Form 4054 parts A, B, a 4054 parts A, B, a Oil and Gas Operations Report

OMB Control Number 1010-0139
OMB Approval Expires 10/31/2009

U.S. DEPARTMENT OF THE INTERIOR
Minerals Management Service
Minerals Revenue Management

OIL AND GAS OPERATIONS REPORT
PART A - WELL PRODUCTION
(OGOR-A)

REPORTER USE
REPORT TYPE:

OR

MMS LEASE/AGREEMENT NUMBER: (11)

ORIGINAL

MODIFY (DELETE/ADD BY LINE)
REPLACE (OVERLAY PREVIOUS REPORT)
PRODUCTION MONTH: (6) MMCCYY
MMS OPERATOR NUMBER: (5)

OPERATOR
WELL NUMBER
(15)

WELL
STATUS
CODE
(5)

DAYS
PRODUCED (2)

SIDETRACK
(2)

PRODUCING
INTERVAL
(3)

LINE NUMBER
ACTION CODE (1)

AGENCY LEASE/AGREEMENT NUMBER: (25)

OPERATOR LEASE/AGREEMENT NUMBER: (20)

API WELL NUMBER
(12)
SEQUENCE
(5)

MMS USE

OPERATOR NAME: (30)

OPERATOR LEASE/AGREEMENT NAME: (30)

STATE COUNTY
(3)
(2)

INDIAN

PRODUCTION VOLUMES
WATER
(BBL)
(9)

GAS
(MCF)
(9)

OIL/CONDENSATE
(BBL)
(9)

INJECTION
VOLUME
(BBL/MCF)
(9)

1
2
3
4
5
6
7
8
9
10

TOTAL PRODUCTION (9)
TOTAL INJECTION (9)

CONTACT NAME: (First, M.I., Last)

TELEPHONE NUMBER: (10)

(30)

(
AUTHORIZING SIGNATURE:

FORM MMS-4054-A (revised 07/2009)

DATE: (8) MMDDCCYY

) (

COMMENTS: (60)

EXTENSION NUMBER: (5)
-

)

(

)

INSTRUCTIONS
OIL AND GAS OPERATIONS REPORT
PART A - WELL PRODUCTION
(OGOR-A)
FORM MMS-4054

Refer to the Minerals Production Reporter Handbook before completing this form.

WHO MUST FILE

A separate report must be filed monthly (unless non-monthly reporting has been
approved) by each designated operator of an offshore OCS, onshore, or Indian
lease/agreement that contains active wells. Wells must be reported from the time drilling
is concluded and the well status has changed to a completed, temporarily abandoned, or
abandoned status and up until the status is changed to permanently plugged and
abandoned.
WHEN TO FILE

Reports must be received by the 15th of the second month following the production
month (e.g., the report for June is due on August 15) for electronic and manual
submissions.
WHERE TO FILE

Reports must be filed with:
Minerals Management Service
Minerals Revenue Management
P.O. Box 17110
Denver, Colorado 80217-0110
Paperwork Reduction Act of 1995 (PRA) Statement: The PRA (44 U.S.C. 3501 et seq.) requires us to inform
you that we collect this information to corroborate oil and gas production and disposition data with sales and royalty data.
Responses are mandatory (43 U.S.C. 1334). Proprietary information is protected in accordance with standards
established by the Federal Oil and Gas Royalty Management Act of 1982 (30 U.S.C. 1733), the Freedom of Information
Act [5 U.S.C. 552(b)(4)], and Department regulations (43 CFR 2). An agency may not conduct or sponsor, and a person
is not required to respond to, a collection of information unless it displays a currently valid OMB Control Number. The
public reporting burden for this form is estimated to average 1 minute per line for electronic reporting and 3 minutes per
line for manual reporting. These estimates include the time for reviewing instructions, gathering and maintaining data,
and completing and reviewing the form. Direct any comments regarding the burden estimate or any other aspect of this
form to the Information Collection Clearance Officer, Minerals Management Service, Mail Stop 5438, 1849 C Street, NW.,
Washington, DC 20240.

OMB Control Number 1010-0139
OMB Approval Expires 10/31/2009

U.S. DEPARTMENT OF THE INTERIOR
Minerals Management Service
Minerals Revenue Management

OIL AND GAS OPERATIONS REPORT
PART B - PRODUCT DISPOSITION
(OGOR-B)

REPORTER USE
REPORT TYPE:

ORIGINAL

OR

MMS LEASE/AGREEMENT NUMBER: (11)

INDIAN

MMS USE

AGENCY LEASE/AGREEMENT NUMBER: (25)

MODIFY (DELETE/ADD BY LINE)
REPLACE (OVERLAY PREVIOUS REPORT)
PRODUCTION MONTH: (6) MMCCYY

MMS OPERATOR NUMBER: (5)

OPERATOR NAME: (30)

OPERATOR LEASE/AGREEMENT NUMBER: (20)

DISPOSITION
CODE (4)

LINE NUMBER

ACTION CODE (1)

OPERATOR LEASE/AGREEMENT NAME: (30)

DISPOSITION VOLUMES
METERING
POINT
NUMBER
(11)

GAS PLANT
NUMBER
(11)

BTU
9999
(4)

API
GRAVITY
99.9
(3)

OIL/CONDENSATE
(BBL)
(9)

GAS
(MCF)
(9)

WATER
(BBL)
(9)

.
.
.
.
.
.
.
.
.
.

1
2
3
4
5
6
7
8
9
10

TOTAL DISPOSITIONS (9)

(

AUTHORIZING SIGNATURE

FORM MMS-4054-B (revised 07/2009)

EXTENSION NUMBER: (5)

TELEPHONE NUMBER: (10)

CONTACT NAME: (First, M.I., Last) (30)

DATE: (8) MMDDCCYY

) (

COMMENTS: (60)

-

)

(

)

INSTRUCTIONS
OIL AND GAS OPERATIONS REPORT
PART B – PRODUCT DISPOSITION
(OGOR-B)
FORM MMS-4054

Refer to the Minerals Production Reporter Handbook before completing this form.

WHO MUST FILE

A separate report must be filed monthly (unless non-monthly reporting has been
approved) by each designated operator of an offshore OCS, onshore, or Indian
lease/agreement that has production volumes to be disposed.
WHEN TO FILE

Reports must be received by the 15th of the second month following the production
month (e.g., the report for June is due on August 15) for electronic and manual
submissions.
WHERE TO FILE

Reports must be filed with:
Minerals Management Service
Minerals Revenue Management
P.O. Box 17110
Denver, Colorado 80217-0110

Paperwork Reduction Act of 1995 (PRA) Statement: The PRA (44 U.S.C. 3501 et seq.) requires us to inform
you that we collect this information to corroborate oil and gas production and disposition data with sales and royalty data.
Responses are mandatory (43 U.S.C. 1334). Proprietary information is protected in accordance with standards
established by the Federal Oil and Gas Royalty Management Act of 1982 (30 U.S.C. 1733), the Freedom of Information
Act [5 U.S.C. 552(b)(4)], and Department regulations (43 CFR 2). An agency may not conduct or sponsor, and a person
is not required to respond to, a collection of information unless it displays a currently valid OMB Control Number. The
public reporting burden for this form is estimated to average 1 minute per line for electronic reporting and 3 minutes per
line for manual reporting. These estimates include the time for reviewing instructions, gathering and maintaining data,
and completing and reviewing the form. Direct any comments regarding the burden estimate or any other aspect of this
form to the Information Collection Clearance Officer, Minerals Management Service, Mail Stop 5438, 1849 C Street, NW.,
Washington, DC 20240.

OMB Control Number 1010-0139
OMB Approval Expires 10/31/2009

U.S. DEPARTMENT OF THE INTERIOR
Minerals Management Service
Minerals Revenue Management

OIL AND GAS OPERATIONS REPORT
PART C - PRODUCT INVENTORY
(OGOR-C)
INDIAN

REPORTER USE
REPORT TYPE:

ORIGINAL

OR

MMS LEASE/AGREEMENT NUMBER: (11)

MMS USE

AGENCY LEASE/AGREEMENT NUMBER: (25)

MODIFY (DELETE/ADD BY LINE)
REPLACE (OVERLAY PREVIOUS REPORT)
PRODUCTION MONTH: (6) MMCCYY

MMS OPERATOR NUMBER: (5)

OPERATOR NAME: (30)

OPERATOR LEASE/AGREEMENT NUMBER: (20)

PRODUCT CODE
(2)

LINE NUMBER
ACTION CODE (1)

OPERATOR LEASE/AGREEMENT NAME: (30)

ADJUSTMENTS
INVENTORY
STORAGE POINT
NUMBER
(11)

1
2
3
4
5
6
7
8
9
10

METERING
POINT
NUMBER
(11)

API
GRAVITY
99.9
(3)

BEGINNING
INVENTORY
(BBL)
(9)

SALES
(BBL)
(9)

PRODUCTION
(BBL)
(9)

CODE
(4)

ENDING
INVENTORY
(BBL)
(9)

VOLUME
(BBL)
(9)

.
.
.
.
.
.
.
.
.
.
TOTALS (9)

(

AUTHORIZING SIGNATURE:

FORM MMS-4054-C (revised 07/2009)

EXTENSION NUMBER: (5)

TELEPHONE NUMBER: (10)

CONTACT NAME: (First, M.I., Last) (30)

DATE: (8) MMDDCCYY

) (

COMMENTS: (60)

-

)

(

)

INSTRUCTIONS
OIL AND GAS OPERATIONS REPORT
PART C – PRODUCT INVENTORY
(OGOR-C)
FORM MMS-4054

Refer to the Minerals Production Reporter Handbook before completing this form.

WHO MUST FILE

A separate report must be filed monthly (unless non-monthly reporting has been
approved) by each designated operator of an offshore OCS, onshore, or Indian
lease/agreement that stores their production before selling it.
WHEN TO FILE

Reports must be received by the 15th of the second month following the production
month (e.g., the report for June is due on August 15) for electronic and manual
submissions.
WHERE TO FILE

Reports must be filed with:
Minerals Management Service
Minerals Revenue Management
P.O. Box 17110
Denver, Colorado 80217-0110

Paperwork Reduction Act of 1995 (PRA) Statement: The PRA (44 U.S.C. 3501 et seq.) requires us to inform
you that we collect this information to corroborate oil and gas production and disposition data with sales and royalty data.
Responses are mandatory (43 U.S.C. 1334). Proprietary information is protected in accordance with standards
established by the Federal Oil and Gas Royalty Management Act of 1982 (30 U.S.C. 1733), the Freedom of Information
Act [5 U.S.C. 552(b)(4)], and Department regulations (43 CFR 2). An agency may not conduct or sponsor, and a person
is not required to respond to, a collection of information unless it displays a currently valid OMB Control Number. The
public reporting burden for this form is estimated to average 1 minute per line for electronic reporting and 3 minutes per
line for manual reporting. These estimates include the time for reviewing instructions, gathering and maintaining data,
and completing and reviewing the form. Direct any comments regarding the burden estimate or any other aspect of this
form to the Information Collection Clearance Officer, Minerals Management Service, Mail Stop 5438, 1849 C Street, NW.,
Washington, DC 20240.