EIA-176 Annual Report of Natural and Supplemental Gas Supply and

OMB No. 1905-0175
Expiration Date: 01/31/2024
Version No.: 2020.01
Burden: 12.0 hours
ANNUAL REPORT OF NATURAL AND SUPPLEMENTAL GAS SUPPLY & DISPOSITION
FORM EIA-176
This report is mandatory under 15 U.S.C.

PART 1. RESPONDENT IDENTIFICATION DATA

PART 2. SUBMISSION INFORMATION
A completed form must be filed by March 1

REPORT PERIOD:
EIA ID NUMBER:

Year:

2 0

Form may be submitted using one of the following methods:

1 7 6

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

If this is a resubmission, enter an "X" in the box:
If any Respondent Identification Data has changed since the last report,

Fax:

(202) 586-1076

Mail to:

EIA-176 (EI-2

enter an "X" in the box:

S. Department of Energy
Oil & Gas Survey

Company Name:

Ben Franklin Station

Operations in (State):

P.O. Box 279

Contact Name:

Washington, DC 20044-0279

Phone No.:

Ext:

Fax No.:
Address 1:
Address 2:
City:

State:

Zip:

-

800-5261

Email address:
PART 3. COMPANY CHARACTERISTICS
A. Type of Operations (check all that apply)
1.

Distribution company - investor owned

2.

Distribution company - municipally owned

10.

Producer

9.

Synthetic natural gas (SNG) plant operator

3.

Distribution company - privately owned

11.

Gatherer

4.

Distribution company - cooperative

12.

Liquefied natural gas (LNG) peak facility operator

5.

Distribution company - other ownership

13.

Liquefied natural gas (LNG) marine terminal

6.

Interstate pipeline (FERC regulated)

14.

Public liquefied natural gas (LNG) fueling station

7.

Intrastate pipeline

15.

Public compressed natural gas (CNG) fueling station

8.

Storage operator

16.

Other (specify)

B. Vehicles Powered by Natural Gas
1. Does your company's vehicle fleet include vehicles powered by alternative fuels?

Yes

No

2. What type of fuel do your company's alternative-fuel vehicles use?
3. If any, how many vehicles in your company's fleet are powered by natural gas?
(Any volumes of natural gas used to power your company fleet are to be reported on Line 12.5
of this form.)
C. Customer Choice Program
If there is a Customer Choice program available in your service territory, enter the number
of customers currently eligible for and participating in the Customer Choice program at
the end of the calendar year.

Eligible

Participating

Residential

Residential

Commercial

Commercial

D. Sales/Acquisitions
1. Did your distribution territory increase or decrease in size in the report state due to acquisition
or sale this year? If Yes, please describe the sale or acquisition in Part 7A: Comments.
E. Distribution Territory
If you are a local distribution company, please select all counties to which your company

Yes

No

delivers gas. Include counties that your company only partially services
services. If you need to list more than six, add them in Part 7C: Counties.
F. LNG Storage
If your company owns, operates, or uses LNG storage, please indicate below the name and zip code of each of these facilities.
Name:

Zip code:

Name:

Zip code:

Please indicate additional LNG storage facilities in the Footnotes in section 7B of this form.
Check box if you entered additional LNG facilities in section 7B.
Please enter Comments in Part 7A at the end of this form.

Page 1

OMB No. 1905-0175
Expiration Date: 01/31/2021
Version No.: 2018.01
ANNUAL REPORT OF NATURAL AND SUPPLEMENTAL GAS SUPPLY & DISPOSITION
FORM EIA-176
REPORT PERIOD: Year: 2 0
COMPANY NAME:
Resubmission
EIA ID NUMBER: 1 7 6
PART 4. NATURAL AND SUPPLEMENTAL GAS SUPPLY FOR THE REPORT STATE
VOLUME
(Mcf @ 14.73
psia and 60

ITEM DESCRIPTION

NOTES*
E

F

1.0 If you are a producer, report production within the report state of:
1.1 Natural gas** (if reporting natural gas production, lease use data should also be
reported on line 15.0) ……………………………………………………………………………
1.2 Synthetic natural gas (SNG)

…………………………………………………………………..

2.0 If you are a storage operator, report operations within the report state of:
2.1 Underground storage withdrawals

…………………………………………………………..

2.2 Liquefied natural gas (LNG) storage withdrawals (regasification)………………………………
3.0 If you are an interstate pipeline company or other company receiving physical custody at
state lines or U.S. borders, report receipts……………………………………………….
From company

In state or country

Means of transport

From company

In state or country

Means of transport

From company

In state or country

Means of transport

From company

In state or country

Means of transport

4.0 If you are a distributor, report receipts at city gates within the report state …

…………………..

4.1 Purchase gas received in distribution service area for delivery to your sales customers…………..
4.2 Receipts of gas in distribution service area for delivery to your transportation customers………….
5.0 Report any other receipts of natural gas within the report state (excluding federal offshore)…
6.0 Supplemental gaseous fuels supplies (specify type)

1

1
7.0 Total supply within report state (sum of all items in lines 1.0 through 6.0)…….. ……………….

0

PART 5. LIQUEFIED NATURAL GAS (LNG) STORAGE INVENTORY
VOLUME
(Mcf @ 14.73 psia
and 60°)

CAPACITY
(Mmcf per day)

NOTES*
E

8.0 If you operate a natural gas facility, report inventory as of December 31 of the report year
8.1 Liquefied natural gas (LNG) facility………
………………………………………………………
8.2 Marine terminal facility …………………………… ………………………………………………
*Check E if data reported are an estimate; check F if you are providing a footnote in Part 7 for this data item.
**If reporting Natural Gas Production (1.1), data should also be reported on lease use (15.0).

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F

OMB No. 1905-0175
Expiration Date: 01/31/2021
Version No.: 2018.01
ANNUAL REPORT OF NATURAL AND SUPPLEMENTAL GAS SUPPLY & DISPOSITION
FORM EIA-176
REPORT PERIOD:
Year: 2 0
COMPANY NAME:
Resubmission
EIA ID NUMBER:

1 7 6

PART 6. NATURAL AND SUPPLEMENTAL GAS DISPOSITION FOR THE REPORT STATE
9.0 Heat content of gas delivered to consumers

(Btu/cf)
NUMBER OF
CUSTOMERS

ITEM DESCRIPTION

VOLUME
(Mcf @ 14.73
psia and 60o F)

REVENUE
(including taxes)
(whole dollars)

NOTES*
E

10.0 Deliveries of natural gas that you do own to end-use consumers
within the report state (for assistance in determining proper
categorization of customers, see page 3 of instructions)

10.1 Residential ………………………………………………………….
10.2 Commercial ………………………………………………………….
10.3 Industrial

………………………………………………………….

10.4 Electric power

………………………………………………………

10.5 Vehicle fuel (includes LNG and CNG for cars, trucks, and ships)……..
10.6 Other (not included in above categories)
(Specify type)

11.0 Deliveries of natural gas that you do not own to end-use consumers
within the report state (for assistance in determining proper
categorization of customers, see page 3 of instructions)

11.1 Residential ………………………………………………………….
11.2 Commercial ………………………………………………………….
11.3 Industrial …………………………………………………………….
11.4 Electric power

……………………………………………………..

11.5 Vehicle fuel (includes LNG and CNG for cars, trucks, and ships)……..
11.6 Other (not included in above categories)
(Specify type)

*Check E if data reported are an estimate; check F if you are providing a footnote in Part 7 for this data item.

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F

OMB No. 1905-0175
Expiration Date: 01/31/2021
Version No.: 2018.01
ANNUAL REPORT OF NATURAL AND SUPPLEMENTAL GAS SUPPLY & DISPOSITION
FORM EIA-176
REPORT PERIOD: Year: 2 0
COMPANY NAME:
Resubmission
EIA ID NUMBER: 1 7 6
PART 6. NATURAL AND SUPPLEMENTAL GAS DISPOSITION FOR THE REPORT STATE (continued)
VOLUME
(Mcf @ 14.73
psia and 60

ITEM DESCRIPTION
Natural gas consumed in your operations:
…

Space heat of your facilities
12.2 New pipeline fill

…………………………………………………………………………………………

12.3 Pipeline distribution or storage compressor use
12.4 Vaporization/liquefaction/LNG fuel

…………………………………………………

…………………………………………………………………

12.5 Vehicle fuel used in company fleet (exclude these volumes from Items 10.5 and 11.5) ……
………………………….
12.6 Other …………………………...(specify type)
13.0 If you are a storage operator, report operations within the report state of:
13.1 Underground storage injections (including new fields)…………………………………………
13.2 Liquefied natural gas (LNG) storage injections…………………………………………………
14.0 If you are an interstate pipeline company or other company moving gas across or to state
lines or U.S. borders, report volumes transported ………………………………………………
To company

In state or country

Means of transport

To company

In state or country

Means of transport

To company

In state or country

Means of transport

To company

In state or country

Means of transport

15.0 Lease use (reported by producers only)

………………………………………………………………..

16.0 Returned to oil and/or gas reservoirs, used for repressuring, reinjection (reported by producers only)
17.0 Losses from leaks, damage, accidents, migration and/or blow down within the report state: …………
18.0 Other disposition within the report state (not included above):
18.1 To distribution companies

…………………………………………………………………………….

18.2 To other pipelines in the report state
18.3 To storage operators in the report state

…………………………………………………………………
……………………………………………………………

…………………… (specify type)
18.4 To other ……

……………………
……………………

19.0 Total disposition (sum of all items 10.1 through 18.4)

0

20.0 Difference between gas supply (+) and disposition (-) (Part 4 line 7.0 minus Part 6 line 19.0)

0

(this value may be a negative number)
*Check E if data reported are an estimate; check F if you are providing a footnote in Part 7 for this data item.

Page 4

OMB No. 1905-0175
Expiration Date: 01/31/2021
Version No.: 2018.01
ANNUAL REPORT OF NATURAL AND SUPPLEMENTAL GAS SUPPLY & DISPOSITION
FORM EIA-176
REPORT PERIOD:
Year: 2 0
COMPANY NAME:
Resubmission
EIA ID NUMBER: 1 7 6
PART 7A. COMMENTS

PART 7B. FOOTNOTES
Part
Item
No.
No.

Footnote

PART 7C. COUNTIES - If you are an LDC, select additional counties to which your company delivers gas, from Line 3E.

Page 5