5900-689 CHDV Supplemental Application Template

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Overview

1. Instructions_App
2. Fleet Description
3. Infrastructure
4. Data Dictionary

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Sheet 1: 1. Instructions_App

U. S. Environmental Protection Agency
Clean Heavy-Duty Vehicles (CHDV) Grant Program
Supplemental Application Template
Burden Statement for EPA Form Number: 5900-690
This collection of information is approved by OMB under the Paperwork Reduction Act, 44 U.S.C. 3501 et seq. (OMB Control No. 2060-NEW). Responses to this collection of information are voluntary (2 CFR 200 at 2 CFR 1500). 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 public reporting and recordkeeping burden for this collection of information is estimated to be 7.2 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 to the Regulatory Support Division Director, U.S. Environmental Protection Agency (2821T), 1200 Pennsylvania Ave., NW, Washington, D.C. 20460. Include the OMB control number in any correspondence. Do not send the completed form to this address.
Instructions
This supplemental application template should be completed and submitted as part of the application materials for the Clean Heavy-Duty Vehicles Grant Program. Please work with relevant parties (i.e., transportation contractor, bus dealer, etc.) to ensure information submitted is as accurate as feasible at the time of application. The applicant must fill out shaded cells highlighted blue with a diagonal pattern (///) to the best of their ability. Cells highlighted yellow are automatically populated based on previous responses in this spreadsheet. Fields shaded in white are encouraged, but may not be known at the time of application. Additionally, some fields will hash out with a bold diagonal pattern (///) if those fields are not applicable based on the information provided in previous cells. Please complete tabs in this workbook according to the instructions below.
Excel Workbook Tab	Definition
1. Instructions	Basic instructions for all worksheets in this reporting workbook.
2. Fleet Description	The Fleet Description tab should detail all vehicles impacted under the project. The Fleet Description should be completed at the time of application; if selected, awardees will update this table quarterly with all vehicle upgrades completed. The applicant must fill out shaded cells highlighted blue with a diagonal pattern (///) to the best of their ability. Fields in yellow will be automatically populated based on previous responses. Fields shaded in white are encouraged, but may not be known at the time of application. Additionally, some fields will hash out with a bold diagonal pattern (///) if those fields are not applicable based on the information provided in previous cells This Fleet Description is broken into two sections: 1) Current Vehicle Information and 2) New Vehicle Upgrade Information. The sheet has capacity for 100 vehicles. Please refer to the Fleet Description data definitions on tab 4 (Data Dictionary) for additional guidance on each field.
3. Infrastructure	The Infrastructure tab should detail all electric vehicle supply equipment (EVSE) and other eligible supporting infrastructure planned as part of the project; if selected, awardees will update these tables be updated quarterly as EVSEs and other infrastructure are procured and installed. The applicant must fill out shaded cells highlighted blue with a diagonal pattern (///) to the best of their ability. Fields in yellow will be automatically populated based on previous responses. Fields shaded in white are encouraged, but may not be known at the time of application. Additionally, some fields will hash out with a bold diagonal pattern (///) if those fields are not applicable based on the information provided in previous cells. Additional rows may be add as needed to capture all units of supporting infrastructure. Please refer to the Infrastructure data definitions on Tab 4 (Data Dictionary) for data field definitions. Reminder: All Level 2 EVSEs must be ENERGY STAR certified, and all infrastructure must comply with Build America, Buy America (BABA) requirements.
4. Data Dictionary	Please refer to the dictionary on this tab for support in completing the Fleet Description and Infrastructure Tabs.

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Sheet 2: 2. Fleet Description

U. S. Environmental Protection Agency

Clean Heavy-Duty Vehicles (CHDV) Grant Program

Fleet Description

Applicant Name

SAM.gov Unique Entity ID

Project Title

Instructions

The Fleet Description should detail all vehicles anticipated to be replaced under the project and, to the extent details are known at this time, all replacement vehicles that will be purchased using Clean Heavy-Duty Grants funding. Please fill out shaded cells highlighted blue with a diagonal pattern (///) to the best of your ability. Fields in yellow will be automatically populated based on previous responses. Finally, fields shaded in white are highly encouraged, but optional, as these data may not be known at the time of application. This Fleet Description is broken into two sections: 1) Current Vehicle Information and 2) New Vehicle Upgrade Information. The sheet has capacity for 100 vehicles. Please refer to the Fleet Description data definitions on tab 4 (Data Dictionary) for additional guidance on each field.

Table 1. CURRENT VEHICLE INFORMATION

Table 2. NEW REPLACEMENT VEHICLE INFORMATION

1a. Basic Fleet Information

1b. Current Vehicle Information

1c. Current Vehicle Activity Information

1d. Vehicle Disposition Process

1e. Current Vehicle Place(s) of Performance

2a. Upgrade Vehicle Information

2b. Upgrade Cost

[Threaded comment] Your version of Excel allows you to read this threaded comment; however, any edits to it will get removed if the file is opened in a newer version of Excel. Learn more: https://go.microsoft.com/fwlink/?linkid=870924 Comment: @Harrison, Sarah (she/her/hers) Should census track info from CEJST be added to the template? Reply: No, based on ongoing discussions with NOFO development and with OAR & OEJECR, we are sticking to a county-scale place of performance given the large geographic area over which projects are implemented and over which emissions avoided might accrue (e.g., counties) Reply: Perfect! One last question. Do you need to capture data related to the categories of burden at all? 2c. New Vehicle Place(s) of Performance

Primary Place of Performance

Secondary Place of Performance (if applicable)

Additional Location Details (if applicable)

Primary Place of Performance

Secondary Place of Performance (if applicable)

Additional Location Details (if applicable)

optional, but highly encouraged if known*

Vehicle

Group Name

Current Fleet Owner

Publicly or Privately Owned (select from dropdown)

Vehicle Type (select from dropdown)

Vehicle Class (select from dropdown)

Vehicle Vocation (select from dropdown)

Vehicle Group Sector (select from dropdown)

Vehicle Identification Number

Vehicle Manufacturer

Vehicle Model

Baseline Vehicle Model Year

Baseline Engine Fuel Type (select from dropdown)

Engine Family Name (if unregulated, then enter N/A)

GVWR

Annual Miles Traveled (miles per vehicle)

Annual Idling Hours (hours per engine)

[Threaded comment] Your version of Excel allows you to read this threaded comment; however, any edits to it will get removed if the file is opened in a newer version of Excel. Learn more: https://go.microsoft.com/fwlink/?linkid=870924 Comment: Do we care about this? What will we do with this data? Reply: It's captured in DERA and percolated through to CHDV. If it's not needed, we can strike Current Odometer (in miles)

Annual Amount of Fuel Used (gallons/year per engine)

Remaining Life of Baseline Engine/Vehicle

[Threaded comment] Your version of Excel allows you to read this threaded comment; however, any edits to it will get removed if the file is opened in a newer version of Excel. Learn more: https://go.microsoft.com/fwlink/?linkid=870924 Comment: I think this field could be kept optional Reply: Does CHDV require scrappage? If not required, are there bonus points for doing so? Reply: We will likely be requiring scrappage as it is worded in the statute as a vehicle replacement program. I might have missed the word "anticipated" earlier when I reviewed this, I was thinking that if it is model year 2010 or older and they have the option to donate or sell, they might not know which one they are planning to do yet. But I think we could actually still keep this as required, understanding that with the "anticipated" language the disposition method may change as they get further into their project Reply: Removed "Waiver" option, and replaced with state and county where sold or donated vehicle will operate (if known) Anticipated Vehicle Disposition Method

If sold or donated, provide the state in which the vehicle is expected to primarily operate (if known)

If sold or donated, provide the county in which the vehicle is expected to primarily operate (if known)

School District Name (if applicable)

NCES ID (if applicable)

State (select from dropdown)

County (select from dropdown)

Percentage of Time operated in County

Place of Performance: City

[Threaded comment] Your version of Excel allows you to read this threaded comment; however, any edits to it will get removed if the file is opened in a newer version of Excel. Learn more: https://go.microsoft.com/fwlink/?linkid=870924 Comment: would it be useful to specify a specific way to separate multiple zip codes? (comma, semicolon?) and same thing for other columns where they can include multiple zip codes Reply: May be good to ask Stacie if there's a specific format that is best for GDIT Zip Code(s)

School District Name (if applicable)_2

NCES ID (if applicable)_2

State_2

County_3

Percentage of Time operated in County_2

Place of Performance: City_3

Zip Code(s)_2

Additional Counties where Vehicle Operates

% of time operated in each Additional County

Year of Upgrade Action

New Vehicle Fleet Owner

[Threaded comment] Your version of Excel allows you to read this threaded comment; however, any edits to it will get removed if the file is opened in a newer version of Excel. Learn more: https://go.microsoft.com/fwlink/?linkid=870924 Comment: Maybe make this optional as well? I'm thinking of cases where a vehicle type might be on the cusp of vehicle class sizes and variations between model types may keep it as class 6 or push it into class 7? If they don't know exactly what vehicle they are purchasing, they might not know this Reply: I think we can still ask them to provide this, knowing that it's not binding. Would be good to get a sense of if they're scaling up, down, or trying to keep it the same New Vehicle Class (select from dropdown)

New Vehicle Fuel Type

New Vehicle Manufacturer (if known)

New Vehicle Model (if known)

New Vehicle GVWR (if known)

Capable of Bidirectional Charging? (Yes/No/NA)

Estimated Range in Miles

[Threaded comment] Your version of Excel allows you to read this threaded comment; however, any edits to it will get removed if the file is opened in a newer version of Excel. Learn more: https://go.microsoft.com/fwlink/?linkid=870924 Comment: Can make this optional as they might not have concrete vehicle prices at the time of application Reply: They should have an estimate, as listed in their proposed budget, even if this number will likely change once actually purchased Upgrade Cost per Vehicle

Total Federal Funds Expended Per Vehicle ($ of Total Cost per Unit)

School District Name (if applicable)_3

NCES ID (if applicable)_3

State (select from dropdown)_3

County (select from dropdown)_3

Percentage of Time operated in County_2 (Enter value between 0-1, where 1 = 100%)

City

Zip Code(s)2

School District Name (if applicable)2

NCES ID (if applicable)2

State (select from dropdown)2

[Threaded comment] Your version of Excel allows you to read this threaded comment; however, any edits to it will get removed if the file is opened in a newer version of Excel. Learn more: https://go.microsoft.com/fwlink/?linkid=870924 Comment: Some weird formatting thing is happening where I can't remove the 2? Reply: This is because the entire page is an Excel Table, which can't have duplicate names. To get around this, I can either redo the entire table to not be an Excel Table or I can work some font size/color magic to hide the 2? County (select from dropdown)2

Percentage of Time operated in County_3 (enter value 0-1, where 1 = 100%)

City_4

Zip Code(s)_4

Additional Counties where Vehicle Operates_2

% of time operated in each Additional County_2

Example Vehicle

ESBs for District A

Sarah Smith

Publicly Owned

Short Haul - Single Unit

Class 6

Drayage

Port

12345678910ABCDEFG

Manufacturer Name

Model Name or #

1995

Diesel

N/A

10150

140000

12000

1500000

6000

3

Scrapped

CA

Alameda County

Warren 01

123456

SC

Warren

100%

Springhill

123456

Warren 01

123456

SC

Warren

100%

Springhill

123456

2025

Walton School District

Class 6

Battery Electric

Manufacturer Name

Model Name or #

12000

Yes

200

$375,000.00

$325,000.00

Warren 01

123456

SC

Warren

100%

Springhill

123456

Warren 01

123456

SC

Warren

100%

Springhill

123456

Pima County, AZ; La Paz County, AZ

5% in Pima; 5% in La Paz

Vehicle 1

Vehicle 2

Vehicle 3

Vehicle 4

Vehicle 5

Vehicle 6

Vehicle 7

Vehicle 8

Vehicle 9

Vehicle 10

Vehicle 11

Vehicle 12

Vehicle 13

Vehicle 14

Vehicle 15

Vehicle 16

Vehicle 17

Vehicle 18

Vehicle 19

Vehicle 20

Vehicle 21

Vehicle 22

Vehicle 23

Vehicle 24

Vehicle 25

Vehicle 26

Vehicle 27

Vehicle 28

Vehicle 29

Vehicle 30

Vehicle 31

Vehicle 32

Vehicle 33

Vehicle 34

Vehicle 35

Vehicle 36

Vehicle 37

Vehicle 38

Vehicle 39

Vehicle 40

Vehicle 41

Vehicle 42

Vehicle 43

Vehicle 44

Vehicle 45

Vehicle 46

Vehicle 47

Vehicle 48

Vehicle 49

Vehicle 50

Vehicle 51

Vehicle 52

Vehicle 53

Vehicle 54

Vehicle 55

Vehicle 56

Vehicle 57

Vehicle 58

Vehicle 59

Vehicle 60

Vehicle 61

Vehicle 62

Vehicle 63

Vehicle 64

Vehicle 65

Vehicle 66

Vehicle 67

Vehicle 68

Vehicle 69

Vehicle 70

Vehicle 71

Vehicle 72

Vehicle 73

Vehicle 74

Vehicle 75

Vehicle 76

Vehicle 77

Vehicle 78

Vehicle 79

Vehicle 80

Vehicle 81

Vehicle 82

Vehicle 83

Vehicle 84

Vehicle 85

Vehicle 86

Vehicle 87

Vehicle 88

Vehicle 89

Vehicle 90

Vehicle 91

Vehicle 92

Vehicle 93

Vehicle 94

Vehicle 95

Vehicle 96

Vehicle 97

Vehicle 98

Vehicle 99

Vehicle 100

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Sheet 3: 3. Infrastructure

U. S. Environmental Protection Agency

Clean Heavy-Duty Vehicles (CHDV) Grant Program

EV Infrastructure Description

Instructions

Below are three tables (Table 3, Table 4, and Table 5), and an additional text field. Please complete all 4. The EVSE Equipment Information (Table 3) should detail all electric vehicle supply equipment (EVSE) and supporting infrastructure purchased under the project. Table 4 focuses on on-site power generation systems and Table 5 on battery storage systems. For school district applicants the infrastructure needs to be listed by school district and/or city. That is, if School District A and School District B are procuring the same EVSE, the EVSE will appear as two separate EVSE Groups. Similarly, for large school districts, if EVSE are being installed in two different locations, the EVSE needs to appear as two separate EVSE Groups. The EV Infrastructure worksheet should be updated quarterly as EVSEs and supporting infrastructure are procured and installed. Please fill out shaded cells highlighted blue with a diagonal pattern (///) to the best of your ability. Note, additional rows may be added as needed to capture all equipment. Fields in yellow will be automatically populated based on previous responses. Finally, fields shaded in white are highly encouraged, but optional, as these data may not be known at the time of application. Please refer to the EV Infrastructure data definitions on Tab 4 (Data Dictionary) for data field definitions. Reminder: All Level 2 EVSEs must be ENERGY STAR certified. All EVSE, on-site power generation systems, and battery energy storage systems (BESS) must comply with Build America, Buy America (BABA) requirements. See below for more information on BABA.

Build America, Buy America (BABA) requirements

On November 15, 2021, the Infrastructure Investment and Jobs Act ("IIJA"), Pub. L. No. 117-58, which includes the Build America, Buy America Act (BABA), Public Law 117-58, §§ 70901-52, was signed into law. BABA requires that on or after May 14, 2022, all of the iron, steel, manufactured products, and construction materials used in infrastructure project are produced in the United States. If award recipient will be installing, upgrading, or replacing “infrastructure,” then BABA requirements apply to the infrastructure project, regardless of whether or not the infrastructure project was the primary basis for the award. Additionally, BABA requirements apply even if the award recipient will be using another source of funding, whether in part or wholly, for the infrastructure project. For more information, please visit https://www.epa.gov/cwsrf/build-america-buy-america-baba.

Do you attest that you have read the BABA requirements described above?

Table 3. Electric Vehicle Service Equipment

Table 3a. EVSE Equipment Information Overview

Table 3b. Location of EV Infrastructure

Table 3c. Owners & Anticipated Users of EVSE

Table 3d. Infrastructure Installation Information

Table 3e. EVSE Cost Summary

optional, but highly encouraged if known*

optional, but highly encouraged if known*

[Threaded comment] Your version of Excel allows you to read this threaded comment; however, any edits to it will get removed if the file is opened in a newer version of Excel. Learn more: https://go.microsoft.com/fwlink/?linkid=870924 Comment: I think columns B-G should be optional, if they don't already know their vehicle model, they would not know this information Reply: Agree that C-G can move to optional; I'd like to keep Type of Charger to help us at least count how many chargers/if they are asking for chargers at all. Would you be opposed to including another dropdown option that says "Not known at this time"? Type of Charger

If Level 2, is it ENERGY STAR certified

EVSE Manufacturer

EVSE Model

EVSE Manufacture Year

EVSE Maximum Output Power (kW)

Number of Plugs on EVSE

Will the EVSE Be Capable of Bidirectional Charging?

Will the Vehicle and EVSE be Used for Vehicle to Grid (V2G)?

Number of EVSE Units

[Threaded comment] Your version of Excel allows you to read this threaded comment; however, any edits to it will get removed if the file is opened in a newer version of Excel. Learn more: https://go.microsoft.com/fwlink/?linkid=870924 Comment: similar to bus costs, they might not know this, so this could be optional. or at least if we want them to provide something, make it clear that it can be their best estimate given the info they currently have if they don't have exact prices in front of them Reply: Opting to leave here, based on Kayla's comments on vehicle costs. It's not binding, but it will help us gauge the reasonableness of budget EVSE Equipment Cost only Per Unit

Total EPA Funds Expended Per EVSE Unit

Total EPA Funds Expended for EVSE

State (Select from dropdown)

County (Select from dropdown)

City

Zip Code

Street Adress

Who will own the charger?

Anticipated User(s) of the charger

[Threaded comment] Your version of Excel allows you to read this threaded comment; however, any edits to it will get removed if the file is opened in a newer version of Excel. Learn more: https://go.microsoft.com/fwlink/?linkid=870924 Comment: could add N/A as an option to the dropdown here Reply: Done! And updated the conditional formatting to align with the input of this field (if NA, then columns Z and AA for that row will hatch out) If serving school districts, will the EVSE serve multiple school districts within this project?

Name of the School District(s) the EVSE will serve (if applicable; use a semicolon between school districts)

NCES ID of School District that the EVSE will serve (if applicable; use a semicolon between school districts)

[Threaded comment] Your version of Excel allows you to read this threaded comment; however, any edits to it will get removed if the file is opened in a newer version of Excel. Learn more: https://go.microsoft.com/fwlink/?linkid=870924 Comment: they also may not know this or at least have an exact number at the time of application, so I think this could possibly also be optional Reply: Opting to leave here, based on Kayla's comments on vehicle costs. It's not binding, but it will help us gauge the reasonableness of budget Total Funds Expended Installation Cost

Total EPA Funds Expended Installation Cost

[Threaded comment] Your version of Excel allows you to read this threaded comment; however, any edits to it will get removed if the file is opened in a newer version of Excel. Learn more: https://go.microsoft.com/fwlink/?linkid=870924 Comment: if they don't have their chargers solidified, they may not know this so this could be optional Does the Infrastructure Equipment Cost Include Installation?

Total EPA Funds Expended on EVSE Equipment and Installation

Total Funds Expended on EVSE Equipment and Installation

Example EV Infrastructure

Level 2

Yes

Manufacturer Name

Model Name

2023

24

2

No

No

2

$16,000.00

$12,000.00

$24,000.00

VA

Arlington County

Alexandria

22305

400 1st Street

Walton School District

Electric school buses serving Walton School District

Yes

Walton School District; Franklin School District

1234567; 7654321

$12,000

$7,000

No

$31,000.00

$44,000.00

EVSE Group 1

$-

EVSE Group 2

$-

EVSE Group 3

$-

EVSE Group 4

$-

EVSE Group 5

$-

EVSE Group 6

$-

EVSE Group 7

$-

EVSE Group 8

$-

EVSE Group 9

$-

EVSE Group 10

$-

EVSE Group 11

$-

EVSE Group 12

$-

EVSE Group 13

$-

EVSE Group 14

$-

EVSE Group 15

$-

EVSE Group 16

$-

EVSE Group 17

$-

EVSE Group 18

$-

EVSE Group 19

$-

EVSE Group 20

$-

EVSE Group 21

$-

EVSE Group 22

$-

EVSE Group 23

$-

EVSE Group 24

$-

EVSE Group 25

$-

EVSE Group 26

$-

EVSE Group 27

$-

EVSE Group 28

$-

EVSE Group 29

$-

EVSE Group 30

$-

Note: If the on-site power generation includes an energy storage system, information for such system needs to be documented in the table below this one.

Table 4. On-Site Power Generation Equipment

Table 4a. On-Site Power Generation Equipment Information Overview

4b. Location of On-site Power Generation Infrastructure

4c. Ownership and Use of On-Site Power Generation Infrastructure

4d. BABA Compliance

optional, but highly encouraged if known*

optional, but highly encouraged if known*

Type of energy generation

Manufacturer of On-site Power Generation

Model of On-site Power Generation

Manufacture Year of On-site Power Generation

Generation Capacity of the system (please indicate kW or MW)

Equipment Cost only Per Power Generation System

Total EPA Funds Expended Per Power Generation System

Total Funds Expended Installation Cost

Total EPA Funds Expended Installation Cost

Total Funds Expended Equipment and Installation

Total EPA Funds Expended Equipment and Installation

State

County

City

Zip Code

Street Adress

Who owns the equipment?

Anticipated Users of On-Site Power Generation Infrastructure

If serving school districts, Name of the School District(s) the On-site Power Generation will serve

If serving school districts, NCES ID of School District that the On-site Power Generation will serve

Is a waiver being used to fulfill BABA compliance for the On-site Power Generation?

Example On-site Power Generation

Solar

Manufacturer Name

Model Name

2023

15 kW

$45,000.00

$45,000.00

$7,000.00

$5,000.00

$52,000.00

$50,000.00

VA

Arlington County

Alexandria

22305

400 1st Street

Walton School District

Walton School District & NoVA Community College

Walton School District

1234567

No - Infrastructure meets all BABA requirements

On-site Power Generation 1

$-

$-

On-site Power Generation 2

$-

$-

On-site Power Generation 3

$-

$-

On-site Power Generation 4

$-

$-

On-site Power Generation 5

$-

$-

On-site Power Generation 6

$-

$-

On-site Power Generation 7

$-

$-

On-site Power Generation 8

$-

$-

On-site Power Generation 9

$-

$-

On-site Power Generation 10

$-

$-

Table 5. Battery Energy Storage System (BESS) Equipment Information

5a. BESS Overview

5b. Location of BESS Infrastructure

5c. Ownership and Use of BESS Infrastructure

5d. BABA Compliance

optional, but highly encouraged if known*

optional, but highly encouraged if known*

Type of Battery

Manufacturer of BESS

Model of BESS

Manufacture Year of BESS

Energy Capacity (please indicate kWh or MWh)

Equipment Cost only Per Unit:

Total Federal Funds Expended Per Unit

Total Funds Expended Installation Cost

Total Federal Funds Expended Installation Cost:

Total Funds Expended Equipment and Installation

Total EPA Funds Expended Equipment and Installation

State

County

City

Zip Code

Street Adress

Who owns the equipment?

Anticipated Users of BESS

If serving school districts, Name of the School District the BESS will serve

If serving school districts, NCES ID of School District that the BESS will serve

Is a waiver being used to fulfill BABA compliance for the BESS?

BESS Example

Lithium-Ion

Manufacturer Name

Model Name

2023

36kWh

$48,000.00

$20,000.00

$12,000.00

$10,000.00

$60,000.00

$30,000.00

VA

Arlington County

Alexandria

22305

400 1st Street

Walton School District

Walton School District & NoVA Community College

Walton School District

1234567

No - Infrastructure meets all BABA requirements

BESS Group 1

$-

$-

BESS Group 2

$-

$-

BESS Group 3

$-

$-

BESS Group 4

$-

$-

BESS Group 5

$-

$-

BESS Group 6

$-

$-

BESS Group 7

$-

$-

BESS Group 8

$-

$-

BESS Group 9

$-

$-

BESS Group 10

$-

$-

Are there any other infrastructure projects associated with this grant that are not listed above?

(Y or N or N/A)

If no, please leave this section blank. If yes, please provide details in the box below on the infrastructure project and describe how BABA compliance was determined.

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Sheet 4: 4. Data Dictionary

Fleet Description Data Fields: Please refer to the following data field dictionary for support in completing tabs 2 & 3
Tab 2. Fleet Description
Table 1. CURRENT VEHICLE INFORMATION
1a. Basic Fleet Information
Group Name
Current Fleet Owner
Publicly or Privately Owned (select from dropdown)
1b. Current Vehicle Information
Vehicle Type (Select from dropdown)	Select the vehicle type from the dropdown menu; options include: Long Haul - Single Unit, Long Haul - Combination, Short Haul - Single Unit, Short Haul - Combination, Refuse Hauler, School Bus, and Transit Bus
Vehicle Class (Select from dropdown)	Select Vehicle Class from dropdown menu: Class 6, Class 7
Vehicle Vocation (select from dropdown)	Select Vehicle Vocation from dropdown menu: Delivery, Drayage, Emergency, Long Haul, Other, Refuse Hauler, School Bus, Shuttle Bus, Transit Bus, Utility
Vehicle Group Sector (select from dropdown)	Select Vehicle Group Sector from dropdown menu: Agriculture, Airport, Construction, Freight, Industrial, Mining, Municipal, Port, Railyard, School Bus
Vehicle Identification Number	Enter the VIN number for each vehicle.
Vehicle Manufacturer	Enter the manufacturer of the existing vehicle.
Vehicle Model	Enter the model of the existing vehicle.
Baseline Vehicle Model Year	Enter the model year of the existing vehicle.
Baseline Engine Fuel Type (select from dropdown)	Select the type of fuel that is currently being used (prior to upgrade); options include: USLD (diesel), Biodiesel 5, Biodiesel 20, CNG (ft3), CNG (lbs), LNG, LPG/Propane, Gasoline
Engine Family Name	Enter the Engine Family name of the existing Engine. NOTE: unregulated engines will not have an Engine Family Name. If unregulated, then NA
1c. Current Vehicle Activity Information
GVWR	Enter the gross vehicle weight rating (GVWR) of the existing vehicle.
Annual Miles Traveled	Enter the average number of vehicle miles traveled per year per vehicle.
Annual Idling Hours	Enter the average number of hours the vehicle idles per year.
Odometer	Enter the existing vehicle's current odometer reading, in miles.
Annual Amount of Fuel Used	Enter the amount of fuel used in gallons/year.
Remaining Life of Baseline Vehicle	Enter the remaining life of baseline engine/vehicle in years at the time of the upgrade action.
1d. Vehicle Disposition Process
Anticipated Vehicle Disposition Method	Select a vehicle disposition option from dropdown menu; options include: Scrapped, Sold, Donated
If sold or donated, provide the state in which the vehicle is expected to primarily operate (if known)	Select the state from the dropdown menu. Note: the state field is required to enter the specific county field.
If sold or donated, provide the county in which the vehicle is expected to primarily operate (if known)	Select the county from the dropdown menu. Note: the list of counties will not populate until the state is selected.
1e. Current Vehicle Place of Performance
Primary Place of Performance
School District Name (if applicable)	Enter the name of the school district in which the vehicle to be scrapped, sold, or donated has operated in.
NCES ID (if applicable)	Enter the name of the National Center for Education Statistics (NCES) ID associated with the school district in which the vehicle to be scrapped, sold, or donated has operated in. If you are unsure of the district's NCES ID, you can search for the district at https://nces.ed.gov/ccd/districtsearch/.
State (select from dropdown)	Select the two letter postal code for the state from the dropdown menu in which the vehicle to be scrapped, sold, or donated has operated in. Note: the state field is required to enter the specific county field.
County (select from dropdown)	Enter the county in which the vehicle to be scrapped, sold, or donated has operated. Note: the list of counties will not populate until the state is selected.
Percentage of Time operated in County	Enter a value from 0 to 1, where 1 = 100%, to reflect the estimated percentage of time this vehicle operated in the listed county.
Place of Performance: City	Enter the city in which the vehicle to be scrapped, sold, or donated has operated in.
Zip Code(s)	Enter the zip codes where the vehicle operates; if there is more than one, separate using a semicolon (ex: 12345; 98765)
Secondary Place of Performance (if applicable)
School District Name (if applicable)	Enter the name of the school district in which the vehicle to be scrapped, sold, or donated has operated in.
NCES ID (if applicable)	Enter the name of the National Center for Education Statistics (NCES) ID associated with the school district in which the vehicle to be scrapped, sold, or donated has operated in. If you are unsure of the district's NCES ID, you can search for the district at https://nces.ed.gov/ccd/districtsearch/.
State (select from dropdown)	Select the two letter postal code for the state from the dropdown menu in which the vehicle to be scrapped, sold, or donated has operated in. Note: the state field is required to enter the specific county field.
County (select from dropdown)	Enter the county in which the vehicle to be scrapped, sold, or donated has operated. Note: the list of counties will not populate until the state is selected.
Percentage of Time operated in County	Enter a value from 0 to 1, where 1 = 100%, to reflect the estimated percentage of time this vehicle operated in the listed county.
Place of Performance: City	Enter the city in which the vehicle to be scrapped, sold, or donated has operated in.
Zip Code(s)	Enter the zip codes where the vehicle operates; if there is more than one, separate using a semicolon (ex: 12345; 98765)
Additional Location Details (if applicable)
Additional Counties where Vehicle Operates	List the county name and state for additional counties where the vehicle operates; if there are more than one, separate using a semicolon (e.g., St. Lucie County, FL; Martin County, FL)
% of time operated in each Additional County	List the estimated percent of time operated in each additional county; if there are more than one, separate using parenthesis and semicolons (e.g., St. Lucie County (10%); Martin County (5%))
Table 2. New Replacement Vehicle Information
2a. Upgrade Vehicle Information
Year of Upgrade Action:	Enter the year the upgrade is anticipated to happen.
New Vehicle Fleet Owner	Enter the name of the new vehicle fleet owner
New Vehicle Class (select from dropdown)	Select Vehicle Class from dropdown menu: Class 6, Class 7
New Vehicle Fuel Type:	Select the fuel type of the new vehicle.
New Vehicle Manufacturer:	Enter the manufacturer of the new vehicle.
New Vehicle Model:	Enter the model of the new vehicle.
New Vehicle GVWR:	Enter the gross vehicle weight rating (GVWR) of the new vehicle.
Capable of Bidirectional Charging? (Yes/No/NA)
Estimate Range in Miles	Enter the estimated range in miles for the zero-emission vehicle.
2b. Upgrade Vehicle Information
Upgrade Cost per Bus	Enter the cost of vehicle in dollars per unit.
Total EPA Funds Expended Per Vehicle	Enter the EPA funds expended per vehicle in dollars per unit.
2c. New Vehicle Place(s) of Performance
Primary Place of Performance
School District Name (if applicable)	Enter the name of the school district in which the new vehicle is expected to operate in.
NCES ID (if applicable)	Enter the name of the National Center for Education Statistics (NCES) ID associated with the school district in which the new vehicle is expected to operate in. If you are unsure of the district's NCES ID, you can search for the district at https://nces.ed.gov/ccd/districtsearch/.
State (select from dropdown)	Select the two letter postal code for the state from the dropdown menu in which the new vehicle is expected to operate in. Note: the state field is required to enter the specific county field.
County (select from dropdown)	Enter the county in which the new vehicle is expected to operate in. Note: the list of counties will not populate until the state is selected.
Percentage of Time operated in County	Enter a value from 0 to 1, where 1 = 100%, to reflect the estimated percentage of time this vehicle is expected to operate in the listed county.
Place of Performance: City	Enter the city in which the new vehicle is expected to operate in
Zip Code(s)	Enter the zip codes where the vehicle operates; if there is more than one, separate using a semicolon (ex: 12345; 98765)
Secondary Place of Performance (if applicable)
School District Name (if applicable)	Enter the name of the school district in which the new vehicle is expected to operate in.
NCES ID (if applicable)	Enter the name of the National Center for Education Statistics (NCES) ID associated with the school district in which the new vehicle is expected to operate in. If you are unsure of the district's NCES ID, you can search for the district at https://nces.ed.gov/ccd/districtsearch/.
State (select from dropdown)	Select the two letter postal code for the state from the dropdown menu in which the new vehicle is expected to operate in. Note: the state field is required to enter the specific county field.
County (select from dropdown)	Enter the county in which the new vehicle is expected to operate in. Note: the list of counties will not populate until the state is selected.
Percentage of Time operated in County	Enter a value from 0 to 1, where 1 = 100%, to reflect the estimated percentage of time this vehicle is expected to operate in the listed county.
Place of Performance: City	Enter the city in which the new vehicle is expected to operate in
Zip Code(s)	Enter the zip codes where the vehicle operates; if there is more than one, separate using a semicolon (ex: 12345; 98765)
Additional Location Details (if applicable)
Additional Counties where Vehicle Operates	List the county name and state for additional counties where the vehicle operates; if there are more than one, separate using a semicolon (e.g., St. Lucie County, FL; Martin County, FL)
% of time operated in each Additional County	List the estimated percent of time operated in each additional county; if there are more than one, separate using parenthesis and semicolons (e.g., St. Lucie County (10%); Martin County (5%)
Tab 3. INFRASTRUCTURE
Table 3. Electric Vehicle Service Equipment
3a. EVSE Equipment Information Overview
Type of Charger	Enter the type of charger, either Level 2 (AC charging up to 19.2 kW) or DC Fast Charging.
If Level 2, is it ENERGY STAR certified	Confirm and select yes if applicable. Please see https://www.energystar.gov/
EVSE Manufacturer	Enter the manufacturer of the charging equipment
EVSE Model	Enter the model name of the charging equipment.
EVSE Manufacture Year	Enter the year the charging equipment was manufactured.
EVSE Maximum Output Power (kW)	Enter the maximum power output of the charging equipment, measured in kilowatts.
Number of Plugs on EVSE	Enter the number of plugs installed on each unit of the charging equipment.
Is the EVSE Capable of Bidirectional Charging?	Select yes or no into the cell to specify whether the charging equipment is capable of bidirectional charging.
Will the Bus and EVSE be Used for V2G?	Select yes or no into the cell to specify whether the vehicles and charging equipment will be used for vehicle-to-grid (V2G) services.
Number of EVSE Units	Enter the quantity of charging equipment unit acquisition.
EVSE Equipment Cost only Per Unit:	Enter the cost of the charging equipment per unit acquisition.
Total EPA Funds Expended Per EVSE Unit	Enter the total EPA funds expended for charging equipment per unit acquisition.
Total EPA Funds Expended for EVSE	Autopopulated field: This field multiplies the number of EVSE units by the Total EPA Funds Expended per EVSE Unit to calculate the total of EPA funds expended for EVSE acquisition
3b. Location of EV Infrastructure
State (select from dropdown)	Select the two letter postal code for the state from the dropdown menu in which the new vehicle is expected to operate in. Note: the state field is required to enter the specific county field.
County (select from dropdown)	Enter the county in which the new vehicle is expected to operate in. Note: the list of counties will not populate until the state is selected.
City	Enter the city in which the charging equipment will be located.
Zip Code	Enter the zip code in which the charging equipment will be located.
Street Address	Enter the street address in which the charging equipment will be located.
3c. Owners & Anticipated Users of EVSE
Who will own the charger?	Enter the name of the school district or organization that will own the charging equipment.
Anticipated User(s) of the charger	Enter the name(s) of the organization(s) that are anticipated to regularly use the charging equipment.
If serving school districts, will the EVSE serve multiple school districts within this project?	Select from dropdown: Yes, No, or NA- School Districts not served by this equipment
Name of the School District(s) the EVSE will serve (if applicable; use a semicolon between school districts)	Enter the name(s) of school district(s) the EVSE is expected to serve. Use a semicolon to separate entries when entering multiple districts.
NCES ID of School District that the EVSE will serve (if applicable; use a semicolon between school districts)	Enter the NCES ID(s) of school district(s) the EVSE is expected to serve. Use a semicolon to separate entries when entering multiple districts.
3d. Infrastructure Installation Information
Total Funds Expended Installation Cost	Enter the total installation costs for the charging equipment for the EV infrastructure group column.
Total EPA Funds Expended Installation Cost	Enter the total EPA funds expended for installation costs for the charging equipment for the EV infrastructure group column.
Does the Infrastructure Equipment Cost Include Installation?	Please enter yes or no into the cell to specify whether the indicated cost of the charging equipment above includes any installation expenses.
3e. EVSE Cost Summary
Total EPA Funds Expended on EVSE Equipment and Installation	Automated cell that will calculate the total EPA Funds expended for the charging equipment and installation for an EV Infrastructure Group.
Total Funds Expended on EVSE Equipment and Installation	Automated cell that will calculate the total Funds expended for the charging equipment and installation for an EV Infrastructure Group.
On-Site Power Generation Equipment Information
Type of energy generation	Select a type of energy generation, solar or wind.
Generation Capacity of the system	Enter the generation capacity of the system as either kW or MW. Please indicate unit of measurement.
Battery Energy Storage System (BESS) Equipment Information
Type of Battery	Select a type of battery
Energy Capacity	Enter the generation capacity of the system as either kWh or MWh. Please indicate unit of measurement.