EIA-851Q Domestic Uranium Production Report - Quarterly

	U.S. Department of Energy		OMB No. 1905-0160
	U.S. Energy Information Administration		DRAFT 7/24/2012
	Washington, DC 20585		Approval Expires MM/DD/YYYY
	Form EIA-851Q
	Domestic Uranium Production Report (Quarterly)
	4th Quarter 2012
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 further information concerning sanctions and data protections see the provision on sanctions and the provision concerning the confidentiality of information in 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 for 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 U.S. Energy Information Administration, Survey Development Team, EI-21, Forrestal Building, 1000 Independence Avenue S.W., 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:		Preparer Name:
Company Address:		Preparer Title:
Company City:		Preparer Company Name:
Company State:		Preparer Address:
Company Zip Code:		Preparer City:
		Preparer State:
Parent Company Name:		Preparer Zip Code:
Parent Company Street Address:		Preparer Phone #:
Parent Company City:		Preparer Fax #:
Parent Company State:		Preparer E-mail Address:
Parent Company Zip Code:
		Supervisor Name:
		Supervisor Title:
		Supervisor Company Name:
		Supervisor Address:
		Supervisor City:
		Supervisor State:
		Supervisor Zip Code:
		Supervisor Phone #:
		Supervisor Fax #:
		Supervisor E-mail Address:
ITEM 1: FACILITY INFORMATION		DISCLOSURE OF INFORMATION: The items RESPONDENT IDENTIFICATION Company Name and all of ITEM 1: FACILITY INFORMATION on Form EIA-851Q are NOT considered confidential and may be publicly released in identifiable form.
Name:
County:
State:
Owner:
Type:
Rated Capacity:
Operating Status:
ITEM 2: PRODUCTION	Pounds U3O8	All other information you provide will be used for statistical purposes only. In accordance with the Confidential Information Protection provisions of Title V, Subtitle A of Public Law 107-347 and other applicable Federal laws, your responses will be kept confidential and will not be disclosed in identifiable form to anyone other than employees or agents 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-2012
November-2012
December-2012
Total =	0.0
ITEM 3: PRODUCTION SOURCE
Mine name(s)	Pounds U3O8
Other type:	Pounds U3O8
Total =	0.0
COMMENTS