EIA-851Q Domestic Uranium Production Report (Quarterly)

U.S. Department of Energy	Domestic Uranium Production Report (Quarterly)		Form RECLEARANCE
Energy Information Administration	4th Quarter 2009		OMB No. 1905-0160
Form EIA-851Q (4Q2009)	Respond by January 15, 2010		Approval Expires 12/31/2012
This report is mandatory under Public Law 93-275. Failure to comply may result in criminal fines, civil penalties and other sanctions as provided by law. For the sanctions and the provisions concerning the confidentiality of information submitted on this form, see the instructions. Title 18 USC 1001 makes it a criminal offense for any person knowingly and willingly to make to any Agency or Department of the United States any false, fictitious, or fraudulent statements as to any matter within its jurisdiction.		REPORTING BURDEN: Public reporting burden for this collection of information is estimated to average 0.75 hours per response, including the time of reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to the Energy Information Administration, Statistics and Methods Group, EI-70 Forrestal Building, 1000 Independence Avenue SW, Washington, D.C. 20585-0670; and to the Office of Information and Regulatory Affairs, Office of Management and Budget, Washington, D.C. 20503. A person is not required to respond to the collection of information unless the form displays a valid OMB number.
RESPONDENT AND CONTACT IDENTIFICATION
Company Name:		Contact Name:
Address:		Title:
City:		Phone:
State:		Fax Number:
Zip Code:		Email Address:
Parent Company:
ITEM 1: FACILITY INFORMATION		CONFIDENTIALITY: The items RESPONDENT IDENTIFICATION NAME and all of ITEM 1: FACILITY INFORMATION on Form EIA-851Q are NOT considered confidential and may be publicly released in identifiable form. In addition to the use of the information from these two data fields by EIA for statistical purposes, this information may also be used for any nonstatistical purposes such as administrative, regulatory, law enforcement, or adjudicatory purposes.
Name:
County:
State:
Owner:
Type:
Rated Capacity:
Operating Status:
ITEM 2: PRODUCTION	Pounds U3O8	All other information you provide on Form EIA-851Q will be considered confidential and used for statistical purposes only. In accordance with the Confidential Information Protection and Statistical Efficiency Act of 2002 (Title 5 of Public Law 107-347) and other applicable Federal laws, your responses will not be disclosed in identifiable form without your consent. By law, every EIA employee, as well as every agent, is subject to a jail term, a fine of up to $250,000, or both if he or she discloses ANY identifiable information about you.
October-2009
November-2009
December-2009
Total =	0.0
ITEM 3: PRODUCTION SOURCE
Mine name(s)	Pounds U3O8
Other type:	Pounds U3O8
Total =	0.0
COMMENTS