EIA-910 Monthly Natural Gas Marketer Survey

Natural Gas Data Collection Program

EIA-910 form.xlsx

OMB: 1905-0175

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This form may be submitted to the EIA by secure file transfer. It is recommended that you send your Excel files to EIA using 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.) Send your surveys using this secure method at:





































OMB No. 1905-0175



















Expiration Date: 01/31/2021




















Version No.: 2018.02


MONTHLY NATURAL GAS MARKETER SURVEY


FORM EIA-910


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 the sanctions and the provisions concerning the confidentiality of information submitted on this form, see 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.








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)





















































































































































































































































































































































































































































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