dera-supp-applic-template-2027-04-30.xlsx

XLSX spreadsheet 973 KB Posted

Attached to
2024 Diesel Emissions Reduction Act (DERA) Tribal and Territory Grants
Opportunity number
EPA-OAR-OTAQ-24-02
Issued by

About this file

This document is a Diesel Emissions Reduction Act (DERA) Grant Program Supplemental Application Template from the U.S. Environmental Protection Agency (EPA). The template provides instructions and data requirements for completing quarterly and final reports on DERA grant-funded projects. It includes tabs for describing the current and upgraded vehicle/engine fleets, infrastructure, and other data fields aligned with the EPA's Diesel Emission Quantifier tool.

The related federal grant opportunity is the 2024 DERA Tribal and Territory Grants, a Notice of Funding Opportunity (NOFO) from the EPA. The NOFO announces the availability of approximately $9 million in funding, with $8 million for Tribal governments/consortia and $1 million for U.S. territories. The EPA anticipates awarding 12-18 grants to Tribes and 3-5 grants to territories to incentivize the upgrade or retirement of legacy diesel engines, vehicles, and equipment. Eligible activities include retrofits, replacements, and installation of verified technologies. The DERA program is authorized under CFDA 66.039.

DERA Supplemental Application Template

View the file

Other files

On GovTribe

Work with this file

  • Download the original file
  • Contacts named in this file
  • Similar government files
  • Ask GovTribe AI about this file

Text version

1. Instructions

U. S. Environmental Protection Agency
Diesel Emissions Reduction Act (DERA) Grant Program
Supplemental Application Template
Burden Statement for EPA Form: 5900-681
This collection of information is approved by OMB under the Paperwork Reduction Act, 44 U.S.C. 3501 et seq. (OMB Control No. 2060-0754). 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 8.6 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
Per grant agreement terms and conditions, this reporting template should be submitted 1) quarterly throughout the project period of performance and 2) a Final Report (120-days after) the completion of the grant period. Information that is submitted on quarterly reports should NOT be changed in future quarterly report submissions unless approved by EPA. Please only update information for the specific quarter in which this report is being submitted. The grant recipient only needs to fill out shaded cells highlighted blue with a diagonal pattern (///). Cells highlighted yellow are simply for informative purposes and/or automated from other tabs in this spreadsheet. Please complete tabs in this workbook according to the instructions below.
Excel Workbook TabDefinition
1. InstructionsBasic instructions for all worksheets in this reporting workbook.
2. Fleet DescriptionThe tab should be completed based upon the proposed workplan fleet sheet submitted as part of the DERA application. Please refer to additional information on field definitions in tab 4 (Data Dictionary).
3. InfrastructureThe tab should be completed based upon the proposed workplan submitted as part of the DERA application. Please refer to additional information on field definitions in tab 4 (Data Dictionary).
4. Data DictionaryPlease refer to the dictionary on this tab for support in completing the Fleet Description (tab 2) and Infrastructure Description (tab 3).

&G OMB Control Number: 2060-0754 Expiration Date: 04/30/2027 Office of Transportation and Air Quality

&F &A EPA Form Number: 5900-681 Page &P of &N

&F &A EPA Form Number: 5900-681 Page &P of &N

2. Fleet Description

U. S. Environmental Protection Agency
Diesel Emissions Reduction Act (DERA) Grant Program
Fleet Description
INSTRUCTIONS: This Fleet Description should detail all vehicles and engines impacted under the project. The fields below align with EPA's Diesel Emission Quantifier (DEQ), a requirement for the application, workplan, and final reports as part of program grant requirements. The Fleet Description should be updated quarterly with all vehicle and engine upgrades completed. This Fleet Description is broken into two sections: 1) Current Vehicle and Engine Information and 2) New Vehicle and Engine Upgrade Information. All rows of data are required, unless specified as not being applicable to the Equipment Type or Target Fleet. These exceptions are are highlighted in parentheses in the table below. Please refer to the Fleet Description data definitions on tab 4 (Data Dictionary) for additional guidance on each field.

Each vehicle/engine group column below can represent one or more similar pieces of equipment operating in the same fleet. You can copy and paste additional columns as needed to capture all vehicle/engine groups. Please indicate in the FInanical Information row the fiscal year of funds used for the activity descriped within the table.

Note: Individual marine vessels must be listed in separate vehicle/engine group columns. If both auxiliary and propulsion engines on an individual vessel are part of a project, these different engine types must be listed in separate vehicle/engine group columns.

Table 1. CURRENT VEHICLE AND ENGINE INFORMATIONTable 2. NEW VEHICLE AND ENGINE UPGRADE INFORMATION
1a. Basic Fleet Information1b. Current Vehicle Information1c. Current Engine InformationTable 1d. Current Annual Vehicle Activity DataTable 1e. Place of Performance2a. Upgrade Information2b. Vehicle Replacement and/or Upgrade Information2c. New Engine Information (if replaced)2d. New Annual Vehicle Activity Data2e. New Vehicle Battery Information (Hybrid & Battery Electric Only)2f. Warranty Information2g. Optional Participation in Future of Transportation Research
Primary Place of PerformanceSecondary Place of Performance (if applicable)Additional Location Details (if applicable)
VehicleGroup NameFleet OwnerPublicly or Privately Owned
(select from dropdown)Equipment Type
(select from dropdown)Target Fleet
(select from dropdown)Vehicle Class
(onroad vehicles, as defined in data dictionary)Vehicle or Engine Group SectorVocationVehicle Identification Number (VIN)Vehicle MakeVehicle ModelBaseline Vehicle Model YearEngine Serial Number(s)Engine MakeEngine ModelEngine Model YearEngine Tier
(nonroad, locomotive, and marine only)Tier 4 Standards
(Tier 4 only)Engine After-Treatment Technology
(Tier 4 nonroad only)Engine HorsepowerEngine Cylinder Displacement (liters/cylinder;
marine only)Engine Number of Cylinders
(# of cylinders per engine; marine only)Engine Total Displacement
(liters per engine; marine only)Engine Family Name (if unregulated, then NA)Baseline Engine Fuel TypeTotal # of Propulsion Engines

(per vessel;

marine only) Total # of Auxiliary Engines (per vessel;

marine only)Annual Amount of Fuel Used (gallons/year per engine for nonroad and marine; gallons/year per vehicle for onroad and locomotives)Annual Usage Hours
(hours per year per engine; includes idling hours; nonroad, locomotive, and marine only)Current Odometer
(in miles)Annual Miles Traveled
(miles per vehicle; on-highway only)Annual Idling Hours (hours per engine; on-highway only)Annual Hoteling Hours
(hours per year per engine; class 8 long-haul combination only)Remaining Life of Baseline Engine/Vehicle
(years per engine; total # of years of engine life remaining at time of upgrade action)State
(select from dropdown)County
(select from dropdown)City(s)Percent of Time Operated in County
(enter value 0-1)Zip Code(s)State
(select from dropdown)County
(select from dropdown)City(s)Percent of Time Operated in County
(enter value 0-1)Zip Code(s)Additional Counties where Vehicle Operates% of time operated in each Additional CountyYear of Upgrade ActionUpgrade Type
(select from dropdown)Upgrade Specific
(select from dropdown after selecting Upgrade Type)Class
(onroad vehicles, as defined in data dictionary; select from dropdown)Vehicle Identification Number (VIN) for New Vehicle
(if original vehicle replaced)New Vehicle Fuel Type
(if original vehicle replaced; select from dropdown)New Vehicle Manufacturer
(if original vehicle replaced)New Vehicle Model
(if original vehicle replaced)New Vehicle Model Year
(if original vehicle replaced)New Vehicle GVWR
(if original vehicle replaced)Upgrade or Replacement Vehicle/Equipment Cost only Per UnitUpgrade Labor Cost only Per UnitTotal Cost Per Unit
(equipment plus labor)Total Federal Funds Expended Per Unit
($ of Total Cost per Unit)Federal Cost Share Expended Per Unit
(% of Total Cost per Unit)New Engine Model YearNew Engine Serial NumberNew Engine Tier
(nonroad, locomotive, and marine only)Tier 4 Standards
(Tier 4 only)New Engine After-Treatment Technology
(Tier 4 nonroad only)New Engine HorsepowerNew Engine Duty Cycle
(line-haul locomotive only)New Engine Cylinder Displacement
(liters per cylinder per engine; marine only)New Engine Total Displacement
(liters per engine; marine only)New Engine Number of Cylinders
(per engine; marine only)New Engine Family NameNew Engine Fuel Type
(select from dropdown)New Annual Idling Hours
(hours per vehicle; on-highway only)New Annual Hoteling Hours
(hours per vehicle; class 8 long-haul combination only)New Annual Fuel Volume (estimated gallons of fuel/year per engine for new gas, diesel, hybrid, LPG or CNG)New Vehicle Equipped with Auxiliary Heater? (Yes/No)Auxiliary Heater Type
(if applicable)Capable of Bidirectional Charging? (if Battery Electric or Hybrid)Manufacturer of Battery PackNumber of Battery PacksBattery Capacity per Battery Pack (kWh)Vehicle or Equipment Total Battery Capacity, (kWh)Rated Charging Power (kW)Estimated Range in Miles
(for Onroad Battery Electric only)Estimated Range in Hours (for Nonroad Battery Electric only)Is the Battery Warranty Included?
(for Battery Electric only)Battery: indicate Number of Years Covered
(for Battery Electric only)Battery: Number of Miles Covered by Warranty
(for Battery Electric only)Battery: Total kWh of battery discharge Covered by Warranty
(for Battery Electric only)Powertrain Warranty Included? (Yes/No)Powertrain: Number of Years
(if included)Powertrain: Number of Miles
(if included)Is the vehicle/equipment equipped with Telematics? (Yes/No/Not Sure)EPA or its partners may contact me about participating in research opportunities to provide vehicle/equipment data that could inform future transportation work. (Yes/No)If Yes, Telematics Primary Point of contact (Name and email)
Example VehicleSampleCompany APublicly OwnedOnroadTransit BusClass 6MunicipalOther1234567891011FordTaurus19954548154ABCABC1995Tier 2N/ANo DPF, Yes SCR6605.0 <= size <15.0N/AN/AN/AULSD (diesel)N/AN/A60003000150000120001500N/A3AZMaricopa CountyPhoenix85%85364;85365AZYuma CountyYuma15%85364;85365Pima County, AZ; La Paz County, AZ5% in Pima; 5% in La Paz2018Emission_Control_Devices
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 15
Vehicle 15
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

&G Office of Transportation and Air Quality Diesel Emissions Reduction Act September 2022

&A EPA Form Number: 5900-681

3. Infrastructure

U. S. Environmental Protection Agency
Diesel Emissions Reduction Act (DERA) Grant Program
Infrastructure Description
Instructions
The EVSE Equipment Information (Table 16) should detail all electric vehicle supply equipment (EVSE) and supporting infrastructure purchased under the project. Please only fill out shaded cells highlighted blue with a diagonal pattern (///); however, additional rows may be add as needed to capture all equipment. 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. All EVSE and other infrastructure projects must comply with Build America, Buy America (BABA) requirements. See below for more information on BABA.
Build America, Buy America (BABA) requirements
On November 16, 2021, the Infrastructure Investment and Jobs Act ("IIJA"), Pub. L. No. 116-58, which includes the Build America, Buy America Act (BABA), Public Law 116-58, §§ 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.
Table 3: Electric Vehicle Supply Equipment Information
Table 3a. EVSE Equipment Information OverviewTable 3b. Location of EV InfrastructureTable 3c. Charging Management Service ProvidersTable 3d. Infrastructure Installation InformationTable 3e. EVSE Cost SummaryTable 3f. Optional Participation in Future of Transportation Research
Type of ChargerIf Level 2, is it ENERGY STAR certifiedEVSE ManufacturerEVSE ModelEVSE Manufacture YearIs the EVSE BABA Compliant?EVSE Maximum Output Power (kW)Number of Plugs on EVSEIs the EVSE Capable of Bidirectional Charging?Will the Vehicle/Equipment and EVSE be Used for Vehicle to Grid (V2G)?Number of EVSE UnitsEVSE Equipment Cost only Per Unit:Total Federal Funds Expended Per EVSE UnitTotal Federal Funds Expended for EVSEDate of EVSE was Manufactured (mm/dd/yyyy)Date of EVSE Installation (mm/dd/yyyy)Date EVSE Operational
(mm/dd/yyyy)State
(select from dropdown)County
(select from dropdown)CityZip CodeStreet Adress of Charger(s)Who owns the charger?Anticipated User(s) of the chargerName of Charging Management Service Provider (NA if not applicable)Does the Infrastructure Equipment Cost Include Charging Management Service?
(Yes/No)If Charging Management Service not included in cost, but is acquired, what is the cost and frequency of charges?Total Funds Expended on Installation CostTotal EPA Funds Expended on Installation CostDoes the Infrastructure Equipment Cost Include Installation?Description of Installation WorkInstallation Work Performed ByInstallation was conducted by an individual who meets the infrastructure electrician requirements as outlined in the program guidance?Is waiver being used to fulfill BABA compliance for this infrastructure?Total EPA Funds Expended on EVSE Equipment and InstallationTotal Funds Expended on EVSE Equipment and InstallationFederal Cost Share Expended Per Unit
(% of Total Cost per EVSE)EPA or its partners may contact me about participating in research opportunities to provide EVSE data that could inform future transportation work. (Yes/No)If Yes, Telematics Primary Point of contact (Name and email)
Example EV InfrastructureLevel 2YesManufacturer NameModel Name2023Yes242NoNo2$ 18,000.00$ 12,000.00$ 24,000.003/28/246/28/248/28/24VAArlington CountyAlexandria22305400 1st StreetWalton School DistrictElectric school buses serving Walton School DistrictCharge Manage & Co.Yes$250 per charger per month$ 12,000.00$ 7,000.00NoUpgrades to the electrical panel, wiring, and installation for two DCFCXYZ Electric Co.Yes - Certification from EVITPNo - Infrastructure meets all BABA requirements$31,000.00$48,000.0065%YesSarah Smith, Smith.Sarah@hsd.edu
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
Table 4: Shore Power Information
Table 4a. Shore Power Equipment Information & Demand OverviewTable 4b. Location of Shore Power InfrastructureTable 4c. Installation DetailsTable 4d. Shore Power BABA DetailsTable 4e. Shore Power Cost SummaryTable 4f. Optional Participation in Future of Transportation Research
Type of Shore Power ConnectionTotal Voltage Service Provided
(select from dropdown)Total Voltage Service Provided, if not listedManufacturerModelManufacture YearTypical Engine Tier of Vessels Using Shore PowerFuel Type of Vessels Using Shore PowerNumber of Annual Vessel Calls to Berth where Shore Power InstalledAverage Hotel Hours per Vessel Call per Berth where Shore Power IntalledNumber of Vessel Berths that can be served by Shore Power PedestalMaximum Output Power (kW)Estimated Annual Total Energy Provided in MW-hNumber of Plugs per Shore Power PedestalNumber of Shore Power PedestalsState
(select from dropdown)County
(select from dropdown)CityZip CodePort Facility where Shore Power InstalledWho owns the Shore Power Infrastructure?Total Funds Expended Installation Cost for Shore Power GroupTotal Federal Funds Expended Installation Cost for Shore Power GroupDoes the Infrastructure Equipment Cost Include Installation?Description of Installation Work, including all equipment installedInstallation Work Performed ByDate(s) Shore Power Equipment was Manufactured (mm/dd/yyyy)Date Equipment InstalledDate Equipment Fully OperationalIs waiver being used to fulfill BABA compliance for this infrastructure?Are the Shore Power Equipment, Housing, and all Accessories BABA Compliant?If No, Partly Compliant, or Unsure, explainEquipment Cost only Per Shore Power Pedestal:Total Federal Funds Expended Per Shore Power PedestalTotal Federal Funds Expended for All Shore Power Equipment
(total # of pedestals x Federal Funds Expended/pedestal)Federal Cost Share Expended For Shore Power EquipmentFederal Cost Share for Shore Power InstallationEPA or its partners may contact me about participating in research opportunities to provide EVSE data that could inform future transportation work. (Yes/No)If Yes, Telematics Primary Point of contact (Name and email)
Example Shore Power InfrastructureHigh voltage shore power connection (HVSC)6.6 kV10 kVManufacturer NameModel Name2023Tier 1Marine Gas Oil (MGO, 0.10% S)500721241 MW-h22VAArlington CountyAlexandria22305Port of GuamPort of Guam$ 120,000.00$ 70,000.00NoUpgrades to the electrical panel, wiring, and installation for two DCFCXYZ Electric Co.5/25/236/24/248/24/24No - Infrastructure meets all BABA requirementsYes - Housing, Wiring, Cables, and All Accessories are BABA Compliant$ 18,000.00$ 12,000.00$ 24,000.0067%58%YesSarah Smith, Smith.Sarah@hsd.edu
Shore Power Group 1$ - 0
Shore Power Group 2$ - 0
Shore Power Group 3$ - 0
Shore Power Group 4$ - 0
Shore Power Group 5$ - 0
Shore Power Group 6$ - 0
Shore Power Group 7$ - 0
Shore Power Group 8$ - 0
Shore Power Group 9$ - 0
Shore Power Group 10$ - 0
Are there any other infrastructure projects associated with this grant that are not listed above (e.g. electrified parking space, stationary generator or other stationary equipment)?
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.

&G Office of Transportation and Air Quality

&P &A EPA Form Number: 5900-681

4. Data Dictionary

Fleet Description Data Fields: Please refer to the following data field dictionary for support in completing tab 2 (Fleet Description).
2. FLEET DESCRIPTION
CURRENT VEHICLE AND ENGINE UPGRADE INFORMATION
Basic Fleet Information
Group NameEnter the group name of the fleet.
Fleet OwnerEnter the first and last name of the individual or organization that owns the fleet.
Publicly or Privately Owned?If the vehicles are part of a public fleet or benefit the public (i.e. a private school bus company contracted by a public school; drayage vehicles that serve a port; private construction equipment contracted to a public works project, etc) enter "Publicly", otherwise enter "Privately".
Place of PerformanceEnter the next four fields for each vehicle's place(s) of performance.
- State(s):Enter the two letter postal code for the state in which the vehicle(s) will operate.
- County(s):Enter the county in which the vehicle(s) will operate.
- City(s):Enter the city in which the vehicle(s) will operate.
- Zip Code(s):Enter the zip code which the vehicle(s) will operate.
- % of Time operated in each Zip Code (Total to Equal 100%)Enter the percent of time the vehicle group operates in each zip code, if there is more than one. For example, 80% of time in 85310 and 20% of time in 85308.
Equipment TypeEnter the vehicle type from the dropdown, OnRoad Vehicle, NonRoad Equipment, Locomotive, or Marine.
Target FleetSelect the target fleet from the dropdown menu.
ClassSelect from the dropdown menu the Vehicle/Equipment Class for onroad vehicles, as appropriate.
Vehicle or Engine Group Sector:Using the drop down, enter the sector associated with the vehicle or engine group.
VocationSelect the vocation type from the dropdown menu.
Current Vehicle Information
Vehicle Identification Number(s):Enter the Serial number or VIN number for each engine or vehicle
Vehicle MakeEnter the manufacturer of the exisiting vehicle
Vehicle ModelEnter the model of the exisiting vehicle
Baseline Vehicle Model Year:Enter the model year of the existing vehicle.
Current Engine Information
Engine Serial Number(s) :Enter the engine Serial # for each vehicle or engine to be scrapped/replaced.
Engine Make:Enter the manufacturer of the exisiting Engine.
Engine Model:Enter the model of the exisiting Engine.
Engine Model Year:Enter the model year of this engine set.
Engine Tier (nonroad, locomotive, and marine only):For REPOWERS AND UPGRADES ONLY, Select from the dropdown menu the Current Tier Level.
Tier 4 Standards (Tier 4 only):For tier 4 only engines, please use the drop down to indicate interim for final.
Engine After-Treatment TechnologyEnter the appropriate drop down for collection on emission control technologies for the current engine.
Engine Horsepower:Enter the average horsepower of the engine/equipment.
Engine Cylinder Displacement (liters/cylinder; marine only):Enter the engine displacement per cylinder in liters.
Engine Number of Cylinders (# of cylinders per engine):Enter the number of cylinders per engine.
Engine Total Displacement (liters per engine; marine only)Enter the engine displacement per cylinder in liters.
Engine Family Name (if unregulated, then NA):Enter the Engine Family name of the existing Engine. NOTE: unregulated engines will not have an Engine Family Name. Engine Optional for Idle Reduction, Aerodynamic Technology, Low Rolling Resistance Tires, and Fuels projects.
Baseline Engine Fuel Type:Select the type of fuel that is currently being used (prior to any clean diesel activity change).
Total # of Propulsion Engines (per vessel; marine only):Enter the total number of propulsion engines on the vessel.
Total # of Auxiliary Engines (per vessel; marine only):Enter the total number of auxiliary engines on the vessel.
Current Annual Vehicle Data
Annual Amount of Fuel Used (gallons/year per engine):Enter the amount of fuel used in gallons/year.
Annual Usage Hours (hours per year per engine; includes idling hours; nonroad, locomotive, and marine only)Enter the average number of hours the equipment is used per year.
Annual Miles Traveled (miles per vehicle; on-highway only):Enter the average number of vehicle miles traveled per year per vehicle.
Annual Idling Hours (hours per engine; on-highway only):Enter the average number of hours the vehicle idles per year.
Annual Hoteling Hours (hours per year per engine; class 8 long-haul combination only):Enter the average number of hoteling hours per year, per engine.
Remaining Life of Baseline Engine/Vehicle (years per engine; total # of years of engine life remaining at time of upgrade action):Enter the remaining life of baseline engine/vehicle in years at the time of the upgrade action
NEW VEHICLE AND ENGINE UPGRADE INFORMATION
Upgrade Information
Year of Upgrade Action:Enter the year in which the upgrade will take place (i.e., if in 2010, you're replacing a 1995 bus with a 2007 bus, the upgrade year is 2010.)
Upgrade Type:Enter the type of upgrade that will take place from the dropdown menu.
Upgrade Specific:Using the drop down, enter the specific type of upgrade that will take place during the project.
Class (onroad vehicles):Using the drop down list provided, select the appropriate vehicle class (for onroad vehicles only).
VIN for New Vehicle(s):Please enter the vehicle identification numbers for the new vehicle(s) being replaced.
Total Cost per Unit (equipment cost plus labor):Automated cell that will sum the upgrade equipment cost (row 55) and labor cost (row 56).
Upgrade Equipment Cost only per unit:Enter the cost of the technology or equipment cost per unit.
Upgrade Labor Cost only per unit:Enter the cost of installing or labor cost of the technology per unit.
Total Federal Funds Expended per Unit ($ Total Cost per Unit):Enter the federal funds expended in dollars per unit.
Federal Cost Share Expended per Unit (% Total Cost per Unit):Automated cell that will calculate the federal cost share based upon the federal funds expended entered in row 57.
New Engine Information
New Engine Model Year:For REPLACEMENTS AND REPOWERS ONLY, Enter the model year of the new vehicle/engine.
New Engine Tier (nonroad, locomotive, and marine only):For REPLACEMENTS, REPOWERS AND UPGRADES ONLY, Select from the dropdown menu the new Tier Level.
Tier 4 Standards (Tier 4 only):For tier 4 only engines, please use the drop down to indicate interim for final.
New Engine After-Treatment Technology (Tier 4 nonroad only):Enter the appropriate drop down for collection on emission control technologies for the new engine.
New Engine Horsepower:Enter the new horsepower of the engine or equipment.
New Engine Duty Cycle (line-haul locomotive only):Please enter the new engine duty cycle - for line-haul locomotive ONLY.
New Engine Cylinder Displacement (liters per cylinder per engine; marine only):Enter the new engine displacement per cylinder in liters.
New Engine Total Displacement (liters per engine; marine only)Select from the dropdown menu the displacement per cylinder in liters.
New Engine Number of Cylinders (per engine; marine only):Enter the number of cyclinders in the new engine.
New Engine Family Name:For REPLACEMENTS AND REPOWERS ONLY, Enter the Engine Family Name of the new engine.
New Engine Fuel Type:Select the type of fuel that is for the new engine or vehicle.
New Annual Vehicle Data
Annual Idling Hours Reduced (hours per vehicle; on-highway only):For IDLE REDUCTION STRATEGIES ONLY, Enter the average number of idling hours reduced for the engine.
Annual Hoteling Hours Reduced (hours per vehicle; class 8 long-haul combination only):Enter the average number of hoteling hours per year, per engine.
New Annual Fuel Volume (estimated gallons/year per engine):Please enter the new annual fuel volume, in gallons. New Annual Fuel Volume should be from new engine efficiency, not changes in use.
3. INFRASTRUCTURE
EVSE Equipment Information
Type of ChargerEnter 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 certifiedConfirm and select yes if applicable. Please see https://www.energystar.gov/
EVSE ManufacturerEnter the manufacturer of the charging equipment
EVSE ModelEnter the model name of the charging equipment.
EVSE Manufacture YearEnter the year the charging equipment was manufactured.
Is the EVSE BABA Compliant?Select an option. EVSE manufactured on or after July 1, 2024 must be meet BABA requirements.
EVSE Maximum Output Power (kW)Enter the maximum power output of the charging equipment, measured in kilowatts.
Number of Plugs on EVSEEnter 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 buses and charging equipment will be used for vehicle-to-grid (V2G) services.
EVSE Number of UnitsEnter the quantity of charging equipment unit
EVSE Equipment Cost only Per Unit:Enter the cost of the charging equipment per unit.
Total Federal Funds Expended Per EVSE UnitEnter the total Federal funds expend for charging equipment per unit.
Total Federal Funds Expended for EVSENo action - autopopulated
Date of EVSE Installation (mm/dd/yyyy)Enter the date on which the EVSE is permanently affixed.
Location of EV Infrastructure
StateSelect the two letter postal code for the state in which the charging equipment will be located.
CountyEnter the county in which the charging equipment will be located.
CityEnter the city in which the charging equipment will be located.
Zip CodeEnter the zip code in which the charging equipment will be located.
Street AdressEnter the street address in which the charging equipment will be located.
Who owns the charger?Enter the name of the school district or organization that owns the charging equipment.
Does the EVSE serve multiple school districts within this application?Select yes or no
Name of the School District(s) the EVSE will serve (use a colon between school districts)Enter the name of the school district in which the EVSE will serve. If it will serve multiple school districts, list all and separate with a colon (e.g., Hampton School District: Edgewood School District).
NCES ID of School District that the EVSE will serve (use a colon between school districts)Enter the name of the National Center for Education Statistics (NCES) ID associated with the school district in which the EVSE will serve. If it will serve multiple school districts, list all NCES IDs and separate with a colon (e.g., 1234567: 7654321).
Infrastructure Installation Information
Total Funds Expended Installation CostEnter the total installation costs for the charging equipment for the EV infrastructure group column.
Total Federal Funds Expended Installation CostEnter the total Federal 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.
Description of Installation WorkEnter a description of the work performed to install the charging equipment, such as design and engineering, trenching, wiring and electrical upgrades, labor, and permitting.
Installation Work Performed ByEnter the name(s) of the organization(s) that performed the installation work described above.
Installation was conducted by an individual who meets the infrastructure electrician requirements as outlined in the program guidance?Select electrician category
Is waiver being used to fulfill BABA compliance for the Infrastructure ProjectIf a waiver is being used to meet BABA compliance requirements, select the waiver type
Total Federal Funds Expended Equipment and InstallationAutomated cell that will calculate the total Federal Funds expended for the charging equipment and installation for an EV Infrastructure Group.
Shore Power Equipment Information and Demand Overview
Type of Shore Power ConnectionSelect the type of shore power connection, either high-voltage (HVSC) or low-voltage (LVSC).
Total Voltage Service ProvidedSelect the total voltage provided from the dropdown menu, if listed.
Total Voltage Service Provided, if Not ListedEnter the total voltage service provided if the amount is not listed in the dropdown menu.
ManufacturerEnter the manufacturer of the shore power system.
ModelEnter the model name of the shore power system.
Manufacture YearEnter the year the shore power system was manufactured.
Typical Engine Tier of Vessels Using Shore PowerSelect the typical engine tier of vessels using the shore power system.
Fuel Type of Vessels Using Shore PowerSelect the fuel type of vessels using the shore power system.
Number of Annual Vessel Calls to Berth where Shore Power InstalledEnter the number of annual vessel calls per berth where the shore power system is installed.
Number of Vessel Berths that can be served by Shore Power PedestalEnter the number of vessel berths that can be served by the shore power system.
Maximum Output Power (kW)Enter the maximum power output of the shore power system, measured in kilowatts.
Estimated Annual Total Energy Provided in MW-hEnter the estimated total annual energy output of the shore power system in megawatt-hours.
Number of Plugs per Shore Power PedestalEnter the number of available plugs per shore power pedestal installed.
Number of Shore Power PedestalsEnter the total number of shore power pedestals installed.
Location of Shore Power Infrastructure
State (select from dropdown)Select the state where the shore power system is installed.
County (select from dropdown)Select the county where the shore power system is installed.
CityEnter the name of the city where the shore power system is installed.
Zip CodeEnter the zip code of the location where the shore power system is installed.
Port Facility where Shore Power InstalledEnter the name of the port facility where the shore power system is installed.
Who owns the Shore Power Infrastructure?Enter the name of the organization that owns the shore power system.
Installation Details
Total Funds Expended Installation Cost for Shore Power GroupEnter the total cost for installation of the shore power system.
Total Federal Funds Expended Installation Cost for Shore Power GroupEnter the total amount of federal funds expended for installation of the shore power system.
Does the Infrastructure Equipment Cost Include Installation?Select whether or not the equipment cost includes installation of the shore power system.
Description of Installation Work, including all equipment installedDescribe the work done during installation, including all equipment that became part of the installed shore power system.
Installation Work Performed ByList the name of the company (or companies) performing the installation of the shore power system.
Date Equipment InstalledEnter the date (or date range) the shore power system was installed.
Date Equipment Fully OperationalEnter the date by which the shore power system became fully operational.
Is waiver being used to fulfill BABA compliance for this infrastructure?Select from the dropdown menu how BABA requirements are being met for the shore power project.
Are the Shore Power Equipment, Housing, and all Accessories BABA Compliant?Select from the dropdown menu which parts of the shore power project are BABA compliant.
If No, Partly Compliant, or Unsure, explainFor the previous column, explain which parts are not compliant or enter N/A.
Shore Power Cost Summary
Equipment Cost only Per Shore Power Pedestal:Enter the equipment cost for each shore power pedestal.
Total Federal Funds Expended Per Shore Power PedestalEnter the federal funds expended for the equipment in each shore power pedestal.
Total Federal Funds Expended for All Shore Power Equipment
(total # of pedestals x Federal Funds Expended/pedestal)No action - autopopulated
Federal Cost Share Expended For Shore Power EquipmentNo action - autopopulated
Federal Cost Share for Shore Power InstallationNo action - autopopulated
Optional Participation in Future Transportation Research
EPA or its partners may contact me about participating in research opportunities to provide shore power data that could inform future transportation work. (Yes/No)Select from the dropdown menu if EPA or its partners may contact you regarding shore power research.
If Yes, Primary Point of contact (Name and email)If you selected "Yes" for the previous column, please enter your name and e-mail.

&G Office of Transportation and Air Quality

&A EPA Form Number: 5900-681

14. Data Validation

ProgressYear UpdateType of AmendmentVehicle OwnershipAll SectorsVehicle TypeVehicle TypeTarget FleetSectors By Target FleetVehicle TypeVocationAll ClassesUpgrade TypeUpgradeBy Target FleetAll UpgradesBy Target FleetFuelTierEngine Cylinder DisplacementsEngine After-Treatment Technology: (Tier 4, nonroad only)Reporting Date QuartersType of Shore Power ConnectionShore Power connection ServiceMarine Fuel Type for Shore PowerShore Power BABABABA WaiverQuarterlyBiannually
Year 1 UpdateChanges to Vehicle or Equipment DeploymentPrivately OwnedAgricultureMarine_VesselsLocomotiveAerial LiftVehicle TypeTarget FleetSectorMarine VesselsContainer ShipClass 3Idling Control StrategiesAuxiliary Power UnitTarget FleetClassUpgrade TypeUpgradeVehicle TypeTarget FleetUpgrade TypeUpgradeULSD (diesel)Uncontrolledsize < 0.9No DPF, No SCRPlease select reporting quarter.High voltage shore power connection (HVSC)220 VHeavy Fuel Oil (HFO, 3.50% S)Yes - Housing, Wiring, Cables, and All Accessories are BABA CompliantNo - Infrastructure meets all BABA requirementsPlease select reporting quarter.Jan. to Jun. 2024
Not Yet StartedYear 2 UpdateChanges to Eligible Fueling and/or Charging Infrastructure DeploymentPublicly OwnedAirportNonroadLocomotiveAgricultural MowerLocomotiveLine Haul LocomotiveAgricultureMarine VesselsCrew/Work boatClass 4Emission Control DevicesBiodiesel (B20)Long Haul - Single UnitClass 3Idling Control StrategiesAuxiliary Power UnitLocomotiveLine Haul LocomotiveEmission Control DevicesOther Emission Control DeviceBiodiesel 5Tier 00.9 <= size <1.2No DPF, Yes SCROct. to Dec. 2021Low voltage shore power connection (LVSC)480 VMarine Diesel Oil (MDO, 0.50% S)Some Housing, Wiring, Cables, and Accessoreis are BABA CompliantYes - EPA's De Minimis WaiverOct. to Dec. 2023Jul. to Dec. 2024
In ProgressYear 3 UpdateChanges to Other Planned ActivitiesConstructionOnroadLocomotiveAgricultural TractorLocomotiveLine Haul LocomotiveAirportMarine VesselsCruise VesselClass 5Engine ReplacementBiodiesel (B5)Long Haul - Single UnitClass 4Idling Control StrategiesElectrified Parking SpaceLocomotiveLine Haul LocomotiveEmission Control DevicesSelective Catalytic ReductionBiodiesel 20Tier 11.2 <= size <2.5Yes DPF, No SCRJan. to Mar. 20226.6 kVMarine Gas Oil (MGO, 0.10% S)NoYes - EPA's Small Project WaiverJan. to Mar. 2024Jan. to Jun. 2025
CompletedYear 4 UpdateFreightLocomotiveLocomotiveAirport Support EquipmentLocomotiveLine Haul LocomotiveConstructionMarine VesselsExcursion VesselClass 6Locomotive ReplacementDiesel Oxidation CatalystLong Haul - Single UnitClass 5Idling Control StrategiesFuel Operated HeaterLocomotiveLine Haul LocomotiveEngine ReplacementEngine Replacement - All-ElectricCNG (ft3)Tier 22.5 <= size <3.5Yes DPF, Yes SCRApr. to Jun. 202211 kVLiquefied Natural Gas (LNG)Not SureYes - EPA's Pacific Island Territories General Applicability WaiverApr. to Jun. 2024Jul. to Dec. 2025
Year 5 UpdateIndustrialMarine VesselsBackhoe LoaderLocomotiveLine Haul LocomotiveFreightMarine VesselsFerry VesselClass 7Vehicle ReplacementDiesel Oxidation Catalyst + Closed Crankcase VentilationLong Haul - Single UnitClass 6Idling Control StrategiesShore PowerLocomotiveLine Haul LocomotiveEngine ReplacementEngine Replacement - Gen SetCNG (lbs)Tier 33.5 <= size <5.0Do not knowJul. to Sep. 2022Other value not listedYes - Project-Level WaiverJul. to Sep. 2024Jan. to Jun. 2026
YesMiningMarine VesselsBaler/Combine/SwatherLocomotiveLine Haul LocomotiveIndustrialMarine VesselsFishing VesselClass 8Engine Upgrade KitsDiesel Oxidation Catalyst + Diesel Particulate FilterLong Haul - Single UnitClass 7Idling Control StrategiesOther Idling Control StrategyLocomotiveLine Haul LocomotiveEngine ReplacementEngine Replacement - LNGLNGTier 45.0 <= size <15.0Oct. to Dec. 2022Oct. to Dec. 2024Jul. to Dec. 2026
NoMunicipalNonroadBore/Drill RigLocomotiveLine Haul LocomotiveMiningMarine VesselsOther Harbor CraftFuel OptionsDiesel Particulate FilterLong Haul - Single UnitClass 8Emission Control DevicesDiesel Oxidation CatalystLocomotiveLine Haul LocomotiveEngine ReplacementEngine Replacement - OtherLPG/PropaneTier 4i (interim - nonroad only)15.0 <= size < 20.0Jan. to Mar. 2023Jan. to Mar. 2025Jan. to Jun. 2027
N/APortNonroadCement & Mortar MixerLocomotiveLine Haul LocomotiveMunicipalMarine VesselsOther OGVAerodynamic DevicesElectrified Parking SpaceLong Haul - CombinationClass 8Emission Control DevicesDiesel Oxidation Catalyst + Closed Crankcase VentilationLocomotiveLine Haul LocomotiveEngine ReplacementEngine Replacement - ULSD (diesel)Gasoline20.0 <= size < 25.0Apr. to Jun. 2023Apr. to Jun. 2025Jul. to Dec. 2027

This is the start of the file's text. The full file is on GovTribe.

File details come from the government source that posted it. Updated .