| A | B | C | D | E | F | G | H | I | J | K | L | M | N | O | P | Q | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1 | FEE CHANGE DETAIL REPORT | ||||||||||||||||
| 3 | Fee Title/Description | ORS/OAR | Who pays fee | Increase, Establish, Decrease? | Date/Amount of Last Change | Date Fee Expected to be Changed | Current fee | Proposed fee | Proposed fee change | Number 2007-09 transactions with new fee | Impact on 2007-09 revenue | Total 2007-09 revenue | Number 2009-11 transactions with new fee | Impact on 2009-11 revenue | Total 2009-11 revenue | Leg Concept Number | Policy Package Number |
| 4 | General ACDP/Class 4 | 340-216-0060 | NESHAP Area Sources | Establish | N/A | 12/12/2008 | $ - 0 | $ 360 | $ 360 | - | $ - 0 | $ - 0 | 742 | $ 267,120 | $ 267,120 | N/A | 114 |
| 5 | General ACDP/Class 5 | 340-216-0060 | NESHAP Area Sources | Establish | N/A | 12/12/2008 | $ - 0 | $ 120 | $ 120 | - | $ - 0 | $ - 0 | 2,608 | $ 312,960 | $ 312,960 | N/A | 114 |
| 6 | Stage I Vapor Recovery | 340-232-0070 | Gasoline Stations | Decrease | 12/12/2008 | $ 50 | $ - 0 | $ (50) | 1,248 | $- | $ 62,400 | 1,248 | (62,400) | (62,400) | N/A | 114 | |
| 7 | Stage II Vapor Recovery | 340-242-0520 | Gasoline Stations | Decrease | 12/12/2008 | $ 100 | $ - 0 | $ (100) | 738 | $- | $ 73,800 | 738 | (73,800) | (73,800) | N/A | 114 | |
| 8 | - 0 | - | - | ||||||||||||||
| 9 | - 0 | - | |||||||||||||||
| 10 | - 0 | - | - | ||||||||||||||
| 11 | - 0 | - | - | ||||||||||||||
| 12 | - 0 | - | - | ||||||||||||||
| 13 | - 0 | - | - | ||||||||||||||
| 14 | - 0 | - | - | ||||||||||||||
| 15 | - 0 | - | - | ||||||||||||||
| 16 | - 0 | - | - | ||||||||||||||
| 17 | - 0 | - | - | ||||||||||||||
| 18 | - 0 | - | - | ||||||||||||||
| 19 | - 0 | - | - | ||||||||||||||
| 20 | - 0 | - | - | ||||||||||||||
| 21 | - 0 | - | - | ||||||||||||||
| 24 | This form and accompanying cover letter must be completed and submitted for three separate purposes: | ||||||||||||||||
| 25 | 1) Submitted to DAS with the Fee Approval Form (107BF21) when requesting DAS approval to change a fee administratively (Leg Concept/Policy Pkg columns not relevant). | ||||||||||||||||
| 26 | 2) Submitted to DAS with a Legislative Concept, if that concept would increase a fee or assessment (2007-09 columns not relevant). | ||||||||||||||||
| 27 | 3) Submitted electronically to BAM analyst, at same time as Agency Request Budget, if budget includes any fee establishment, increase, or decrease (2007-09 columns not relevant). | ||||||||||||||||
| 29 | A cover letter is required that provides an overview of and provides context for the impact of the change or establishment. | ||||||||||||||||
| 30 | See instructions below for more information. | ||||||||||||||||
| 36 | Note: Shaded fields are reported on the Detail of Fee, License, or Assessment Revenue Increase in the budget binder (107BF08). | ||||||||||||||||
| 39 | The cover letter should include the following information, when relevant, in order for DAS to review the proposal: | ||||||||||||||||
| 40 | a. An explanation of why the fee change or new fee is required. For example, was the fee change necessary due to: | ||||||||||||||||
| 41 | ● Changes in Federal or Other Funds revenues? | ||||||||||||||||
| 42 | ● Increased program costs? If so, please overview what the increased costs were. | ||||||||||||||||
| 43 | ● Changes in transaction volumes or number of base fee payers? Provide trend information and FTE workload statistics. | ||||||||||||||||
| 44 | ● New fee created by statute? | ||||||||||||||||
| 45 | ● Policy changes? Regulatory streamlining? Please explain. | ||||||||||||||||
| 46 | ● Other? | ||||||||||||||||
| 47 | b. A summary of program funding. For example, how much of the program is covered by fee revenues? How much by General Fund? Will the new fee level allow | ||||||||||||||||
| 48 | replacement of General Fund? How much? Do statutes/rules require General Fund to constitute a minimum proportion of overall program funding? | ||||||||||||||||
| 49 | c. How long is the proposed fee estimated to sustain the program? | ||||||||||||||||
| 50 | d. If the fee is based on a sliding scale, provide a spreadsheet showing calculations. | ||||||||||||||||
| 51 | e. A summary of who pays the fee and who are the stakeholders in the program. | ||||||||||||||||
| 52 | f. An overview of stakeholder/fee payer participation including a summary of stakeholder impacts; any outreach done to garner stakeholder input prior to setting | ||||||||||||||||
| 53 | the new fee level; and whether there is stakeholder approval or opposition to the new rate. If opposition, summarize those comments. If the only outreach | ||||||||||||||||
| 54 | done was via public comment during rulemaking, please state so. Also, please identify if the fees relate to policy discussions/concerns raised during the | ||||||||||||||||
| 55 | Legislative session, and provide a summary of those discussions/concerns if fees are related. |