ANNUAL ENERGY MANAGEMENT DATA REPORT
Agency_____________________________  Prepared by:____________________________

Reported Year: FY 1998  Date Submitted:___________  Phone:___________________

PROJECTED GROSS SQUARE FOOTAGE
Buildings/Facilities                    Excluded Buildings/Industrial
Gross Square Feet, Thou.______________  Gross Square Feet, Thou._____________

PROJECTED ENERGY CONSUMPTION AND COST DATA
(Breakdown of energy types for the budget year is optional, but if it's available,
please provide it.)

Buildings/Facilities           Annual Consumption     Annual Cost (Thou. $)
Electricity     MWH            __________________     _____________________
Fuel Oil        Thou. Gal.     __________________     _____________________
Natural Gas     Thou. Cu. Ft.  __________________     _____________________
LPG/Propane     Thou. Gal.     __________________     _____________________
Coal            S. Ton         __________________     _____________________
Purch. Steam    BBtu           __________________     _____________________
Other           BBtu           __________________     _____________________
                Total Buildings/Facilities Costs      _____________________

Excluded Buildings/Industrial   Annual Consumption    Annual Cost (Thou. $)
Electricity     MWH             __________________    _____________________
Fuel Oil        Thou. Gal.      __________________    _____________________
Natural Gas     Thou. Cu. Ft.   __________________    _____________________
LPG/Propane     Thou. Gal.      __________________    _____________________
Coal            S. Ton          __________________    _____________________
Purch. Steam    BBtu            __________________    _____________________
Other           BBtu            __________________    _____________________
                Total Excluded Bldgs/Indust Fac. Costs_____________________

DIRECT AGENCY EXPENDITURES -- Direct expenditures on facility energy
efficiency improvements
FY 1998 Budgeted Expenditures (Thou. $)______________________
Annual savings anticipated from expenditures_________________ MMBTU
                                            _________________(Thou. $)

ENERGY SAVINGS PERFORMANCE CONTRACTS
Number of ESP contracts planned_________________
Annual savings anticipated from ESP contracts________________MMBTU
                                             ________________(Thou. $)
UTILITY INCENTIVES
Incentives anticipated____________________(Thou. $)
Funds planned in order to receive incentives___________________(Thou. $)
Annual savings anticipated from DSM activities________________MMBTU
                                              ________________(Thou. $)
TRAINING
Planned year expenditures for energy management training_____________(Thou. $)
Planned number of personnel trained_______________________



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