Printing and Publishing Activities

---

Overview

Start Here
Schedule 5-1
Schedule 5-2
Schedule 5-3
Schedule 5-4
Schedule 5-5
Schedule 5-6
Schedule 5-7
The END

---

Sheet 1: Start Here

		Start Here
			Printing and Publishing Activity
			for
			2014
			Region:		6
				Address:
				City:
				State:
				Zip:
				JCP Auth:
					Click Correction to Modify the Above Information
			Burden Disclosure Statement:
			Public reporting burden for this collection of information is estimated to average (38.43 hours) 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 & Privacy Management Division, IM-23, Paperwork Reduction Project (OMB Control No. 1910-0100), 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 (OMB Control No. 1910-0100), Washington, DC 20503.
								OMB Control No. 1910-010
								OMB Expiration Date:  MM/DD/YYYY

---

Sheet 2: Schedule 5-1

Schedule 5-1
Printing and Publishing Activity
Budget Projections
(Round to the nearest thousand)
Facility Name and Address:
Activity	Past	Current	Plan	Out Year 1	Out Year 2
	2014	2015	2016	2017	2018
In-House Printing
In-House Duplicate
Private Sector GPO/RPPO
Private Sector UNICOR
Total	$-	$-	$-	$-	$-
DOE F 574.1 (05-2014)			OMB Control No. 1910-0100
				OMB Expiration Date:  MM/DD/YYYY

---

Sheet 3: Schedule 5-2

Schedule 5-2
Printing and Publishing Activity
Production Projections
Facility Name and Address:
Activity	Past	Current	Plan	Out Year 1	Out Year 2
	2014	2015	2016	2017	2018
In House Printing (In Thousands)
Print Actual Jobs
In House Duplicating (In Thousands)
Duplication Actual Jobs
Private Sector GPO
Private Sector UNICOR
DOE F 574.2 (05-2014)			OMB Control No. 1910-0100
				OMB Expiration Date:  MM/DD/YYYY

---

Sheet 4: Schedule 5-3

				Printing Plant Report
				JCP FORM NO. 1 (Rev. 3-71)						Region:	6
				DOE (Rev. 7-86)						Schedule:	5-3
				Department Headquarters shall submit 2 copies of this report to the JCP within 60 days after the close of the fiscal year.
		Department or Agency			Name and Location of Plant				JCP Authorization		For Period
		Department of Energy							Number		Ended
											09/30/2014
		Part I. -- Cost Information (For Fiscal Year)
		Item							All Printing Except Composition 1. (col A)	Composition All Types 2. (col B)	Operations other Than Printing 3. (col C)
		Total Salaries of all personnel including supervisory directly engaged in the operation of the plant (including overtime and annual and sick leave)							Omit Cents	Omit Cents	Omit Cents
		Cost of Paper, ink, chemicals,negatives,plates,etc… used during report period
		Equipment Depreciation (1% per month of original cost until fully depreciated
		amount spent for repairs and maintenance
		Allowance for space occupied (whether Government-owned or rented), utilities, etc.
		(14.5 cents per month per sq. Ft. Of total apace occupied). Square footage:
		Equipment Rental
		Total Cost (Use Col A total from this line to compute cost per 1000 units)							$-	$-	$-
		Total Cost of Printing Including Composition (col A+col B)							$-
		1. Include in Col A cost of all offset camera work, negative work, imposition, platemaking, duplicating, presswork,
		scoring, perforating, numbering, folding, collating, gathering, drilling, punching,stiching,sewing, inserting,
		tipping, padding, trimming, tying, wrapping, and all other operations needed to complete printing or binding product.
		2. Include in Col B cost of all composition produced by plant.
		3. Include in Col C cost of all operation not involving printing (Col A) and Composition (Col B) . Costs to be included
		in Col C will include addressing, distribution, camera work (other than lithographic), photostating, ozalid, B/W, etc.
		Part II. -- Production Information (For Fiscal Year)
		Presswork						Units Per Press Impression	Number of presses In Each Category Reported	Number of Masters and plates	Total Units Produced Excluding Overruns
								(Col D)	(Col E)	(Col F)	(Col G)
		OFFSET	11x17 (Image <= 10 3/4x14 1/4)					1
			11x17 Tandem (Image>10.75x14¼)					2
			11x17 (Image>10.75x14¼)					2
			14x20 and 15x18					2
			11x17 Tandem (Image>10.75x14¼)					4
			17x22 and 19x25					4
			22x29					6
			22x34					8
			23x36					8
			23x36 Perfecting					16
			34x44					16
			Other (Specify)
			Total units produced by offset this fiscal year								0
		ELECTROSTATIC DUPLICATION
			Total Units Produced By Electrostatic Duplicator								0
			Total units Produced In Plant Fiscal Year								0
		Cost per 100 units (total cost of printing, excluding composition, part I, col A, divided by total
		Production units produced in the plant. Drop last 3 digits of col G when computing cost per 1000 units).									$-
		Prepared by: (Person in charge of plant)								Date Submitted:
		* Electrostatic duplicators include, but are not limited to, Xerox 1000 and 900 series; Kodak 100 and 200 series ;
		and IBM copier III's where staffed.
		JCP FORM NO. 1 (Rev. 3-71)								Region:	6
		DOE (Rev. 7-86)								Schedule:	5-3
		Department Headquarters shall submit 2 copies of this report to the JCP within 60 days after the close of the fiscal year.
		Department or Agency			Name and Location of Plant				JCP Authorization		For Period
		Department of Energy							Number		Ended
											09/30/2014
		Part III. --- List of Reportable jobs Run During the Period* (for Fiscal year)
		* Report only those jobs which exceed the quantity of production					Unit Size **			Unit Size **
		units, by press production unit size, as shown below:
		Press Production Unit Size			Production Unit		11"X17" or less (max image 10.75"X14.25")……………..1			22"X29"	6
							11"X17" or less tandem (maximum image			22"X34"	8
		Less than 4 units			25,000		10.75" X 14.25")…………………………………………………………….2			22"X36"	8
		4 units			60,000		11"X17" (image > 10.75"X 14.25")………………………………2			25"X38"	10
		6 units			90,000		14" X 20" ……………………………………………………………………….2			23"X36"
		8 units			120,000		15" X 18" ………………………………………………………………………..2			Perfecting	16
		16 units			240,000		11"X17" tandem (image > 10.75"X 14.25")…..……………4			34"X44"	16
		Over 16 units			Required		17" X 22" ……………………………………………………………………….4			45"X48"	24
							19" X 25" ……………………………………………………………………….4			42"X58"	28
										48"X54"	30
					Number	Number of	Finish	Unit	Press run	Total production	Process
		Title of			of	Copies of	Print	Size	required to	units	o = offset
		Publication or Form			Pages	each page	Page Size	of Press**	complete job	col 5 x col 6	E= Electrostatic
		1			2	3	4	5	6	7	8
									0	0
									0	0
									0	0
									0	0
									0	0
									0	0
									0	0
									0	0
									0	0
									0	0
									0	0
									0	0
									0	0
									0	0
									0	0
									0	0
									0	0
									0	0
									0	0
									0	0
									0	0
									0	0
									0	0
									0	0
									0	0
									0	0
									0	0
									0	0
									0	0
									0	0
									0	0
									0	0
									0	0
									0	0
									0	0
									0	0
									0	0
									0	0
									0	0
									0	0
									0	0
									0	0
									0	0
									0	0
									0	0
									Total	0
		Department Headquarters shall submit 2 copies of this report to the JCP within 60 days after the close of the fiscal year.
		Department or Agency			Name and Location of Plant				JCP Authorization		For Period
		Department of Energy							Number		Ended
											09/30/2014
		Part IV ---- Justification for Reportable Jobs in excess of 15% of Total Production
											OMB Control No. 1910-0100
										OMB Expiration Date:  MM/DD/YYYY

---

Sheet 5: Schedule 5-4

				Commercial Printing Report					Region:	6
				JCP FORM NO. 2 (REV. 3-71)					Schedule:	5-4
			Department or Agency		Name of Service		City and State		For Period Ending
			Department of Energy						April 2014- Sept.2014
			DESCRIPTION		JCP or GPO waiver		Total	Number of	Style	Total Cost
							Number	Pages	of binding	Including
			List each job separately		Number	date	of Copies	per copy	(if any)	Paper
			Total Cost:							$0
			Signature		Title				Date Submitted
										OMB Control No. 1910-0100
									OMB Expiration Date:  MM/DD/YYYY

---

Sheet 6: Schedule 5-5

Annual Plant Inventory

Region:

6

JCP FORM NO. 5 (REV. 5-65)

Schedule:

5-5

Department or Agency

Name and Location of Plant

JCP Authorization

For Period

Department of Energy

Number

Ended

9/30/2014

Description

Install Year

Condition See *

Serial Number

Size

Model

Status See **

Signature

Official Title

Date Submitted

* CONDITION : N=NEW, E=EXCELLENT, G=GOOD, F=FAIR, P=POOR, U=UNSERVICABLE

** STATUS: "ADDED" OR "DELETED" when applicable

Annual Plant Inventory

Region:

6

JCP FORM NO. 5 (REV. 5-65)

Schedule:

5-5

Department or Agency

Name and Location of Plant

JCP Authorization

For Period

Department of Energy

Number

Ended

9/30/2014

Description

Install Year

Condition See *

Serial Number

Size

Model

Status See **

Signature

Official Title

Date Submitted

* CONDITION : N=NEW, E=EXCELLENT, G=GOOD, F=FAIR, P=POOR, U=UNSERVICABLE

** STATUS: "ADDED" OR "DELETED" when applicable

OMB Control No. 1910-0100

OMB Expiration Date:  MM/DD/YYYY

---

Sheet 7: Schedule 5-6

Duplicating Facility Report

Report Period Ending

Region:

6

9/30/2014

Schedule:

5-6

Department or Agency

Name and address of activity

Department of Energy

Part I - COST INFORMATION FOR FISCAL YEAR

ITEM

STAFFING

OPERATIONS OTHER THAN

DUPLICATING /1

DUPLICATING /2

ADMIN

PRODUCTION

(COLUMN A)

(COLUMN B)

Staff personnel and salaries

Cost of paper, ink, etc.. (Cost per 1000 units=$11.49)

Depreciation of equipment

Amount spent for repairs

Allowance for space used Sq. Footage:

Amount spent for rentals

TOTAL COST

$-

$-

1 / Include in column A cost of all duplicating, including

2/ Include in column B cost of all operations not

but not limited to, platemaking, duplicating, scoring

involving duplicating (column A). Cost to be

numbering, folding, collating, drilling, stitching, tying

included in column B will include, but not be

padding, trimming, wrapping, and all other operations

restricted to, addressing, distribution, camera

necessary to complete the duplicating or binding

work (other than lithographic), photostating, etc.

PART II - PRODUCTION INFORMATION FOR FISCAL YEAR

EQUIPMENT

#Machine in each

Number of Originals

Total Produced

UNITS PER IMPRESSION

Category Reported

or Plates

Exchanging Overruns

(Column C)

(Column D)

(Column E)

(Column F)

11" X 17" or less

1

(Maximum image 10 3/4" X 14")

11" X 17" or less, tandem

2

(Maximum image 10 3/4" X 14")

Electrostatic Duplicators *

(Staffed):

Rated speed 70-89 cpm

1

Rated speed over 89 cpm

1

Other (Specify)

Canon 3220

Xerox

Canon 5200

TOTAL PRODUCED IN FACILITY FOR FISCAL YEAR

0

Cost per 1000 Units (Total cost of duplicating)

$0.00

FORMULA: Part I , Col A / Part II, Col F. (Drop last 3 digits of Col F when computing cost / 1000)

NAME / TITLE OF PERSON IN CHARGE

SIGNATURE

DATE SIGNED

* Electrostatic duplicators include, but are not limited to, Xerox 8000 and 9000 series; Kodak 100 AF's, 150 AF's, and 250 AF's and IBM Copier III's when

used in a duplicating facility.

Duplicating Facility Report

Region:

6

PART III - EQUIPMENT INVENTORY

Schedule:

5-6

Department or Agency

Name and Location of Plant

For Period

Department of Energy

Ending

9/30/2014

DESCRIPTION

Install

Condition

INSTALL

Status

Year

See *

Serial Number

MODEL

DATE

See **

Platemaking:

Duplication:

Binding:

* CONDITION : N=NEW, E=EXCELLENT, G=GOOD, F=FAIR, P=POOR, U=UNSERVICABLE

** STATUS: "ADDED" OR "DELETED" when applicable

Duplicating Facility Report

Region:

6

PART III - EQUIPMENT INVENTORY

Schedule:

5-6

Department or Agency

Name and Location of Plant

For Period

Department of Energy

Ending

9/30/2014

DESCRIPTION

Install

Condition

INSTALL

Status

Year

See *

Serial Number

MODEL

DATE

See **

* CONDITION : N=NEW, E=EXCELLENT, G=GOOD, F=FAIR, P=POOR, U=UNSERVICABLE

** STATUS: "ADDED" OR "DELETED" when applicable

DOE F 574.3 (05-2014)

OMB Control No. 1910-0100

OMB Expiration Date:  MM/DD/YYYY

---

Sheet 8: Schedule 5-7

IN-HOUSE COPYING, DUPLICATING & PRINTING REPORT

( Non-Recycled and Recycled Paper )

Used During Fiscal Year FY 2014

Name of the Facility:

Address:

Contact:

Phone Number:

Fax Number:

E-Mail Address:

PAPER PURCHASED FROM THE GENERAL SERVICES ADMINISTRATION

NON-RECYCLED PAPER

RECYCLED PAPER

Post - Consumer Waste Content Of :

Cartons

Cost

%

Cartons

Cost

50

30

20

Other

PAPER PURCHASED FROM SOURCES -OTHER THAN- THE GENERAL SERVICES ADMINISTRATION

NON-RECYCLED PAPER

RECYCLED PAPER

Post - Consumer Waste Content Of :

Cartons

Cost

%

Cartons

Cost

50

30

20

Other

Signature :

Date Submitted:

Official Title :

DOE F 574.4 (05-2014)

OMB Control No. 1910-0100

OMB Expiration Date:  MM/DD/YYYY

---

Sheet 9: The END