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)