EIA-63B Monthly PHOTOVOLTAIC MODULE SHIPMENTS REPORT (MONTHLY)

FORM EIA-63B

PHOTOVOLTAIC MODULE SHIPMENTS REPORT
For Reporting Period ( MM/YY )

OMB No. 1905-0129
Approval Expires: xx/xx/xxxx
Burden: 2.62 hours

This report is mandatory under 15 U.S.C. 772(b). Failure to comply may result in criminal fines, civil penalties and other sanctions as provided by law. For further
information concerning sanctions and data protections see the provisions on sanctions and the provisions concerning the confidentiality of information in the
instructions. Title 18 U.S.C. §1001 makes it a criminal offense for any person knowingly and willingly to make to any Agency or Department of the United
States any false, fictitious, or fraudulent statements as to any matter within its jurisdiction.
SCHEDULE 1: IDENTIFICATION (annual and monthly respondent)
Part A: Reporting Company Information
1.A.1
Reporting Company ID
1.A.2
Reporting Company Name
1.A.3
Reporting Company URL
1.A.4
Reporting Company Street Address
1.A.5
Reporting Company Suite Address
1.A.6
Reporting Company City
1.A.7
Reporting Company State
1.A.8
Reporting Company Zip Code
1.A.9
Reporting Company Official
1.A.10 Reporting Company Official Title
1.A.11 Reporting Company Official Phone
1.A.12 Reporting Company Official Fax
1.A.13 Reporting Company Official Email
Part B: Survey Contact
1.B.1
Survey Contact ID
1.B.2
Survey Contact Name
1.B.3
Survey Contact Title
1.B.4
Survey Contact Company URL
1.B.5
Survey Contact Street Address
1.B.6
Survey Contact Suite Address
1.B.7
Survey Contact City
1.B.8
Survey Contact State
1.B.9
Survey Contact Zip Code
1.B.10 Survey Contact Phone
1.B.11 Survey Contact Fax
1.B.12 Survey Contact Email

Part C: Supervisor of Contact Person for Survey
1.C.1
Company Supervisor ID
1.C.2
Company Supervisor Name
1.C.3
Company Supervisor Title
1.C.4
Company Supervisor Company URL
1.C.5
Company Supervisor Street Address
1.C.6
Company Supervisor Suite Address
1.C.7
Company Supervisor City
1.C.8
Company Supervisor State
1.C.9
Company Supervisor Zip Code
1.C.10
Company Supervisor Phone
1.C.11
Company Supervisor Fax
1.C.12
Company Supervisor Email

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FORM EIA-63B

PHOTOVOLTAIC MODULE SHIPMENTS REPORT
For Reporting Period ( MM/YY )

OMB No. 1905-0129
Approval Expires: xx/xx/xxxx
Burden: 2.62 hours

SCHEDULE 1: IDENTIFICATION (continue)
Part D: Parent Company Information
1.D.1
Parent Company ID
1.D.2
Parent Company Name
1.D.3
Parent Company Official Contact Name
1.D.4
Parent Company URL
1.D.5
Parent Company Street Address
1.D.6
Parent Company Suite Address
1.D.7
Parent Company City
1.D.8
Parent Company State
1.D.9
Parent Company Zip Code
1.D.10 Country (if outside U.S.)
1.D.11 Parent Company International
Phone Number
1.D.12 Parent Company Official Contact Phone
1.D.13 Parent Company Official Contact Fax
1.D.14 Parent Company Official Contact Email

Part E: Parent Company Contact Information
1.E.1
Parent Company Contact ID
1.E.2
Parent Company Contact Name
1.E.3
Parent Company Contact Title
1.E.4
Parent Company Contact URL
1.E.5
Parent Company Contact Street Address
1.E.6
Parent Company Contact Suite Address
1.E.7
Parent Company Contact City
1.E.8
Parent Company Contact State
1.E.9
Parent Company Contact Zip Code
1.E.10
Country (if outside U.S.)
1.E.11
Parent Company Contact International
Phone Number
1.E.12
Parent Company Contact Phone
1.E.13
Parent Company Contact Fax
1.E.14
Parent Company Contact Email

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FORM EIA-63B

OMB No. 1905-0129
Approval Expires: xx/xx/xxxx
Burden: 2.62 hours

PHOTOVOLTAIC MODULE SHIPMENTS REPORT
For Reporting Period ( MM/YY )
SCHEDULE 2: COMPANY STATUS (Respondent Business Type) (monthly respondents)

Please mark the appropriate box or boxes to indicate business activities. For glossary and instructions, please refer to the instructions
for this form.
2.1 Manufacturer: □
2.1.1 If your company also manufactures Original Equipment Manufacturer (OEM) brands for brand name manufacturer(s) (private label owner),
please provide brand name owner contact information below.
Company Name

Brand Name

Contact Name

Address

Phone

Email

2.2 Private Label Owner (Brand Name Manufacturer): □
2.2.1 If your company outsources the manufacturing process to an Original Equipment Manufacturer (OEM) that manufactures the brands for you
as a private label owner, please provide the contact information of the contracting manufacturer(s) below and continue to complete the remaining
schedules.
Contracting Manufacturer Name

Contact Name

Address

2.3 Subsidiary or Business Unit of Overseas Manufacturer: □
2.4 U.S. Registered Publicly Traded Overseas Manufacturer: □
2.5 Importer: □
2.6 Exporter: □

3

Phone

Email

FORM EIA-63B

PHOTOVOLTAIC MODULE SHIPMENTS REPORT
For Reporting Period ( MM/YY )

OMB No. 1905-0129
Approval Expires: xx/xx/xxxx
Burden: 2.62 hours

SCHEDULE 3: INDUSTRY STATUS (monthly respondents)
Part A: Mark the appropriate box or boxes to indicate all the photovoltaic-related activities in which your company was engaged during the reporting period. Mark
only those that apply to your photovoltaic-related activities.
(a) □
(b) □
(c) □
(d) □
(e) □
(f) □
(g) □

Module manufacturing
Module design
Prototype module development
Wholesale distribution
Retail distribution
Installation
Other (describe)

Part B: If you are planning to introduce a new photovoltaic-related product in the next calendar year, please check the appropriate box.
(a) □
(b) □
(c) □
(d) □
(e) □
(f) □
(g) □

Single-crystal silicon modules
Cast silicon modules
Ribbon silicon modules
Amorphous silicon modules
Other thin-film (describe)
Concentrator
Other (describe)

Part C: Please enter the number of full-time equivalent employees in your company engaged in photovoltaic-related activities during the reporting
period.
Part D: What percentage of your company’s total sales revenue is comprised of photovoltaic-related activities?
(a) □ 90 – 100%
(b) □ 50 – 89%
(c) □ 10 – 49%
(d) □ Less than 10%
Part E: Production Capacity for US Manufacturing Photovoltaic Modules.
Please enter the company’s current and planned maximum annual production capability to manufacture PV modules in peak kilowatts
(a) current (peak kilowatts)_________________

(a) planned (peak kilowatts) __________________

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FORM EIA-63B

OMB No. 1905-0129
Approval Expires: xx/xx/xxxx
Burden: 2.62 hours

PHOTOVOLTAIC MODULE SHIPMENTS REPORT
For Reporting Period ( MM/YY )
SCHEDULE 4: PHOTOVOLTAIC MODULES SOURCE AND DISPOSITION (monthly and annual respondents)

Monthly respondents report for the reporting month (one month shipments per monthly report). Annual respondents report for the reporting year
(twelve months shipments in one report)
Contracting manufacturer, please DO NOT report shipments for brand name manufacturer (private label owner). Reporting shipments
for brand name manufacturer (private label owner) will cause duplicate reporting.

Photovoltaic Modules
(a) Product Available (Modules Only)

Types

Concentrator

Total

(kWp)

(kWp)

(kWp)

(kWp)

(kWp)

Dollars

Dollars

Dollars

Dollars

(kWp)

(kWp)

(kWp)

(kWp)

Single Crystal
(kWp)

Crystalline Silicon
Cast
(kWp)

Ribbon
(kWp)

(kWp)

(kWp)

(kWp)

(kWp)

Dollars

Dollars

Dollars

(kWp)

(kWp)

Amorphous Silicon
(kWp)

Thin-Film
Other Specify:______
(kWp)

(1Inventory at beginning of reporting period
(2) Modules manufactured
(3) Modules imported
(4) Modules purchased from U.S. OEM*
(5) Cumulative total available for shipment
(b) Shipments (Modules Only)
(1) U.S. Shipments, excluding sales for resale
(2) Sales to U.S. OEM* for Resale
(3) Export Shipments (sales overseas)
(4) Total Shipments
(c) Revenue (Modules Only)
(1) Value of Total Shipments (modules from 4.B.b.4
in whole $)
(2) Average Value of Modules (dollars per peak
watt)
(d) Inventory (Modules Only)

(kWp)

(1) Inventory at end of reporting period

* Original Equipment Manufacturer (OEM)

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FORM EIA-63B

PHOTOVOLTAIC MODULE SHIPMENTS REPORT
For Reporting Period ( MM/YY )

OMB No. 1905-0129
Approval Expires: xx/xx/xxxx
Burden: 2.62 hours

SCHEDULE 5: ORIGIN OF PHOTOVOLTAIC MODULES (monthly respondents)
Part A: Modules imported during reporting month, by country
Photovoltaic Modules

Country Name
(a)

Manufacturer Name
(b)

Single
Crystal
(c)
Peak
Kilowatts

Types

Crystalline Silicon
Cast

Ribbon

(d)
Peak
Kilowatts

(e)
Peak
Kilowatts

TOTAL

6

Thin-Film
Amorphous
Other
Silicon
Specify:____
(f)
(g)
Peak
Peak
Kilowatts
Kilowatts

Concentrator

Total

(h)
Peak
Kilowatts

(i)
Sum of
Columns (c)
through (h)

FORM EIA-63B

PHOTOVOLTAIC MODULE SHIPMENTS REPORT
For Reporting Period ( MM/YY )

OMB No. 1905-0129
Approval Expires: xx/xx/xxxx
Burden: 2.62 hours

Part B: Modules manufactured in U.S. during reporting month, by state
Photovoltaic Modules

State/Territory Name
(a)

Manufacturer Name
(b)

Single
Crystal
(c)
Peak
Kilowatts

Types

Crystalline Silicon
Cast

Ribbon

(d)
Peak
Kilowatts

(e)
Peak
Kilowatts

TOTAL

7

Thin-Film
Amorphous
Other
Silicon
Specify:____
(f)
(g)
Peak
Peak
Kilowatts
Kilowatts

Concentrator

Total

(h)
Peak
Kilowatts

(i)
Sum of
Columns (c)
through (h)

FORM EIA-63B

PHOTOVOLTAIC MODULE SHIPMENTS REPORT
For Reporting Period ( MM/YY )

OMB No. 1905-0129
Approval Expires: xx/xx/xxxx
Burden: 2.62 hours

SCHEDULE 6: DESTINATION OF PHOTOVOLTAIC MODULES (monthly respondents)
Part A: Export Shipments by Country during month
Photovoltaic Modules

Types

Crystalline Silicon
Single Crystal
Cast
Country Name
(a)

(c)
Peak
Kilowatts

(d)
Peak
Kilowatts

Ribbon
(e)
Peak
Kilowatts

TOTAL

8

Thin-Film
Amorphous
Other
Silicon
Specify:_____
(f)
(g)
Peak
Peak
Kilowatts
Kilowatts

Concentrator

Total

(h)
Peak
Kilowatts

(i)
Sum of
Columns (c)
through (h)

FORM EIA-63B

OMB No. 1905-0129
Approval Expires: xx/xx/xxxx
Burden: 2.62 hours

PHOTOVOLTAIC MODULE SHIPMENTS REPORT
For Reporting Period ( MM/YY )
Part B: U.S. Shipments during month (sales within U.S. excluding sales for resale) by State.
Note: Please complete 6.B. for each state where modules are shipped to within the United States.

Photovoltaic Modules
U.S. Shipments (sales within the U.S.
excluding sales for resale) by State
State

Single Crystal

Crystalline Silicon
Cast

Types
Ribbon

(c)

(d)

(e)

(kWp)

(kWp)

(kWp)

Total U.S Shipments

9

Thin-Film

Amorphous Silicon
(f)

Other
Specify:______
(g)

(kWp)

(kWp)

Concentrator

Total

(h)

(i)

(kWp)

(kWp)

FORM EIA-63B

PHOTOVOLTAIC MODULE SHIPMENTS REPORT
For Reporting Period ( MM/YY )

OMB No. 1905-0129
Approval Expires: xx/xx/xxxx
Burden: 2.62 hours

SCHEDULE 7: COMMENTS (monthly and annual respondents)
Part A: Enter comments regarding this report.

Contact Information:

If you need an alternate means of filing your response or have questions about the data requested on Form EIA-63B, please contact the Survey Manager, Lolita
Jamison at [email protected] or (202) 586-9567.

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