Form EIA-910 Monthly Natural Gas Marketer Survey

This form must be submitted to the EIA by secure file transfer (SFT). SFT uses a secure method of transmission: HTTPS. This is an industry standard method to send information over the web using secure, encrypted processes. (It is the same method that commercial companies communicate with customers when transacting business on the web.) To use this service, we recommend the use of Microsoft Internet Explorer 8.0 or later or Mozilla Firefox 5.0 or later. Send your surveys using this secure method at:

OMB No. 1905-0175

Expiration Date: 12/31/2020

Product No.: 2020.01

MONTHLY NATURAL GAS MARKETER SURVEY

FORM EIA-910

This report is mandatory under 15 U.S.C. §772. 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. 18 U.S.C. §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

PART 2. SUBMISSION INFORMATION

Completed form(s) must be filed no later than 30 days after the report month.

REPORT PERIOD:

Month:

Year:

2

0

EIA ID NUMBER:

9

1

0

Form must be submitted via Secure File Transfer:

If this is a resubmission, enter an "X" in the box:

https://signon.eia.doe.gov/upload/noticeoog.jsp

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

enter an "X" in the box:

Questions?

Call:

(877) 800-5261

Company Name:

Contact Name:

Phone No.:

Ext:

Fax No.:

Address 1:

Address 2:

City:

State:

Zip:

-

Email address:

PART 3. NATURAL GAS SALES

Please provide the following information for your residential and commercial customers as defined in the instructions:

1.

Report State (Enter one of the following States in the box):

Georgia, New York,

or Ohio. Submit a separate form for each State in which your company has sales

residential and/or commercial end-use customers.

Residential

Commercial

2.

To how many end-use customers did you sell natural gas?

(Number of Customers)

3.

How much natural gas did you sell to these customers?

Do not report negative numbers or decimals. You may report in either Thousand cubic feet (Mcf) or in Therms. Indicate unit of measure by placing an "X" in the appropriate box.

Residential

Commercial

Mcf

Mcf

Therm

Therm

4.

For companies reporting sales in all States except Georgia:

Residential

Commercial

(Dollars)

5.

Residential

Commercial

(Dollars)