NHTSA Form 1621 Credit Value Template

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Overview

Instructions
Definition & Required Documents
Details

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Sheet 1: Instructions

United States Department of Transportation National Highway Traffic Safety Administration NHTSA CAFE Credit Trade Cost Reporting Form NHTSA Form Number 1621 49 CFR 536.8, 49 CFR 536.5(c)(6), and 49 CFR 536.7 Version Number: 1.0; Last Revision: 08/31/2021; Expiration Date: xxxxxxxxxx
	A. Data Definitions
	The template commences with the Data Definitions and Required Documents tab. This worksheet provides the user with the worksheet name, location, data source, data type/format, data definition/description, and regulatory citation for each data field within the template. The Data Definitions and Required Documents worksheet is a guide that users can reference when completing the template.
	B. Details
	This worksheet is where users provide details to NHTSA about the Trade related to the Transaction ID (generated in NHTSA Credit Template).
	Below are the steps on how to fill the Details Tab in CAFE Credit Value Template.
	Once selected Yes for the associated Monetary and/or Non - Monetary trades, the Monetary and/or Non - Monetary tab(s) will pop out.
	This worksheet is where users provide details to NHTSA pertaining to Monetary Value of the Trade.
	Below are the steps on how to fill the Monetary Tab in CAFE Credit Value Template.
	D. Non - Monetary
	This worksheet is where users provide details to NHTSA pertaining to Monetary Value of the Trade.
	This section is divided into 5 parts: A. Does the trade involve non - monetary exchange of credits between the manufacturers? B. Corporate Relationships and Controls C. Exchanged Technology D. Shared Technology E. Other Non-Monetary Factors
	Each section has option to choose from "Yes" or "No". If selected "Yes" then the user is required to provide the required information. The space provided in each section is to describe the documents that are required to justify the Non - Monetary Trade. User is required to explain in detail any Non - Monetary Trade in a separate attachment. User is also required to submit all the copies of supporting documents such as signed documents describing non-monetary exchanges
	Below are the steps on how to fill the Monetary Tab in CAFE Credit Value Template.

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Sheet 2: Definition & Required Documents

United States Department of Transportation National Highway Traffic Safety Administration NHTSA CAFE Credit Trade Cost Reporting Form NHTSA Form Number 1621 49 CFR 536.8, 49 CFR 536.5(c)(6), and 49 CFR 536.7 Version Number: 1.0; Last Revision: 08/31/2021; Expiration Date: xxxxxxxxxx
						Paperwork Reduction Act Notice
						The public reporting and recordkeeping burden for this collection of information is estimated to average 52 hours per response. Send comments on the Agency's need for this information, the accuracy of the provided burden estimates, and any suggested methods for minimizing respondent burden, including through the use of automated collection techniques to the address below. Include the OMB control number in any correspondence, but do not send the completed documents.
						Office of the Chief Information Officer Office of the Secretary 1200 New Jersey Avenue, SE Washington, DC 20590
	Worksheet	Data Field	Location	Source	Data Type	Data Definition / Description	Regulatory Citations
	Details	Credit Buyer	D3	User - Selected	List	Provide the name of the manufacturer who is purchasing the credits in the trade being detailed by this spreadsheet
	Details	DATE	D5	User - Entered	Date (mm/dd/yyyy)	Provide the date the trade was requested on
	Details	Transaction ID (if applicable)*	D7	User - Entered	Text	Please copy auto-populated transaction ID from Form 1475, NHTSA CAFE Credit Template
	Details	Total Unadjusted Credit Trade Amount	H9	User - Entered	Number	Total amount of credits traded
	Details	Is there any Monetary Value Associated with the Trade?	E9	User - Selected	Button	Indicate if there was there an exchange of currency for the credits, if yes fill in the required information on the monetary tab
	Details	Is there any Non - Monetary Value Associated with the Trade?	E11	User - Selected	Button	Indicate if there were any exchanges of non-monetary value for the credits, if yes fill in the required information on the non-monetary tab
	Monetary	Total Unadjusted Monetary Credit Amount	D3	User - Entered	Number	Total amount of credits (unadjusted) that were purchased with currency, and were not a result of any additional non-monetary exchange
	Monetary	Cost	D5	User - Entered	Number	Amount of currency exchanged for credits in D3, enter in whatever currency the trade was purchased in (before any conversion)	536.5 (c) (6)
	Monetary	Currency Exchange Date	D7	User - Entered	Date (mm/dd/yyyy)	Date that the currency involved in the trade was exchanged between manufacturers
	Monetary	Enter the Cost of the Trade in US Dollar Currency	H5	User - Entered	Number	If trade was executed using non-US currency, please enter the value in US dollars based on the exchange rate on the date the trade was executed
	Monetary	Currency	J7	User-Selected	List	Choose the currency in which the trade was executed
	Monetary	Currency Exchange Rate ($)	H7	User - Entered	Number	List the exchange rate from other currency to US currency on the date the trade was executed
	Non - Monetary	Total Unadjusted Non-Monetary Credit Amount	F3	Auto-populated	Number	Total Value of Non-Monetary factors that contributed to the trade	536.5 (c) (6)
	Non - Monetary	Does the trade involve non-monetary exchange of credits between the manufacturers	Row 5 : Row 12	User-Entered	Text	Indicate if the trade involves a non-monetary exchange of credits. If yes, please enter the amount of credits exchanged. If yes, please also describe and attach any supporting documents that outline this exchange
	Non - Monetary	Corporate Relationships and Controls	Row 14 : Row 53	User-Entered	Text	Please indicate if any of the types of corporate relationship described apply to the manufacturers involved in the trade. If yes, please expand on the value of these non-monetary benefits and describe and attach any supporting documents
	Non - Monetary	Exchanged Technology	Row 55 : Row 66	User-Entered	Text	Indicate if any technology was exchanged between the manufacturers involved in the trade. If so please estimate the credit value of this exchange. Describe in detail what technologies were exchanged and provide supporting documentation
	Non - Monetary	Shared Technology	Row 68: Row 79	User-Entered	Text	Indicate if any technology was shared between the manufacturers involved in the trade. If so please estimate the credit value of sharing the technology. Describe in detail what technologies were shared and provide supporting documentation
	Non - Monetary	Other Non-Monetary Factors	Row 81 : Row 95	User-Entered	Text	Indicate if any there were any other non-monetary factors involved in the trade. If so please estimate the credit value of those non-monetary factors. Describe in detail what other non-monetary factors were involved in the trade and provide supporting documentation
NOTE:	Include copies of all documents involved and supporting the credit trades:
	- Copies of signed documents with monetary terms
	- Copies of signed documents describing non-monetary exchanges

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Sheet 3: Details

United States Department of Transportation National Highway Traffic Safety Administration NHTSA CAFE Credit Trade Cost Reporting Form NHTSA Form Number 1621 49 CFR 536.8, 49 CFR 536.5(c)(6), and 49 CFR 536.7 Version Number: 1.0; Last Revision: 08/31/2021; Expiration Date: xxxxxxxxxx
	CREDIT BUYER:		(Select Manufacturer)
	DATE (mm/dd/yyyy):
	Transaction ID (if applicable)*:
	Is there any Monetary Value Associated with the Trade?
	Is there any Non - Monetary Value Associated with the Trade?						2