-1605

Form Approved
OMB No. 1905-0194
Expiration Date: TBD

Voluntary Reporting of Greenhouse Gases

Part C. Distribution of Emission Reductions to Other 1605(b) Reporters
1. Where Applicable, Enter Emission Reductions Distributed to Other 1605(b) Reporters (metric tons
CO2e)
1

Name of Recipient

Gas
CO2e
CO2e
CO2e
CO2e
CO2e

Units
metric tons
metric tons
metric tons
metric tons
metric tons

Amount

TOTAL

July 16, 2010 Form EIA-1605 − Addendum B13. Demand-Side Management and Other Reduction Programs

B47

U.S. Department of Energy
U.S. Energy Information Administration
Form EIA-1605

Form Approved
OMB No. 1905-0194
Expiration Date: TBD

Voluntary Reporting of Greenhouse Gases

Addendum B14. Combined Heat and Power
If Reporting Subentities, Enter Name of Subentity: ___________________________________
Part A. Action Quantification
1. Enter Plant Emissions Data
Item
A
B
C
D

Description
Base Period Average
Total CHP Plant Fuel Use
Total CHP Plant Emissions*
Reporting Year
Total CHP Plant Fuel Use
Total CHP Plant Emissions*

Units of Measure

Quantity

MMBtu
metric tons CO2e
MMBtu
metric tons CO2e

*Derive from fuel use (values A and C) using the methods in Chapter 1, Part C of the Technical Guidelines (Stationary Combustion).

2. Activity Data
a. Select Geographic Scope of the Avoided Emissions Benchmark(s) (based on the regions in
Appendix F):
 Single Domestic Region
 Multiple Domestic Regions
 Foreign Region(s)
b. If Reporting Reductions for a Single Domestic Region, Enter Number of the Region (1 through
15) from Appendix F: ________________________
c.

Enter the Weighted Electricity Avoided Emissions Benchmark (if applicable*) and/or the Thermal
Avoided Emissions Benchmark and Briefly Explain How It Was Calculated:
Avoided
Benchmark
Emissions
Type
Benchmark
Explanation
Electricity (metric
tons CO2e/MWh)
Thermal
(kilograms
CO2e/ton-hour)
* Only enter a weighted emissions benchmark if you are reporting multiple or foreign regions.

July 16, 2010

Form EIA-1605 − Addendum B14. Combined Heat and Power

B48

U.S. Department of Energy
U.S. Energy Information Administration
Form EIA-1605

Form Approved
OMB No. 1905-0194
Expiration Date: TBD

Voluntary Reporting of Greenhouse Gases

d. Enter Activity Data
1

Units of Measure

Quantity

K
L
M
N
O
P

Description
Base Period Average
Total Thermal Generation
Total Electrical Generation
Thermal Exports
Electricity Exports
Thermal Generating Efficiency**
Electrical Generating Efficiency***
Reporting Year
Total Thermal Generation
Total Electrical Generation
Thermal Exports
Electricity Exports
Thermal Generating Efficiency**
Electrical Generating Efficiency***

Thermal Avoided Emissions Benchmark

Electricity Avoided Emissions Benchmark

Item
E
F
G
H
I
J

MMBtu
MMBtu*
MMBtu
MMBtu*
%
%
MMBtu
MMBtu*
MMBtu
MMBtu*
%
%
metric tons CO2e /
MMBtu
metric tons CO2e /
MWh

*To convert electrical output to MMBtu, multiply electrical output in MWh by 3.412
**If the efficiency of the thermal energy generation (EfficiencyThermal) is unknown, reporters may use a default value of 80 percent.
***If the efficiency of the electrical energy generation (Efficiency Thermal ) is unknown, reporters may use a default value of 35 percent.

3. Calculate Emissions for Each Generating Stream
1

Item

Emissions (Metric
Tons CO2e)

Description
Base Period
Total Thermal Generation Emissions {B * (E / I) / [(E / I) + (F / J)]}
Total Electricity Generation Emissions (B – S)
Reporting Year
Total Thermal Generation Emissions
{D * (K / O) / [(K / O) + (L / P)]}
Total Electricity Generation Emissions (D – U)

S
T
U
V

*If the efficiency of the thermal energy generation (EfficiencyThermal) is unknown, reporters may use a default value of 0.8.

4. Calculate Emissions Associated With Thermal and Electrical Energy Exported and Used Onsite
Item
W
X
Y
Z
AA
BB
CC
DD

Description

Units of Measure

Emissions

Base Period
Exported Thermal Generation Emissions [(G / E) * S]
Exported Electrical Generation Emissions [(H / F) * T]
Onsite Thermal Generation Emissions (S - W)
Onsite Electrical Generation Emissions (T - X)
Reporting Year
Exported Thermal Generation Emissions [(M / K) * U]
Exported Electrical Generation Emissions [(N / L) * V]
Onsite Thermal Generation Emissions (U - AA)
Onsite Electrical Generation Emissions (V - BB)

July 16, 2010

metric tons CO2e
metric tons CO2e
metric tons CO2e
metric tons CO2e
metric tons CO2e
metric tons CO2e
metric tons CO2e
metric tons CO2e

Form EIA-1605 − Addendum B14. Combined Heat and Power

B49

U.S. Department of Energy
U.S. Energy Information Administration
Form EIA-1605

Form Approved
OMB No. 1905-0194
Expiration Date: TBD

Voluntary Reporting of Greenhouse Gases

Part B. Emission Reductions
1. Calculate Direct Emission Reductions From Onsite Energy Use (Note: Reductions can be calculated
using either the Changes in Emissions Intensity method or the Changes in Absolute Emissions
method. Reporters should select one method, and use the appropriate formulas provided)
a. Calculate Changes in Emissions Intensity From Energy Used Onsite
1

Item
EE
FF

Description
Emission Reductions From Thermal Generation Used
Onsite [(S / E) - (U / K)] * (K - M)
Emission Reductions From Electrical Generation Used
Onsite [(T / F) - (V / L)] * (L - N)

Units of Measure
metric tons CO2e

Direct
Emissions

metric tons CO2e

b. Calculate Absolute Changes in Emissions From Energy Used Onsite
1

Item
GG
HH

Description
Emission Reductions From Thermal Generation Used
Onsite (Y - CC)
Emission Reductions From Electrical Generation Used
Onsite (Z - DD)

Units of Measure

Direct
Emissions

metric tons CO2e
metric tons CO2e

2. Calculate Emission Reductions Associated With Energy Exports
a. Calculate Thermal Energy Emission Reductions Due to Improvements in Historical Emissions
Intensity
1

Item
II

Description
Emission Reductions
{[(S / E) - (U / K)] * G}

Units of Measure

Emission
Reductions

metric tons CO2e

b. Calculate Thermal Energy Emission Reductions Due to Incremental Changes in Thermal Exports
1

Item
JJ
c.

Description
Emission Reductions
{[Q - (U / K)] * (M - G)}

Emission
Reductions

metric tons CO2e

Calculate Electricity Emission Reductions Due to Improvements in Historical Emissions Intensity

Item
KK

Units of
Measure

Description

Units of
Measure

Emission
Reductions

Emission Reductions
{[(T / F) - (V / L)] * H}

metric tons CO2e

d. Calculate Electricity Emission Reductions Due to Incremental Changes in Electricity Exports
Item
LL

Emission Reductions
{[R - (V / L)] * (N - H)}

July 16, 2010

Description

Units of
Measure

Emission
Reductions

metric tons CO2e

Form EIA-1605 − Addendum B14. Combined Heat and Power

B50

U.S. Department of Energy
U.S. Energy Information Administration
Form EIA-1605

Form Approved
OMB No. 1905-0194
Expiration Date: TBD

Voluntary Reporting of Greenhouse Gases

3. Summarize Emission Reductions
1

Item
MM
NN
OO

Description
Reductions Associated With Onsite Energy Use
(EE + FF) or (GG + HH)
Total Emission Reductions From Energy Generation
and Exports (II + JJ + KK + LL)
Total Emission Reductions (MM + NN)

Units of
Measure

Quantity

metric tons CO2e
metric tons CO2e
metric tons CO2e

4. Identify and Describe the Types of Actions That Were the Likely Cause of the Reductions Achieved
[Enter codes from Appendix M]
Enter Action
Type Code
Describe Action

5. Identify the Cause(s) of the Emission Reduction(s) (check all that apply):
 Voluntary action
 Plant closing
 Government requirement
 Federal requirement
 State requirement
 Local requirement
6. Summarize Benefits and Costs of the Actions Taken To Reduce Greenhouse Gas Emissions
(optional):

July 16, 2010

Form EIA-1605 − Addendum B14. Combined Heat and Power

B51

U.S. Department of Energy
U.S. Energy Information Administration
Form EIA-1605

Form Approved
OMB No. 1905-0194
Expiration Date: TBD

Voluntary Reporting of Greenhouse Gases

Part C. Distribution of Emission Reductions to Other 1605(b) Reporters
1. Where Applicable, Enter Emission Reductions Distributed to Other 1605(b) Reporters (metric tons
CO2e)
1

Name of Recipient

Gas
CO2e
CO2e
CO2e
CO2e
CO2e

Units
metric tons
metric tons
metric tons
metric tons
metric tons

Amount

TOTAL

July 16, 2010

Form EIA-1605 − Addendum B14. Combined Heat and Power

B52

U.S. Department of Energy
U.S. Energy Information Administration
Form EIA-1605

Voluntary Reporting of Greenhouse Gases

Form Approved
OMB No. 1905-0194
Expiration Date: TBD

Addendum B15. Other Action-Specific Reductions
If Reporting Subentities, Enter Name of Subentity: ___________________________________
Part A. Action Identification
1. Explain Why It Is Not Possible To Use Any of The Methods in Addendum B1-B14

2. Enter Date Action Was Initiated:

Month_________

Year_____________

3. Was the Action Reported Last Year?
 Yes
 No
4. Identify Activities Affected by the Action:

5. Identify Equipment Affected by the Action:

6. Identify the Emission Sources Affected by the Action:

July 16, 2010

Form EIA-1605 − Addendum B15. Other Action-Specific Reductions

B53

U.S. Department of Energy
U.S. Energy Information Administration
Form EIA-1605

Form Approved
OMB No. 1905-0194
Expiration Date: TBD

Voluntary Reporting of Greenhouse Gases

Part B. Emission Reductions Computation
1. Enter Activity Data, Emission Coefficients, and Conversion Factors
Item
A
B
C
D
E
F
G
H
I
J

Description

Units of Measure

Quantity

2. Enter Equation(s) Used To Calculate Emissions and Emission Reductions in Question 3:

3. Calculate Emission Reductions
1

Item

Description

Base Period Emissions

Reporting Year Emissions

M
N

Registered Emission Reductions
(K - L)
Reported Emission Reductions (K
- L)

Units of
Measure
metric tons
CO2e
metric tons
CO2e
metric tons
CO2e
metric tons
CO2e

Source of Emissions Affected
Indirect
Emissions
Other
From
Direct
Indirect
Purchased
Emissions
Energy
Emissions

4. Identify and Describe the Types of Actions That Were the Likely Cause of the Reductions Achieved
[Enter codes from Appendix M]
Enter Action
Type Code
Describe Action

July 16, 2010

Form EIA-1605 − Addendum B15. Other Action-Specific Reductions

B54

U.S. Department of Energy
U.S. Energy Information Administration
Form EIA-1605

Form Approved
OMB No. 1905-0194
Expiration Date: TBD

Voluntary Reporting of Greenhouse Gases

Enter Action
Type Code

Describe Action

Part C. Distribution of Emission Reductions to Other 1605(b) Reporters
1. Where Applicable, Enter Emission Reductions Distributed to Other 1605(b) Reporters (metric tons
CO2e)
1

Name of Recipient

Emissions Type*

Gas
CO2e

Units
metric
tons
metric
tons
metric
tons
metric
tons
metric
tons
metric
tons
metric
tons

Amount

CO2e
CO2e
CO2e
Total Direct Emission Reductions
Total Indirect Emission Reductions
From Purchased Energy
Total Other Indirect Emission
Reductions

CO2e
CO2e
CO2e

*Direct, Indirect from Purchased Energy, Other Indirect.

July 16, 2010

Form EIA-1605 − Addendum B15. Other Action-Specific Reductions

B55

U.S. Department of Energy
U.S. Energy Information Administration
Form EIA-1605

Form Approved
OMB No. 1905-0194
Expiration Date: TBD

Voluntary Reporting of Greenhouse Gases

Addendum B16. Destruction of Chlorofluorocarbons
If Reporting Subentities, Enter Name of Subentity: ___________________________________
Part A. Action Identification
1. Enter Name and Location of Facility Where CFCs Were Destroyed:
1

Name

City

2. Enter Date CFC Destruction Began: Month_________

Location
State
(if domestic
subentity)

Country
(if foreign
subentity)

Year_____________

3. Describe Action: __________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
4. Was the Action Reported Last Year?
 Yes
 No
Part B. Emission Reductions
1. Enter Type and Quantity of CFCs Destroyed
1

CFC Gas Type

July 16, 2010

Unit

Amount

Did you Transfer the Reduction to Another
Reporting Entity? (Y/N)
(if yes, complete Part C)

Form EIA-1605 − Addendum B16. Destruction of Chlorofluorocarbons

B56

U.S. Department of Energy
U.S. Energy Information Administration
Form EIA-1605

Form Approved
OMB No. 1905-0194
Expiration Date: TBD

Voluntary Reporting of Greenhouse Gases

2. Identify and Describe the Types of Actions That Were the Likely Cause of the Reductions Achieved
[Enter codes from Appendix M]
Enter Action
Type Code
Describe Action

Part C. Distribution of Emission Reductions to Other 1605(b) Reporters
1. Where Applicable, Enter Emission Reductions Distributed to Other 1605(b) Reporters (kilograms)

July 16, 2010

Name of Recipient

Gas

Units
kilograms
kilograms
kilograms
kilograms
kilograms

Form EIA-1605 − Addendum B16. Destruction of Chlorofluorocarbons

Amount

B57

U.S. Department of Energy
U.S. Energy Information Administration
Form EIA-1605

Form Approved
OMB No. 1905-0194
Expiration Date: TBD

Voluntary Reporting of Greenhouse Gases

Addendum C. Country-Specific Factors Used to Estimate Emissions From
Foreign Sources
1. Enter Information on Emission Factors Used to Estimate Emissions for Foreign Subentities
1

Emissions
Type

Emissions
Source

Gas

Unit of
Measure

Factor
Value

Countries/ Regions

Factor
Source

2. Identify Publications and Other Sources for Factors Used to Estimate Foreign Emissions
Item
Source of Factors
A
B
C
D
E
F
G
H
I
J
K
L
M
N
O
P
Q
R
S

July 16, 2010

Addendum C. Country-Specific Factors Used to Estimate Emissions From Foreign Sources

U.S. Department of Energy
U.S. Energy Information Administration
Form EIA-1605

Voluntary Reporting of Greenhouse Gases

Form Approved
OMB No. 1905-0194
Expiration Date: TBD

3. Document Reporter-Defined Emission Factors.

July 16, 2010

Addendum C. Country-Specific Factors Used to Estimate Emissions From Foreign Sources

U.S. Department of Energy
U.S. Energy Information Administration
Form EIA-1605

Voluntary Reporting of Greenhouse Gases

Form TBD
OMB No. TBD
Expiration Date: TBD

Addendum D. Non-Reporter Offset Entity Information
(Only complete Addendum D if the offset provider is not a reporter to the program.)
SECTION 1. OFFSET ENTITY STATEMENT
1. Enter Offset Entity Identification:
Entity Name: _______________________________________
Address 1: _____________________________
Address 2: _____________________________
City:______________________ State: _____ Zip: _____-____
Entity URL : ________________________________________
Entity Tax Payer Identification Number (optional): ___________________

2. Enter Offset Contact Information:
Contact Name: ______________________________________
Title: ______________________________________________
 Contact address is the same as entity address above
Address 1: _____________________________
Address 2: _____________________________
City:______________________ State: _____ Zip: _____-____
Tel: (__ __ __) __ __ __ -__ __ __ __ ext.: _______
Fax: (__ __ __) __ __ __ -__ __ __ __
E-Mail: ____________________________________________

3. Entity Type (check one):
 Large emitter (more than 10,000 metric tons carbon dioxide equivalent annually)
 Small emitter (less than or equal to 10,000 metric tons carbon dioxide equivalent annually)

4. Indicate Any Significant Changes to Previous Entity Statement (not applicable for Start Year reports)
 The entity has not undergone significant changes since the last Voluntary Reporting of
Greenhouse Gases report
 The entity has undergone significant changes since the last Voluntary Reporting of Greenhouse
Gases report was filed.
Check the type of change and detail below:
 Data are being resubmitted for the base period:
 New base period has been selected (describe):_________________________________
_______________________________________________________________________
 Changes have been made in the entity's scope or organizational boundaries, of the
following nature:
 Acquisition or divestiture of discrete business units, subsidiaries, facilities or plants
Describe: _____________________________________
 Closure or opening of significant facilities
Describe: ______________________________________
 Transfer of economic activity to or from specific operations covered by a previous
report
Describe: ______________________________________
 Significant changes in land holdings
Describe: _____________________________________
 Higher level of aggregation than in the previous year.

July 16, 2010

Form EIA-1605 – Schedule I, Entity Information

U.S. Department of Energy
U.S. Energy Information Administration
Form EIA-1605

Voluntary Reporting of Greenhouse Gases

Form TBD
OMB No. TBD
Expiration Date: TBD

Describe (List subsidiary entities now included, including a listing of any non-U.S.
operations added and the specific countries in which the foreign operations are
located):____________________________________________________________
___________________________________________________________________
 Changes in activity or operations, specify:
 Change in output
 Change in contractual arrangements
 Change in equipment and processes
 Change in outsourcing or insourcing of significant activities
Describe the change and explain its influence on reported emissions or
sequestration: ___________________________________________________

______________________________________________________________
 Emission reduction calculation method changed
 Other change, not listed above, describe:______________________________________
_______________________________________________________________________
5. Identify the Entity’s Primary Economic Activities
Identify the primary (and secondary, if applicable) 3-digit North American Industrial Classification
System (NAICS) code for the entity (a list of NAICS codes is offered in Appendix A):
Primary NAICS: __ __ __
Secondary NAICS: __ __ __
6. Enter the Entity Category
Select the category below that describes the entity:







Corporation
Utility (Non-Investor Owned)
Government
Government Corporation or Authority
Non-Profit Organization
All other Non-Profit Organizations (charities, fraternal orders, etc.
Specify: ____________________________________________________)
 Individual or Household
 Other, specify: _________________________________________

7. Describe the Entity Organization
Is the entity a holding company:
 Yes
 No
If the entity is a subsidiary, identify the entity's Parent or Holding Company: ____________________
________________________________________________________________________________
8. Describe the Entity’s Organizational Boundaries
a. Method for Determining Organizational Boundaries
 Financial control
 Operational control. Explain how the use of this other approach results in organizational
boundaries that differ from results of the financial control approach:
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
 Equity share. Explain how the use of this other approach results in organizational boundaries
that differ from results of the financial control approach:
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________

July 16, 2010

Form EIA-1605 – Schedule I, Section 1. Entity Statement

U.S. Department of Energy
U.S. Energy Information Administration
Form EIA-1605

Form TBD
OMB No. TBD
Expiration Date: TBD

Voluntary Reporting of Greenhouse Gases

 Other. Describe method and explain how the use of this other approach results in
organizational boundaries that differ from results of the financial control approach:
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
b. List All Large Wholly Owned Subsidiaries Included in This Report:
Subsidiary Name

Primary NAICS

c. List Any Large Partially Owned Subsidiary, Joint Venture, and Leased or Operated Emissions
Source Included in This Report:
1

Name or
Description
of Emissions
Source

Relationship
to Reporting
Entity

Partners

% Interest
Held By
Reporting
Entity

Method for
Determining
Inclusion in Report

% of
Emissions
Included
in This
Report

d. Additional Description of Organizational Boundaries (describe, including criteria used for
excluding any emissions sources, if applicable):
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
9. Describe the Geographic Scope of Activities (check one)
 This report covers U.S. activities only
 Nationwide (if operating in all 10 U.S. Census Regions)
 Multiple States (if not nationwide, enter states using 2-letter abbreviations from Appendix B:
__________________________________________)
 Single State (enter 2-letter abbreviation for state from Appendix B: _________________)
 This report covers U.S. and non-U.S. activities
U.S. Activities:
 Nationwide (if operating in all 10 U.S. Census Regions)
 Multiple States (if not nationwide, enter states using 2-letter abbreviations from Appendix B:
_________)
 Single State (enter 2-letter abbreviation for state from Appendix B: _______________)
Foreign Activities: List all foreign countries in which reported activities occurred using the 3-digit
codes found in Appendix C, and the NAICS code that best corresponds to the primary activity in
that country from Appendix A:
Country
______
______
______

July 16, 2010

Primary NAICS code
______
______
______

Form EIA-1605 – Schedule I, Section 1. Entity Statement

U.S. Department of Energy
U.S. Energy Information Administration
Form EIA-1605

______

Form TBD
OMB No. TBD
Expiration Date: TBD

Voluntary Reporting of Greenhouse Gases

______

11. Describe the Entity Base Period
Indicate number of years in the Base Period:
1
Enter last year in Base Period: _____________

July 16, 2010

2

3

Form EIA-1605 – Schedule I, Section 1. Entity Statement

4

U.S. Department of Energy
U.S. Energy Information Administration
Form EIA-1605

Voluntary Reporting of Greenhouse Gases

Form TBD
OMB No. TBD
Expiration Date: TBD

SECTION 2. OFFSET ENTITY EMISSIONS INVENTORY
Part A. Aggregated Emissions by Gas (for independently verified reports only)
If this report is independently verified, you may choose to aggregate offset emissions by gas by
completing and attaching one copy of Part A from Addendum A.

Part B. Inventory of Emissions and Carbon Flux (optional for independently verified reports)
If this report is not independently verified, you must detail offset emissions by gas and source by
completing and attaching all applicable inventory grids from Part B from Addendum A.

July 16, 2010

Form EIA-1605 – Schedule IV. Verification and Certification

U.S. Department of Energy
U.S. Energy Information Administration
Form EIA-1605

Voluntary Reporting of Greenhouse Gases

Form TBD
OMB No. TBD
Expiration Date: TBD

SECTION 3. OFFSET ENTITY-LEVEL REDUCTION METHODS AND REDUCTIONS
1. Indicate the method used to estimate the offset emission reductions.

















∗

July 16, 2010

Form EIA-1605 – Schedule IV. Verification and Certification

File Type	application/pdf
File Title	Addendum A
Author	Dick Richards
File Modified	2010-07-28
File Created	2010-07-28