Better Plants Chal Better Plants Challenge Data Template

Better Buildings, Better Plants Annual Reporting Form Description

OMB 1910-5141

Expiration date: TBD

Company Name:

Company Contact Name:

Address:

Phone:

Email Address:

NAICs of Participating Plants:

Year of Reported Data:

Baseline Year:

	Baseline Year	Current Year
Number of Participating Plants Included in Current Year of Pledge1:
Primary Energy Consumed (MMBtu)	Baseline Year	Current Year
Electricity:
Natural gas:
Distillate or Light Fuel Oil (#1, 2, & 4):
Residual or Heavy Fuel Oil (# 5, 6, Navy Special, & Bunker C):
Coal:
Coke:
Blast Furnace Gas:
Wood Waste:
Other Gas (please specify):
Other Liquid (please specify):
Other Solid (please specify):
Total Primary Energy Consumed (MMBtu):
Adjustment for Baseline Primary Energy (+/- MMBtu):
Adjusted Baseline of Primary Energy (MMBtu):
New Energy Savings for Current Year (MMBtu):
Total Energy Savings since Baseline Year (MMBtu):

Annual Change in Energy Intensity for Current Year (%)²:

Total Change in Energy Intensity from Baseline Year (%):

¹Participating plants should only include those located in the United States.

²Please refer to the DOE’s Energy Baseline Guidance document to determine changes in intensity. Improvement in performance should be reported as a positive number.

Please describe any methods undertaken to normalize energy intensity data or adjust baseline data to account for economic and other factors that affect energy use:

Energy Efficiency Investment Information

	Current Year	Total since Baseline Year
Aggregate Energy Efficiency Investment ($)
Aggregate Energy Cost Savings ($)

Facility-level Energy Performance (Applies to Companies with Multiple Plants)

Please indicate the number of participating plants that achieved the corresponding cumulative improvement levels since baseline year.

Energy Intensity Performance Level	Number of Plants
<0%
0-2%
2-4%
4-6%
6-8%
8-10%
10-15%
15-20%
20-25%
25-30%
30-35%
>35%

Public reporting burden for this collection of information is estimated to average 1 hour per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information.  Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to Office of the Chief Information Officer, Records Management Division, IM-23, Paperwork Reduction Project (1910-5141), U.S. Department of Energy, 1000 Independence Ave SW, Washington, DC, 20585-1290; and to the Office of Management and Budget (OMB), OIRA, Paperwork Reduction Project (1910-5141), Washington, DC  20503.

In furtherance of the objectives of the Better Buildings Challenge, the Department of Energy (DOE) intends to publicly post information submitted in response to this template on the Better Buildings Challenge website.  Information submitted to DOE will be handled in accordance with all applicable federal laws, rules, or regulations, including but not limited to the Trade Secrets Act, 18 U.S.C. §1905, and the Freedom of Information Act (FOIA), 5 U.S.C. §552, and DOE's implementing regulations at 10 CFR 1004.  Participation in the Better Buildings Challenge is voluntary.  Do not include any personal or confidential commercial and financial information in response to this template. Commercial and financial information is considered to be confidential when its release would be likely either to harm the submitter’s commercial interests or to affect the agency’s ability to obtain information in the future.  This statement serves as your written notice that DOE intends to publicly post this information.  By submitting information in response to this template, you are certifying that this information does not contain confidential commercial or financial information.