Western Area Power Administration Applicant Profile Data Form

DocuSign Envelope ID: 5A5F608D-0A87-47AE-9146-6B199D16BB84

Western Area Power Administration
OMB Clearance Number 1910-5136
Expiration: 03/31/2027

WAPA F 250
(03/24)

APPLICANT PROFILE DATA
All items of information in the Applicant Profile Data (APD) should be answered as if prepared by the
entity/organization seeking the allocation of Federal power from Western Area Power Administration
(WAPA). The APD shall consist of the following:
1. Applicant Information. Please provide the following:
a. Applicant’s (entity/organization requesting an allocation) name and address:
Name:
Address:
City:
State:
Zip:
b. Person representing the applicant:
Contact’s Name:
Contact’s Title:
Address:
City:
State:
Zip:
Telephone:
Fax:
E-mail Address:
c. Type of entity/organization (select one):
Electric Cooperative
Federal Agency
Irrigation District
Joint Power Authority
Municipality
Native American Tribe
Public Utility District
Rural Water User Association
State Agency
Other, please specify: _______________________________________________

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DocuSign Envelope ID: 5A5F608D-0A87-47AE-9146-6B199D16BB84

Western Area Power Administration
OMB Clearance Number 1910-5136
Expiration: 03/31/2027

d. Parent entity/organization of the applicant, if any:
_____________________________________________________________________________
e. Name of the applicant’s member organizations, if any:
(Separated by commas)
_____________________________________________________________________________
f. Applicable law under which the applicant was established:
_____________________________________________________________________________
g. Applicant’s geographic service area (if available, please submit a map of the service area
and indicate the date prepared):
_____________________________________________________________________________
h. Describe whether the applicant owns and operates its own electric utility system.
_____________________________________________________________________________
i. Provide the date the applicant attained utility status, if applicable. 10 C.F.R. Part 905.35
defines utility status to mean “that the entity has responsibility to meet load growth, has a
distribution system, and is ready, willing, and able to purchase power from WAPA on a
wholesale basis for resale to retail consumers.” (Format: MM/DD/YYYY)
_____________________________________________________________________________
j. Describe the entity/organization that will interact with WAPA on contract and billing
matters (include contact person, email, and telephone number).
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________

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DocuSign Envelope ID: 5A5F608D-0A87-47AE-9146-6B199D16BB84

Western Area Power Administration
OMB Clearance Number 1910-5136
Expiration: 03/31/2027

2. Service Requested.
a. Provide the annual amount of power the applicant is requesting to be served by WAPA.
_____________________________________________________________________________
3. Applicant’s Loads. Please provide the following information:
a. For non-utility applicants, including Native American Tribes without utility status,
indicate the utility or utilities currently serving your loads:
_____________________________________________________________________________
b. If applicable, provide the number and type of customers served (e.g., residential,
commercial, industrial, military base, agricultural) or the specific load to be served by the
allocation:
Customer Type and Number
Residential Commercial Industrial Military
Ag
Other
Number of
Customers
If not applicable, explain why?
_____________________________________________________________________________
c. Provide the actual monthly maximum demand (kilowatts) and energy use (kilowatt-hours)
for each calendar month experienced in calendar year 20
:
If the actual demand and energy data are not available or are difficult to obtain provide the estimated
monthly demand.
Demand
(kilowatts)
Energy
(kilowatthours)
Demand
(kilowatts)
Energy
(kilowatthours)

January

July

February

August

March

September

3

April

October

May

June

November

December

DocuSign Envelope ID: 5A5F608D-0A87-47AE-9146-6B199D16BB84

Western Area Power Administration
OMB Clearance Number 1910-5136
Expiration: 03/31/2027

d. If the demand and energy data in (c) above is estimated, provide a description of the
method and basis for this estimation in the space provided below:
_____________________________________________________________________________
e. Provide the annual load factor for calendar year 20
:
If the actual load factors are not available, provide the estimated load factors.
_____________________________________________________________________________
f. Provide the monthly load factors for calendar year 20

:

If the actual load factors are not available, provide the estimated load factors.
Load Factor
Load Factor

January

February

March

April

May

June

July

August

September

October

November

December

g. If the load factor data in (f) above is estimated, provide a description of the method and
basis for this estimation in the space provided below.
_____________________________________________________________________________
h. Identify any factors or conditions in the next 5 years which may significantly change peak
demands, load duration, or profile curves.

_____________________________________________________________________________

REMAINDER OF PAGE LEFT INTENTIONALLY BLANK

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DocuSign Envelope ID: 5A5F608D-0A87-47AE-9146-6B199D16BB84

Western Area Power Administration
OMB Clearance Number 1910-5136
Expiration: 03/31/2027

4. Applicant’s Resources. Please provide the following information:
a. List current power supplies if applicable, including the applicant’s own generation, as well
as purchases from others. For each supply, provide the resource name, capacity supplied,
and the resource’s location.
No.

Name

Capacity
(MWs)

1.
2.
3.
4.
5.
6.
7.
8.
9.
10.

Location

b. For each power supplier, provide a description and type of power supply contract
(including the termination date):
No.

Name

Description

1.
2.
3.
4.
5.
6.
7.
8.
9.
10.

Type of
Termination
power
Date
supplied (MM/DD/YYYY
(Firm or
or “N/A” if no
non-firm) termination date)

c. For each power supplier that is non-firm, please explain:

_____________________________________________________________________________
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DocuSign Envelope ID: 5A5F608D-0A87-47AE-9146-6B199D16BB84

Western Area Power Administration
OMB Clearance Number 1910-5136
Expiration: 03/31/2027

5. Transmission.
a. Points of delivery.
Provide the requested point(s) of delivery on WAPA’s transmission system (or a third
party’s transmission system), the voltage of service required, and the capacity desired, if
applicable.
Voltage Required
(kV)

Requested Point(s) of Delivery

Capacity (MWs)

b. Transmission arrangements.
Describe the transmission arrangements necessary to deliver firm power to the requested
points of delivery. Include a brief description of the applicant’s transmission and
distribution system including major interconnections. Provide a single line drawing of
applicant’s system, if one is available.
_____________________________________________________________________________
c. Provide a brief explanation of the applicant’s ability to receive and use, or receive and
distribute Federal power as of [date].

_____________________________________________________________________________
6. Other Information.
The applicant may provide any other information pertinent to receiving an allocation.

_____________________________________________________________________________
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DocuSign Envelope ID: 5A5F608D-0A87-47AE-9146-6B199D16BB84

Western Area Power Administration
OMB Clearance Number 1910-5136
Expiration: 03/31/2027

7. Signature: WAPA requires the signature and title of an appropriate official who is able to attest to
the validity of the data and who is authorized to submit the request for an allocation.
By signing below, I certify the information which I have provided is true and correct to the best of
my information, knowledge, and belief.
Print Name: __________________________________ Title: _____________________________
Signature ____________________________________ Date: _____________________________
Organization: ____________________________________________________________________
Applications may be submitted by U.S. mail to the address below or electronically to [email protected]
with an electronic signature. If submitting this application electronically and an electronic signature is
not available, please fax, upload, or otherwise transmit this page with a signature to xxx-xxx-xxxx, or
mail it to xxxx Region, Western Area Power Administration, Attention (Mail Code), Address, State,
City, Zip Code.
If available, please remember to attach your geographic service area map (as stated 1g) and single line
transmission system drawing (as stated in 5b).
RECORDKEEPING REQUIREMENTS: If WAPA accepts your application and you receive an
allocation of Federal power you must keep all records associated with your APD for a period of 3 years
after you sign your contract for Federal power. If you do not receive an allocation of Federal power,
there is no recordkeeping requirement.
WAPA has obtained an OMB Clearance Number 1910-5136 for the collection of the above information.
This data is being collected to enable WAPA to properly perform its function of marketing limited
amounts of Federal hydropower. The data you supply will be used by WAPA to evaluate who will
receive an allocation of Federal power.
Public reporting burden for this collection of information is estimated to average 8 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 Ronald J. Klinefelter, Paperwork Reduction Act Comments, Western Area
Power Administration, P.O. Box 281213, 12155 W. Alameda Parkway, Lakewood, CO 80228; and to
the Office of Management and Budget (OMB), OIRA, Washington, DC 20503.
Notwithstanding any other provision of the law, no person is required to respond to, nor shall any person
be subject to a penalty for failure to comply with a collection of information subject to the requirements
of the Paperwork Reduction Act unless that collection of information displays a currently valid OMB
control number.
Submission of this data is voluntary, however if an entity seeks an allocation of Federal power, the
applicant must submit an APD.
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