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

OMB Control Number 1012-0004
OMB Approval Expires 12/31/2012

U.S. DEPARTMENT OF THE INTERIOR
Office of Natural Resources Revenue

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

REPORTER USE
REPORT TYPE:

ORIGINAL
MODIFY (DELETE/ADD BY LINE)

OR

MMS LEASE/AGREEMENT NUMBER: (11)

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
(2)
(3)

INDIAN

PRODUCTION VOLUMES
GAS
(MCF)
(9)

OIL/CONDENSATE
(BBL)
(9)

WATER
(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

DATE: (8) MMDDCCYY

) (

EXTENSION NUMBER: (5)
-

)

(

)

COMMENTS: (60)

PAGE

OF

INSTRUCTIONS
OIL AND GAS OPERATIONS REPORT
PART A - WELL PRODUCTION
(OGOR-A)
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 active drilling is concluded
and up until the status is changed to permanently abandoned or until inventory has been
disposed of.
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).
○ You are required to report electronically under 30 CFR 1210 (2010)
(formally 30 CFR 210) unless ONRR approved you to report on paper.
WHERE TO FILE
Reports must be filed with:
Office of Natural Resources Revenue
P. O. Box 25627
Denver, Colorado 80225-0627

REFER TO THE PRODUCTION REPORTER HANDBOOK PRIOR TO COMPLETING THIS FORM.

The 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 the 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 the 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. Public
reporting burden for this form is estimated at an average of 5 minutes/hour per report for electronic and manual reporting,
including the time for reviewing instructions; gathering and maintaining data; and completing and reviewing the
form. Direct your comments regarding the burden estimate or any other aspect of this form to the Office of the Natural
Resources Revenue, Attention: Rules & Regs Team, P.O. Box 25165, Denver, CO 80225-0165.

OMB Control Number 1012-0004
OMB Approval Expires 12/31/2012

U.S. DEPARTMENT OF THE INTERIOR
Office of Natural Resources Revenue

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

EXTENSION NUMBER: (5)

TELEPHONE NUMBER: (10)

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

DATE: (8) MMDDCCYY

) (

-

)

(

)

COMMENTS: (60)

PAGE

OF

INSTRUCTIONS
OIL AND GAS OPERATIONS REPORT
PART B – PRODUCT DISPOSITION
(OGOR-B)
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 active drilling is concluded
and up until the status is changed to permanently abandoned or until inventory has been
disposed of.
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).
○ You are required to report electronically under 30 CFR 1210 (2010)
(formally 30 CFR 210) unless ONRR approved you to report on paper.
WHERE TO FILE
Reports must be filed with:
Office of Natural Resources Revenue
P. O. Box 25627
Denver, Colorado 80225-0627

REFER TO THE PRODUCTION REPORTER HANDBOOK PRIOR TO COMPLETING THIS FORM.

The 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 the 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 the 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. Public
reporting burden for this form is estimated at an average of 5 minutes/hour per report for electronic and manual reporting,
including the time for reviewing instructions; gathering and maintaining data; and completing and reviewing the
form. Direct your comments regarding the burden estimate or any other aspect of this form to the Office of the Natural
Resources Revenue, Attention: Rules & Regs Team, P.O. Box 25165, Denver, CO 80225-0165.

OMB Control Number 1012-0004
OMB Approval Expires 12/31/2012

U.S. DEPARTMENT OF THE INTERIOR
Office of Natural Resources Revenue

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

REPORTER USE
ORIGINAL

REPORT TYPE:

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

EXTENSION NUMBER: (5)

TELEPHONE NUMBER: (10)

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

DATE: (8) MMDDCCYY

) (

-

)

(

)

COMMENTS: (60)

PAGE

OF

INSTRUCTIONS
OIL AND GAS OPERATIONS REPORT
PART C – PRODUCT INVENTORY
(OGOR-C)
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 active drilling is concluded
and up until the status is changed to permanently abandoned or until inventory has been
disposed of.
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).
○ You are required to report electronically under 30 CFR 1210 (2010)
(formally 30 CFR 210) unless ONRR approved you to report on paper.
WHERE TO FILE
Reports must be filed with:
Office of Natural Resources Revenue
P. O. Box 25627
Denver, Colorado 80225-0627

REFER TO THE PRODUCTION REPORTER HANDBOOK PRIOR TO COMPLETING THIS FORM.

The 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 the 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 the 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. Public
reporting burden for this form is estimated at an average of 5 minutes/hour per report for electronic and manual reporting,
including the time for reviewing instructions; gathering and maintaining data; and completing and reviewing the
form. Direct your comments regarding the burden estimate or any other aspect of this form to the Office of the Natural
Resources Revenue, Attention: Rules & Regs Team, P.O. Box 25165, Denver, CO 80225-0165.