U.S. Department of Transportation
Federal Highway Administration
1200 New Jersey Avenue, SE
Washington, DC 20590
202-366-4000
Guide to Reporting Highway Statistics
| The public report burden for this information collection is estimated to average 6 hours | |||||||
| MONTHLY MOTOR-FUEL CONSUMPTION | State Name |
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| Year |
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| Month of Sale or Transfer |
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| Units (check one) Gallons Liters |
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| Item | Line No. |
Gasoline (1) |
Gasohol (2) |
Private and Commercial | Total (5) |
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|---|---|---|---|---|---|---|---|
| Highway Diesel (3) |
Alternate Fuels (4) |
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| 1. Gross Volume Reported | 01 | ||||||
| 2. Fully Tax Exempt | a. Losses-Flat % | 21 | |||||
| b. Losses-Actual | 22 | ||||||
| c. Federal | 23 | ||||||
| d. | 24 | ||||||
| e. | 25 | ||||||
| f. | 26 | ||||||
| g. | 27 | ||||||
| h. | 28 | ||||||
| i. | 29 | ||||||
| j. Total (a. thru i.) | 30 | ||||||
| 3. Gross Volume Taxed (1.-2.j.) | 40 | ||||||
| 4. Fully Refunded | a. Agriculture | 51 | |||||
| b. Aviation | 52 | ||||||
| c. Industrial/Commercial | 53 | ||||||
| d. Construction | 54 | ||||||
| e. Boating | 55 | ||||||
| f. | 56 | ||||||
| g. | 57 | ||||||
| h. | 58 | ||||||
| i. | 59 | ||||||
| j. | 60 | ||||||
| k. | 61 | ||||||
| l. | 62 | ||||||
| m. | 63 | ||||||
| n. | 64 | ||||||
| o. | 65 | ||||||
| p. | 66 | ||||||
| q. | 67 | ||||||
| r. | 68 | ||||||
| s. | 69 | ||||||
| t. Total (a. thru s.) | 70 | ||||||
| 5. Net Volume Taxed (Partial Exemption or Refund) |
a. At Full Rate | 81 | |||||
| b. Aviation | 82 | ||||||
| c. | 83 | ||||||
| d. | 84 | ||||||
| e. | 85 | ||||||
| f. | 86 | ||||||
| g. | 87 | ||||||
| h. | 88 | ||||||
| i. | 89 | ||||||
| j. Total (a. thru i., 3.-4.t.) | 90 | ||||||
| 6. Source | a. Agency Preparing this Report | ||||||
| b. Compiled under Direction of | |||||||
| Form FHWA-551M (Rev. 10/2005) | |||||||
| NOTES AND TECHNICAL INFORMATION | State Name 0 |
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| Year 0 |
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| Month 0 |
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| 1. Rate of tax at end of month, in cents per gallon or liter. (If tax is ad valorem, post percentage, and briefly explain basis below.) | |||||||
| Fuel Type | Rate (cents) | Effective Date (mm/dd/yyyy) | |||||
| a. Gasoline | |||||||
| b. Gasohol | |||||||
| c. Diesel | |||||||
| d. LPG | |||||||
| e. CNG | |||||||
| f. M85 | |||||||
| g. E85 | |||||||
| h. LNG | |||||||
| i. Biodiesel | |||||||
| j. Other | |||||||
| 2. Rate of Optional Tax at end of month (in cents per gallon) | |||||||
| Rate Name | Rate (Cents) | Effective Date (mm/dd/yyyy) | Inpection Fee Comment(s) | ||||
| Inspection Fee | |||||||
| Environmental Fee | |||||||
| Local Option Tax applied Uniformly Across the State | |||||||
| Other | |||||||
| 3. Computation of gross volume reported (page1, item1.) | |||||||
| Gasoline | Diesel/Kerosene | ||||||
| Gross sales from sellers' returns | |||||||
| Plus: IFTA fuel used in State (from users' returns) | |||||||
| Less: IFTA fuel purchased tax paid in State (from users' returns) | |||||||
| = Net consumption in State (Enter on page 1, item 1.) | 0 | 0 | |||||
| Interstate motor-carrier (fuel use tax) fuel volume shown above | Beginning | End | |||||
| covers the following period: (Specify month or months covered) | |||||||
| 4. Stratification of Gasohol by Blend Ratio The gasohol volume shown on page 1, column (2) includes: (Show actual/estimated volume or percentage shares) |
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| Percent Alcohol | Volume | Percentage Share | |||||
| 5.7-7.6% | |||||||
| 7.7-9.9% | |||||||
| 10 + % | |||||||
| 5. Notes and Comments | |||||||
Form FHWA-551M (Rev. 10/2005)