Form EIA-856 Monthly Foreign Crude Oil Acquisition Report

Petroleum Marketing Program

eia-856_form.xlsx

Monthly Foreign Crude Oil Acquisition Report

OMB: 1905-0174

Document [xlsx]
Download: xlsx | pdf

Overview

Coverpage
Page 1


Sheet 1: Coverpage

























OMB No. 1905-0174






















Expiration Date: xx/xx/xxxx























Burden: 6.1 hours
FORM EIA-856
MONTHLY FOREIGN CRUDE OIL ACQUISITION REPORT
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. 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 1. RESPONDENT IDENTIFICATION
If any Respondent Identification information has changed




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


since the last report, enter an "X" in the block:






















Mo
Year














Report Period:












































EIA ID NUMBER:



















How to Submit Forms:
































Company Name:


Instructions:






























http://www.eia.gov/survey/form/eia_856/instructions.pdf

Physical Address:






















(e.g., Street Address, Bldg, Floor, Suite)












Appendix A:


















Mailing Address:









http://www.eia.gov/survey/form/eia_856/eia856appa.pdf
(e.g., PO Box, RR)









































City:



Appendix B:
















































http://www.eia.gov/survey/form/eia_856/eia856appb.pdf

State:


Zip Code




-
























Contact Name:



Secure File Transfer option available at:
















































https://signon.eia.doe.gov/upload/noticeoog.jsp
Phone No.:

-
-


Ext:




















































Fax form to: (202) 586-9772


















Email address:









Mail form to: Oil & Gas Survey




























Mo
Day
Year









U.S. Department of Energy (EI-25)
















































Ben Franklin Station












Date of this Report:





















PO Box 279












Type of Report (Check One):






















Washington, DC 20044-0279













(1)
Original



































(2)
Resubmission
Mo
Day
Year



























Revision to Report:









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


















PART 2. 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































Barrels

column (l), Part III, excluding resubmission.)


































































































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































Barrels

end of the report month.)





































































































Sheet 2: Page 1






















OMB Number: 1905-0174






















Expiration Date: 11/30/2020























Burden: 6.1 hours


FORM EIA-856


MONTHLY FOREIGN CRUDE OIL ACQUISITION REPORT




























Page

of













































PART 3. TRANSACTIONS
















EIA ID NUMBER:



























































Report Period:


Mo

Year

























Date submitted:














(a) (b) (c) (d) (e) (f) (g) (h) (I) (j) (k) (l) (m) (n) (o) (p)


Trans-






Port Date of
Con- Volume Acquisi- Other Landed

Name of Vendor


action Type of Country/

Date of Port of Landing

tract/Point Acquired tion Price Cost Cost Days



Num- Trans- Crude Code Crude Type Gravity Loading of Desti- (YYMM) Vessel/Carrier Code (BBLs) ($/BBLs) ($/BBL) ($/BBL) Credit Name of Vendor


ber action


(YYMMDD) Loading nation


















































































































































































































































































































































































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













































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































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