Table 1:  All Applicants must complete the table below with the appropriate information
Field
DEQ Input
Possible criteria range
Reasoning
Applicant Information


This includes the basic contact information needed to know who is applying for funding
Eligible Applicant


WHY: To ensure only applicants who are eligible under the legislative language are accepted into the rebate program

WHAT: This would be a list of all the types of eligible applicants in which the applicant would select which type they are (i.e. State, local government, nonprofit organization).
Organization Name


WHY: Organizations must be registered with the Central Contractor Registry (CCR).  CCR is a government-wide registry for vendors doing business with the federal government.

WHAT: Enter the legal name of the applicant that will undertake the activity.  This is the name that the organization has registered with the CCR.  Information on registering with CCR may be obtained by visiting the grants.gov website.
Employer/Taxpayer Number (EIN/TIN)


WHY: Required to identify an entity with the Internal Revenue Service.

WHAT: Enter the Employer or Taxpayer Identification Number (EIN or TIN) as assigned by the Internal revenue Service.  If your organization is not in the US, enter 44-4444444.
Organizational DUNS (Data Universal Numbering System)


WHY: OMB has determined there is a need for improved statistical reporting of federal grants (funds).  OMB has adopted the use of the DUNS number as a way to identify organizations that receive grant (funds) awards and to track how the grant (funds) is dispersed.

WHAT: Enter the organization's DUNS or DUNS+4 number received from DUN and Bradstreet.  Information on obtaining a DUNS number may be obtained by visiting the grants.gov website.
Street 1



Street2



City



ZIP



County/Parish



State



Applicant name


Name of the person to contact on matters related to this application.
Authorized Representative Signature


Enter the name (first and last), telephone number, fax number, and email address of the person authorized to sign for the applicant.
Type of Application


WHY:  This program may allow applicants to apply twice during a funding period.  This field will identify if the applicant is a repeat.

WHAT:  This field would allow for two options; new and repeat applicant within a given fiscal year.  Repeat applications would only be accepted after an announcement from EPA.
Number of vehicles to be replaced/retrofitted under this application

Maximum of 5
WHY: Identify how many vehicles the applicant wishes to apply for under this competition.  Note: applicants may not reapply unless stated by EPA for a given fiscal year.


Table 2: vehicle/Equipment Information Current Vehicle
Field
DEQ Input
Possible criteria range
Reasoning
Vehicle/Equipment Information


This section requests the basic information required to calculate emissions.  If applicants are applying for multiple vehicles then they must fill out this section for each vehicle.
Target Fleet
YES
All of the inputs for DEQ/DRIVER*


WHY: Identify vehicle
WHAT: We would provide a selection based on the DEQ and DRIVER inputs in the explanation document.  Each year, we would publish the specific target vehicles we would like to focus on.  Thus applicants would only be eligible with the appropriate target vehicles.
*DEQ: Diesel Emissions Quantifier
DRIVER: Database for Reporting Innovative Vehicle Emission Reductions
Class/Equipment
YES
This would be defined year to year
WHY: Identify vehicle
WHAT: We would provide a selection based on the DEQ and DRIVER inputs in the explanation document.
Vehicle Identification Number


WHY: Identification and tracking purposes.
Engine Model Year
YES
This would be defined year to year
WHY: Used to calculate emissions reduced and to ensure vehicle meets the requirements as set forth under the program.
WHAT: Enter the model year of the engine
Engine Family Name


WHY: Used to verify engine model year and emissions.
Average Annual Vehicle Miles traveled or Annual Hours of Operation
YES

WHY: Used to calculate emissions reduced.
WHAT: For on-highway vehicles, enter the average vehicle miles traveled per year.  For nonroad equipment, enter the average annual usage rate in hours.
Fuel Consumed in the past year
YES

WHY: Used to calculate emissions reduced.
WHAT: Enter the type of fuel used.
Average Fuel Consumed for fleet in the past year
YES

WHY: Used to calculate emissions reduced.
WHAT: Enter in gallons the amount of fuel used for the vehicle.
Idling Hours
YES

WHY: Used to calculate emissions reduced.
WHAT: Enter the average hours the vehicle idles per year (on-highway only).
Horsepower
YES
This would be defined year to year
WHY: Used to calculate emissions reduced.
WHAT: Enter the engine horsepower (nonroad only).


Table 3: Only fill out this table if you are applying for a vehicle/engine replacement rebate
Field
DEQ Input
Possible criteria range
Reasoning
New Vehicle


This section requests information on the new vehicle/equipment.
New Engine Model Year
YES
2010 and newer
WHY: Used to calculate emissions reduced and to ensure vehicle meets the requirements as set forth under the program.
WHAT: Enter the model year of the engine
New Engine Family Name


WHY: Used verify engine model year and emissions.
Estimated Cost of new vehicle


WHY: Applicant must demonstrate progress researching new vehicles and  has determined?? the total cost associated with replacement.  
Proposed Method of scrapping vehicle/engine


WHY:  Used to ensure applicant understands the old vehicle must be completely scrapped and has researched ways to complete this task and has researched potential options.
Vehicle Usage confirmation


"I certify that the new vehicle will be used in the same manner as and is of the same type, similar gross vehicle weight rating or horsepower as the vehicle it is replacing."

Table 4: Only fill out this table if you are applying for a retrofit rebate
Field
DEQ Input
Possible criteria range
Reasoning
New Vehicle


This section requests information on the selected retrofit strategy.
Technology Type
YES

WHY: Identify the type of technology (eg diesel particulate filter  selective catalytic reduction, etc).
WHAT: We would provide a list of retrofit options that the applicant would select.
Verifying Agency

EPA or CARB*
WHY: Used to verify the technology is verified.  Any technology used, must be verified by EPA or CARB.
CARB: California Air Resources Board
Technology Manufacturer


WHY: Used to confirm technology is verified on one of the possible lists.
Technology Applicability


WHY: Used to confirm technology is verified on one of the possible lists.  This information can be copied directly from either EPA or CARB's verified list.
WHAT: The applicability of a technology can be found in both EPA's and CARB's verified technology list.  Copying the applicability into the application demonstrates that the applier understands what engines and vehicles this technology is verified for and will only use said technology on applicable engines and vehicles.
Data Logging Completed


WHY: Some technologies require data logging to be completed to ensure correct performance of the technology.

With the application (or reservation form) the applicant must attach:
   * Supporting documentation from organization on company letterhead that utilizes the services of the vehicles of the private owner, if the applicant is a private fleet owner.
   * If the rebate is for a replacement:
         o A quote for the new vehicle must be included with application.
         o A document from a credible place that will scrap the old bus
   * If the rebate is for a retrofit device that requires data logging; this must be completed and submitted with the application.

