NWPA-830G Annex A to Appendix G

OMB No: 1901-0260
U.S. Department of Energy
ANNEX A TO APPENDIX G
(Expires
)
Energy Information Administration
Standard Remittance Advice For Payment of Fees
Form NWPA-830G (Revised 03/12)
Section 1. Identification Information: Please first read the
Section 2. Net Electricity Generated Calculation
instructions on the back.
1.1 Purchaser Information:
Station Total 1
Item
Unit 1
Unit 2
Unit 3
1.11 Name:____________________________________________ 2.1 Unit ID Code:
1.12 Address:__________________________________________ 2.2 Gross Thermal Energy Generated (MWh):
1.13 Attention: _________________________________________ 2.3 Gross Electricity Generated (MWh):
2.4a Nuclear Station Use While At Least One
1.14 City: _________________________
Nuclear Unit Is In Service 2 (MWh):
1.15 State: ________________________ 1.16 Zip: ___________
2.4b Pumped-Storage Hydro Offset 3 (MWh):
1.17 Utility ID Number: ____ ____
1.2 Contact Person:
2.5 Nuclear Station Use While All Nuclear
Units Are Out Of Service 2 (MWh):
1.21 Name: ___________________________________________
1.22 Title: __________________________ __________________ 2.6 Net Electricity Generated (MWh)
1.23 Phone No.: (
)(
) Ext:_______________
(Item 2.3 minus (Item 2.4a plus Item 2.4b))
1.3 Station Name: ________________________________________ 2.7 Footnote (if any):
________________________________________
1.4 Standard Contract Identification No: _____________________ 1
For a nuclear station with more than one reactor and different ownerships for each reactor, a separate Annex A will
1.5 Period Covered (MM/DD/YY):
be required.
2
1.51 From: ______ / ______ / ______ To: _____ / _____/ _____
Utilities unable to meter individual unit use shall report estimated unit use and shall explain in a footnote how the
1.52 Date of This Submission: ________ /________ / ________
unit data were estimated.
3
Complete this item only if the DOE has approved a methodology for calculating such offsets.
1.53 Revision Number: ____ ____
3.1

Data Sources:

1. EIA-861;

3.2
3.3

Owner's Share Method:
Weighted Energy Adjustment Factor
Calculation

2. FERC Form No. 1;

Section 3. Total Energy Adjustment Factor
3. Other (Specify in attachment)

Contractual Share;
Prorata Share of Electricity;
Fixed Entitlement Share
Adjustment for Sales to
Adjustment for
ultimate Consumer
Sales for Resale
(ASC)
(ASR)
Owner's Energy
Fraction of Sales
Sales to ultimate
Fraction of Sales
National average
Owner's
Weighted Energy
Adjustment
Name of Nuclear
Data to ultimate Consumer Consumer Adj. Factor
for Resale
Adjustment Factor
Share
Adj. Factor
Factor
Station Owner(s)
Source
(FSC)
(SCAF)
(FSR)
(NAF)
(OS)
(WEAF)
(OEAF)
<<-----------------------------------------------------------Round Data to 5 Decimal Places ---------------------------------------------------------------------->>
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3.4 Total Energy Adjustment Factor (TEAF = WEAF)
Round to 4 Decimal Places ------>
Section 4. Fee Calculation for Electricity Generated and Sold
Item
Unit 1
Unit 2
Unit 3
Station Total 1
4.1 Total Energy Adjustment Factor (Enter value from Item 3.4 above):
4.2 Electricity Generated and Sold (Items in 4.1 times Items in 2.6):
---- Current Fee Rate (Dollars):
$1/MWh
$1/MWh
$1/MWh
$1/MWh
4.3 Current Fee Due (Whole Dollars): (Transfer Station Total to line 3.4 of Appendix G)
Copy Distribution:

White, DOE-Controller;

Canary, DOE-EIA;

Pink, DOE-GC;

Goldenrod, Utility Copy