| The public report burden for this information collection is estimated to average 6 hours |
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State Name |
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Year |
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MONTHLY MOTOR-FUEL CONSUMPTION |
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NOTE: This collection of information is required by 23 U.S.C. 104 (b) and 105 (b); and 23 C.F.R. 1.5 and 420.105(b). Public reporting burden is estimated to average 6 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. The Guide data is used by FHWA in administering the Federal-Aid Highway Program; in assessing highway policies, programs and performance of the Nation’s highway transportation system; in identifying future highway system investment needs; and in making policy and program recommendations. Please note that an agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB control number. The OMB control number for this collection is 2125-0032, which expires on XX/XX/XXXX. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to: Information Collection Clearance Officer, Federal Highway Administration, 1200 New Jersey Avenue, SE, Washington, DC 20590. |
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Month of Sale or Transfer |
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Units (check one) |
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Gallons |
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Liters |
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Private and Commercial |
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Item |
Line |
Gasoline |
Gasohol |
Highway |
Alternate |
Total |
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No. |
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Diesel |
Fuels |
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(1) |
(2) |
(3) |
(4) |
(5) |
| 1. Gross Volume Reported |
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01 |
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| 2. Fully |
a. Losses-Flat % |
21 |
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| Tax |
b. Losses-Actual |
22 |
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| Exempt |
c. Federal |
23 |
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d. |
24 |
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e. |
25 |
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f. |
26 |
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g. |
27 |
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h. |
28 |
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i. |
29 |
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j. Total (a. thru i.) |
30 |
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| 3. Gross Volume Taxed (1.-2.j.) |
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40 |
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| 4. Fully |
a. Agriculture |
51 |
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| Refunded |
b. Aviation |
52 |
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c. Industrial/Commercial |
53 |
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d. Construction |
54 |
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e. Boating |
55 |
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f. |
56 |
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g. |
57 |
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h. |
58 |
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i. |
59 |
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j. |
60 |
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k. |
61 |
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l. |
62 |
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m. |
63 |
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n. |
64 |
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o. |
65 |
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p. |
66 |
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q. |
67 |
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r. |
68 |
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s. |
69 |
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t. Total (a. thru s.) |
70 |
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| 5. Net |
a. At Full Rate |
81 |
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| Volume |
b. Aviation |
82 |
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| Taxed |
c. |
83 |
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d. |
84 |
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| (Partial |
e. |
85 |
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| Exemption |
f. |
86 |
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| or |
g. |
87 |
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| Refund) |
h. |
88 |
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i. |
89 |
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j. Total (a. thru i., 3.-4.t.) |
90 |
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| 6. Source |
a. Agency Preparing this Report |
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b. Compiled under Direction of |
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| Form FHWA-551M (Rev. 10/2005) |
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State Name |
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0 |
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| NOTES AND TECHNICAL INFORMATION |
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Year |
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0 |
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Month |
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0 |
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| 1. Rate of tax at end of month, in cents per gallon or liter. |
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| (If tax is ad valorem, post percentage, and briefly explain basis |
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| below.) |
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Fuel Type |
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Rate (cents) |
Effective Date (mm/dd/yyyy) |
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a. Gasoline |
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b. Gasohol |
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c. Diesel |
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d. LPG |
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e. CNG |
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f. M85 |
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g. E85 |
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h. LNG |
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i. Biodiesel |
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j. Other |
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| 2. Rate of Optional Tax at end of month (in cents per gallon) |
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Rate Name |
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Rate (Cents) |
Effective Date (mm/dd/yyyy) |
Inpection Fee Comment(s) |
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Inspection Fee |
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Environmental Fee |
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Local Option Tax applied Uniformly Across the State |
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Other |
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| 3. Computation of gross volume reported (page1, item1.) |
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Gasoline |
Diesel/Kerosense |
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| Gross sales from sellers' returns |
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| Plus: IFTA fuel used in State (from users' returns) |
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| Less: IFTA fuel purchased tax paid in State (from users' returns) |
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| = Net consumption in State (Enter on page 1, item 1.) |
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0 |
0 |
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| Interstate motor-carrier (fuel use tax) fuel volume shown above |
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Beginning |
End |
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| 4. Stratification of Gasohol by Blend Ratio |
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| The gasohol volume shown on page 1, column (2) includes: |
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| (Show actual/estimated volume or percentage shares) |
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Percent Alcohol |
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Volume |
Percentage Share |
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5.7-7.6% |
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7.7-9.9% |
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10 + % |
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| 5. Notes and Comments |
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| Form FHWA-551M (Rev. 10/2005) |
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2 |
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