Form EIA-22M Monthly Biodiesel Production Survey

U.S. Department of Energy
Energy Information Administration
Form EIA-22M
(February 2009)

Form Approved
OMB No. 1905-0207
Expires 02/29/2012
Burden: 3.0 Hours

Monthly Biodiesel Production Survey
Page 1
Reporting Month and Year:
Respondent ID:

/

This report is mandatory under the Federal Energy Administration Act of 1974 (Public Law 93-275). Failure to comply may
result in criminal fines, civil penalties and other sanctions as provided by law. For further information concerning sanctions and
data protections see the sanction provision and the provisions on sanctions and the provision concerning the confidentiality of
information in the Instructions. Title 18 USC 1001 makes it a criminal offense for any person knowingly and willingly to
make to any Agency or Department of the United States any false, fictitious, or fraudulent statements as to any matter
within its jurisdiction.
Please read the instructions provided before completing this form.
GENERAL REPORTING INSTRUCTIONS: Form EIA-22M shall be submitted by all entities producing biodiesel that meets
ASTM D 6751-07B specifications and is used for commercial purposes. A company should submit separate forms for each of
its plants.
Please make any corrections to the mailing label in the area provided at the right and return the completed form in the business reply
envelope provided.

1. Respondent Identification
A. Preparer Information

Preparer Name:
Preparer Company Name:
Preparer Street Address:
Preparer City, State, Zip:
Preparer Phone #:
Preparer Fax #:
Preparer E-mail:
B. Plant Information

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

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

U.S. Department of Energy
Energy Information Administration
Form EIA-22M
(February 2009)

Form Approved
OMB No. 1905-0207
Expires 02/29/2012
Burden: 3.0 Hours

Monthly Biodiesel Production Survey
Page 2
Reporting Month and Year:
Respondent ID:

/

D. Company Supervisory Contact Information

Supervisory Contact Name:
Supervisory Contact Title:
Supervisory Contact Street Address:
Supervisory Contact City, State, Zip:
Supervisory Contact Phone #:
Supervisory Contact Fax #:
Supervisory Contact E-mail:

2. Plant Information and Operating Status
A. Annual Production Capacity (Gallons)
B. Does this plant operate as a Farmer’s Cooperative?

□

Yes

□

No

C. Type of Plant Operating Status – Please Check Only one.
1. Active
2. Temporarily Inactive
3. Permanently Ceased Operation
4. Sold to Another Company
5. Leased to Another Company

□
□
□
□
□

If you checked Box 1 or 3, please complete all of Section 3. If you checked Box 2, complete questions 3.A.f. only.
If you checked Box 4 or 5, please complete Section 2. D. with information about the new company before completing Section 3.
D. If Plant was sold or leased, please provide the following:
Date of Transaction :
Month
Name of New Company Sold to or Leased to

Name of New Contact Name

Address of New Company (Street)

(City)

New Company Contact E-mail

New Company Contact Phone Number

(County)

(State)

Day

(Zip Code)

New Company Contact Fax Number

Year

U.S. Department of Energy
Energy Information Administration
Form EIA-22M
(February 2009)

Form Approved
OMB No. 1905-0207
Expires 02/29/2012
Burden: 3.0 Hours

Monthly Biodiesel Production Survey
Page 3
Reporting Month and Year:
Respondent ID:

/

3. Production, Inputs, Stocks, and Sales
A. Volumetric Balance, Production, and Inputs to Production of B100
a.

Gallons

Beginning-of-Month Stocks of B100

b.
Total B100 Production During the Month
c.
Total B100 Sales During the Month
d.
Total B100 Included in Sales of Biodiesel Blends
e.
B100 Adjustments (+/-)*
f.
End-of-Month Stocks of B100
Note: Beginning-of-month stocks plus production less sales +/- adjustments should equal end-of-month stocks.
* Explain B100 Adjustments in the Remarks section below (Section 4.).

B. Co-Product Production
a.
b.
c.

Pounds

OR

Gallons

Glycerol Production
Other Co-Product Production
Was Glycerol Purity Verified By Laboratory Test? (Yes or No)

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

b. Alcohol Used in Production
c. Catalysts Used in Production

Pounds

U.S. Department of Energy
Energy Information Administration
Form EIA-22M
(February 2009)

Form Approved
OMB No. 1905-0207
Expires 02/29/2012
Burden: 3.0 Hours

Monthly Biodiesel Production Survey
Page 4
Reporting Month and Year:
Respondent ID:

D. Sales of B100 and Blended Biodiesel

Sales for Which Producer
Claimed Tax Credit*

/

Sales for Which Producer Did
Not Claim Tax Credit*

Volume

Revenue

Volume

Revenue

(Gallons)

(Dollars)

(Gallons)

(Dollars)

Total Sales
If you sold biodiesel to end users, please also complete Section E.
1. Sales to End Users
a) B98-B100
a1) Diesel Included in B98-B100 Blends
b) Other Biodiesel Blends
b1) Diesel Included in Other Blends
2. Sales for Resale
a) B98-B100
a1) Diesel Included in B98-B100 Blends
b) Other Biodiesel Blends
b1) Diesel Included in Other Blends
* The term “tax credit” includes Federal income and excise tax credits for biodiesel blending. It excludes the Federal small producer
credit for biodiesel and any State tax incentive.
E. End Use Sales of Biodiesel

1. B98-B100
2. Diesel Included in B98-B100
3. Other Biodiesel Blends
4. Diesel Included in Other Blends

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

Volume (Gallons)
On-Road

Off-Road

Transportation

Transportation

Heating

Other Uses