EIA-176 Annual Report of Natural and Supplemental Gas Supply and

Natural Gas Data CollectionProgram Package

EIA176_Form

Natural Gas Data Collection Program Package

OMB: 1905-0175

⚠️ Notice: This form may be outdated. More recent filings and information on OMB 1905-0175 can be found here:

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OMB No. XXXX-XXXX
Expiration Date: 12/31/20XX
Version No.: 20XX.X

Burden: 12.0 hours
ANNUAL REPORT OF NATURAL AND SUPPLEMENTAL GAS SUPPLY & DISPOSITION
FORM EIA-176
This report is mandatory under the Federal Energy Administration Act of 1974 (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 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.

PART 1. RESPONDENT IDENTIFICATION DATA
REPORT PERIOD:
EIA ID NUMBER:

Year:

PART 2. SUBMISSION INFORMATION
A completed form must be filed by March 1

2 0

1 7 6

Form may be submitted using one of the following methods:

If this is a resubmission, enter an "X" in the box:
Mail to: EIA-176
U. S. Department of Energy

If any Respondent Identification Data has changed since the last report,

Oil & Gas Survey

enter an "X" in the box:

Ben Franklin Station

P.O. Box 279

Company Name:

Washington, DC 20044-0279

Contact Name:
Phone No.:
Fax No.:

Address 1:
Address 2:
City:

State:

Email address:

Email:

[email protected]

Fax:

(202) 586-1076

Operations in (State):

Ext:

Secure File Transfer:
https://idc.eia.doe.gov/upload/noticeoog.jsp

Zip:

Questions?

Call: (877) 800-5261

List the affiliates or subsidiaries for which data are included in this State:

PART 3. TYPE OF OPERATIONS (check all that apply)
Distribution company - investor owned

Storage operator

Distribution company - municipally owned

Synthetic natural gas (SNG) plant operator

Distribution company - privately owned
Distribution company - cooperative

Producer
Gatherer

a.
b.
d.

Distribution company - other ownership

Liquefied natural gas (LNG) operator

Interstate pipeline (FERC regulated)

Other (specify)

Intrastate pipeline

Does your company's vehicle fleet include vehicles powered by alternative fuels?

Yes

If yes, how many vehicles in your company's fleet are powered by alternative fuels?
Comments: (To separate one comment from another, press ALT+ENTER)

Page 1

OMB No. XXXX-XXXX
Expiration Date: 12/31/20XX
Version No.: 2008.01
ANNUAL REPORT OF NATURAL AND SUPPLEMENTAL GAS SUPPLY & DISPOSITION
FORM EIA-176
REPORT PERIOD:
Year: 2 0
COMPANY NAME:
Resubmission
EIA ID NUMBER:

1 7 6

PART 4. NATURAL AND SUPPLEMENTAL GAS SUPPLY FOR THE REPORT STATE
VOLUME
(Mcf @ 14.73
o
psia and 60 F)

ITEM DESCRIPTION

NOTES*
E
F

1.0 If you are a producer, report production within the report State of:
1.1 Natural gas** (if reporting natural gas production, lease use data should also be reported on

line 15.0) …………………………………………………………………………………………………
1.2 Synthetic natural gas (SNG) …………………………………………………………………………….
2.0 If you are a storage operator, report operations within the report State of:
2.1 Underground storage withdrawals

……………………………………………………………………..

………………………………………………….

2.2 Liquefied natural gas (LNG) storage withdrawals
2.3 Above ground storage withdrawals

………………………………………………………………….

3.0 If you are an interstate pipeline company or other company receiving physical custody at State
lines or U.S. borders, report receipts
From Company

From Company

……………………………………………………………………..
1

In neighboring State or Country

4.0 If you are a distributor, report receipts at city gates within the report State …

5.0 Report any other receipts of natural gas within the report State
6.0 Supplemental gaseous fuels supplies (Specify type)

……………………………

…………………………………………..
1

7.0 Total supply within report State (sum of all items in lines 1.0 through 6.0) …..

1
………………………..

PART 5. LIQUEFIED NATURAL GAS (LNG) STORAGE INVENTORY
…………….

8.0 If you operate a LNG facility, report LNG inventory as of December 31 of the report year

*Check E if data reported are an estimate; check F if you are providing a footnote in Part 7 for this data item.

**If reporting Natural Gas Production (1.1), data should also be reported on lease use (15.0).

Page 2

1 7 6

PART 6. NATURAL AND SUPPLEMENTAL GAS DISPOSITION FOR THE REPORT STATE
9.0 Heat content of gas delivered to consumers

(Btu/cf)
NUMBER OF
CUSTOMERS

ITEM DESCRIPTION

VOLUME
(Mcf @ 14.73
o
psia and 60 F)

REVENUE
(including taxes)
(whole dollars)

NOTES*
E

10.0 Deliveries of natural gas that you do own to end-use consumers
within the report State (for assistance in determining proper
categorization of customers, see page 3 of instructions)

10.1 Residential ………………………………………………………….
10.2 Commercial ………………………………………………………….
………………………………………………………….

10.4 Electric power

10.3 Industrial

………………………………………………………

10.5 Vehicle fuel ………………………………………………………….
10.6 Other (not included in above categories)

(Specify type)

11.0 Deliveries of natural gas that you do not own to end-use consumers
within the report State (for assistance in determining proper
categorization of customers, see page 3 of instructions)

11.1 Residential ………………………………………………………….

11.2 Commercial ………………………………………………………….
11.3 Industrial …………………………………………………………….
11.4 Electric power

……………………………………………………..

11.5 Vehicle fuel …………………………………………………………
11.6 Other (not included in above categories)

(Specify type)

*Check E if data reported are an estimate; check F if you are providing a footnote in Part 7 for this data item.

Page 3

1 7 6

PART 6. NATURAL AND SUPPLEMENTAL GAS DISPOSITION FOR THE REPORT STATE (continued)
VOLUME
ITEM DESCRIPTION

(Mcf @ 14.73
o
psia and 60 F)

NOTES*
E
F

12.0 Natural gas consumed in your operations:
12.1 Pipeline or storage compressor use

…………………………………………………………………

12.2 New pipeline fill …………………………………………………………………………………………..
12.3 Pipeline distribution use
12.4 Other

………………………………………………………………………………..

……………………….. (Specify type):

13.0 If you are a storage operator, report operations within the State:

……………………….

………………………………………………

13.1 Underground storage injections (including new fields)

13.2 Liquefied natural gas (LNG) storage injections
13.3 Above ground storage injections

……………………………………………………..

…………………………………………………………………….

14.0 If you are an interstate pipeline company or other company moving gas across or to State lines or
U.S. borders, report volumes transported. (See instructions if additional lines are needed.)
To Company
To Company
To Company
To Company

In neighboring State or Country

…………………………………………………………………….

15.0 Lease use (reported by producers only)

In neighboring State or Country

16.0 Returned to oil and/or gas reservoirs, used for repressuring, reinjection (reported by producers only)
17.0 Losses from leaks, damage, accidents, migration and/or blow down within the report State: …………
18.0 Other disposition within the report State (not included above):
18.1 To distribution companies

…………………………………………………………………………….

18.2 To other pipelines in the report State

18.3 To storage operators in the report State
18.4 To other

…………………………………………………………………
……………………………………………………………..

…………………… (specify type)

……………………

19.0 Total disposition (sum of all items 10.1 through 18.4)

20.0 Difference between gas supply (+) and disposition (-) (Part 4 line 7.0 minus Part 6 line 19.0)
(this value may be a negative number)

*Check E if data reported are an estimate; check F if you are providing a footnote in Part 7 for this data item.

Page 4

1 7 6

PART 7. FOOTNOTES
Part
Item
No.
No.

Footnote

Page 5

File Type	application/pdf
File Title	EIA176_update.xls
Author	JHR
File Modified	2008-08-04
File Created	2008-03-05