EIA-856 Monthly Foreign Crude Oil Acquisition Report

OMB No. 1905-0174
Expiration Date:
Version No. :

FORM EIA-856
MONTHLY FOREIGN CRUDE OIL ACQUISITION REPORT
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. 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. See Instructions
for further details on the sanctions and the provisions concerning the confidentiality of information submitted on this form.

PART I. RESPONDENT IDENTIFICATION
If any Respondent Identification information has changed
since the last report, enter an "X" in the block:

Mo

Due Date: A completed form must be filed by
the 30th calendar day following the end of the
report month.

Company Name:
Physical Address:
(eg. Street Address, Bldg, Floor, Suite)
Mailing Address:
(eg. PO Box, RR)
City:

How to Submit Forms:

Zip Code

State:

Year

Report Period:
EIA ID NUMBER:

Secure File Transfer option available at:
https://signon.eia.doe.gov/upload/noticeoog.jsp

-

Contact Name:
Email form to: [email protected]
Phone No.:
Fax No.:

-

Ext:

-

Fax form to: (202) 586-9772

E-mail address:

Mail form to:
Mo

Day

Year

Date of this Report:
Type of Report (Check One):
(1)
Original
(2)
Revision to Report

Mo

Day

Year

Oil & Gas Survey
U.S. Department of Energy
Ben Franklin Station
PO Box 279
Washington, DC 20044-0279

Questions? Call toll free: 1-800-638-8812

PART II. SUMMARY DATA
1. Total Acquisitions
(Enter the total volume of foreign crude oil acquired during the report
month for importation into the United States. This is the sum of
column (l), Part III, excluding resubmission.)

Barrels

2. Offshore Inventories
(Enter the total volume of foreign oil owned by the firm, for eventual
importation into the United States which is held in storage outside
the United States and/or is enroute to the United States as of the
end of the report month.)

Barrels

Form Approved
OMB Number: 1905-0174
Expiration Date:

MONTHLY FOREIGN CRUDE OIL ACQUISITION REPORT
FORM EIA-856
Page

of

PART III. TRANSACTIONS
EIA ID NUMBER:

(a)
(b)
(c)
Transaction Type of Country/
Num- Trans- Crude Code
ber action

(d)

(e)

(f)

(g)

Crude Type

Gravity

Date of
Loading
(YYMMDD)

Port
of
Loading

(h)
(I)
Port Date of
of
Landing
Desti- (YYMM)
nation

Comments: (Report any occurences that could explain variation in the data reported)

(j)

Vessel

(k)
Contract/Point
Code

(l)
Volume
Acquired
(BBLs)

Report Period:
Date submitted:
(m)
(n)
(o)
(p)
Acquisi- Other Landed
tion Price Cost
Cost
Days
($/BBLs) ($/BBL) ($/BBL) Credit

(q)
Name of Vendor