Form PHMSA F 7100.2-3 PHMSA F 7100.2-3 Annual Report for TYPE R (Reporting-Regulated) Gas Gathe

Notice: This report is required by 49 CFR Part 191. Failure to report may result in a civil penalty
as provided in 49 USC 60122.

Form Approved TBD by OMB
OMB No. 2137-0522
Expires: TBD

DOT USE ONLY
U.S. Department of Transportation

ANNUAL REPORT FOR CALENDAR YEAR 20___

Pipeline and Hazardous Materials

TYPE R (Reporting-Regulated) GAS GATHERING
PIPELINE SYSTEMS

Safety Administration

Initial Date
Submitted
Report Submission
Type
Date Submitted

A federal agency may not conduct or sponsor, and a person is not required to respond to, nor shall a person be subject to a penalty for failure to
comply with a collection of information subject to the requirements of the Paperwork Reduction Act unless that collection of information displays a
current valid OMB Control Number. The OMB Control Number for this information collection is 2137-0522. Public reporting for this collection of
information is estimated to be approximately 21 hours per response, including the time for reviewing instructions, gathering the data needed, and
completing and reviewing the collection of information. All responses to this collection of information are mandatory. Send comments regarding
this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to: Information Collection
Clearance Officer, PHMSA, Office of Pipeline Safety (PHP-30) 1200 New Jersey Avenue, SE, Washington, D.C. 20590.
Important: Please read the separate instructions for completing this form before you begin. They clarify the information requested and provide
specific examples. If you do not have a copy of the instructions, you can obtain one from the PHMSA Pipeline Safety Community Web Page at
http://www.phmsa.dot.gov/pipeline/library/forms.
PART A - OPERATOR INFORMATION

DOT USE ONLY

1. OPERATOR’S 5 DIGIT IDENTIFICATION NUMBER (OPID)

2. NAME OF OPERATOR:

/

/

/

/

/

/

3. HEADQUARTERS ADDRESS:
Street Address

State: /

/

/ Zip Code: /

/

/

/

/

/ - /

/

/

/

/

4. THIS REPORT PERTAINS TO THE FOLLOWING COMMODITY: (Select Commodity based on the predominant gas carried and complete the
report for that Commodity. File a separate report for each Commodity included in this OPID.)

 Natural Gas
 Landfill Gas
 Other Gas  Name of Other Gas ___________________
5. FOR THE DESIGNATED “COMMODITY GROUP”, THE PIPELINES AND/OR PIPELINE FACILITIES INCLUDED WITHIN THIS OPID ARE:
(Select one or both)

 INTERstate pipeline  List all of the States in which INTERstate pipelines and/or pipeline
facilities included under this OPID exist: __, __, __, __, __, etc.
 INTRAstate pipeline  List all of the States in which INTRAstate pipelines and/or pipeline
facilities included under this OPID exist: __, __, __, __, __, etc.

Form PHMSA F 7100.2-3 (11-2021)

Reproduction of this form is permitted.

Pg. 1 of 4

Notice: This report is required by 49 CFR Part 191. Failure to report may result in a civil penalty
as provided in 49 USC 60122.

Form Approved TBD by OMB
OMB No. 2137-0522
Expires: TBD

Use this form for Type R (reporting-regulated) gas gathering ONLY. Type A, B, and C gas gathering is
reported on Form PHMSA F 7100.2-1.
For the designated Commodity, PARTs B through D will be calculated based on the data entered in Parts
E through G for each State and INTERstate/INTRAstate combination.
PART B - MILES BY NOMINAL PIPE SIZE (NPS)
NPS 4
or less
calc

6

8

calc

22

calc
24

calc

calc

calc

calc

calc

20

calc

calc
52

calc

18

34

calc

48

calc

calc
32

calc
46

16

calc
30

calc

44

14

calc
28

calc
42

12

calc
26

calc
40

10

calc
36

38

calc

Other Pipe
Sizes
Not Listed
calc

58 and
over

56
calc

calc

calc

PART C – MILES BY DECADE INSTALLED
Unknown

Pre-1940

1940 - 1949

1950 - 1959

1960 - 1969

1970 - 1979

1980 - 1989

calc

calc

calc

calc

calc

calc

calc

1990 - 1999

2000 - 2009

2010 - 2019

2020 - 2029

Total Miles

calc

calc

calc

calc

calc

PART D - MILES BY MATERIAL AND CORROSION PREVENTION STATUS
Steel cathodically
protected
Bare
calc

Coated
calc

Steel cathodically
unprotected
Bare
calc

Coated
calc

Form PHMSA F 7100.2-3 (11-2021)

Composite
Metallic
Reinforced
calc

Non-Mettalic
Reinforced

calc

Plastic

Other

calc

Reproduction of this form is permitted.

calc

Total Miles
calc

Pg. 2 of 4

Total Miles
calc

Notice: This report is required by 49 CFR Part 191. Failure to report may result in a civil penalty
as provided in 49 USC 60122.

Form Approved TBD by OMB
OMB No. 2137-0522
Expires: TBD

Use this form for Type R (reporting-regulated) gas gathering ONLY. Type A, B, and C gas gathering is
reported on Form PHMSA F 7100.2-1.
For the designated Commodity, complete PARTs E through H covering INTERstate pipeline facilities for
each State in which INTERstate systems exist within this OPID and again covering INTRAstate pipeline
facilities for each State in which INTRAstate systems exist within this OPID.
PARTs E through H
The data reported in these PARTs applies to: (select only one)
 Interstate pipelines/pipeline facilities in the State of /__/__/ (complete for each State)
 Intrastate Pipelines/pipeline facilities in the State of /__/__/ (complete for each State)

PART E - MILES BY NOMINAL PIPE SIZE (NPS)
NPS 4
or less

6

8

10

12

14

16

18

20

22

24

26

28

30

32

34

36

38

40

42

44

46

48

52

56

58 and
over

Other Pipe Sizes
Not Listed

Total Miles

Size: __ Miles: ________
Add Sizes as needed

calc

PART F – MILES BY DECADE INSTALLED
Unknown

Pre-1940

1940 - 1949

1950 - 1959

1960 - 1969

1990 - 1999

2000 - 2009

2010 - 2019

2020 - 2029

Total Miles

1970 - 1979

1980 - 1989

calc
PART G - MILES BY MATERIAL AND CORROSION PREVENTION STATUS
Steel cathodically
protected
Bare

Coated

Steel cathodically
unprotected
Bare

Coated

Composite
Metallic
Reinforced

Non-Mettalic
Reinforced

Plastic

Other

Total Miles
calc

Form PHMSA F 7100.2-3 (11-2021)

Reproduction of this form is permitted.

Pg. 3 of 4

Notice: This report is required by 49 CFR Part 191. Failure to report may result in a civil penalty
as provided in 49 USC 60122.

Form Approved TBD by OMB
OMB No. 2137-0522
Expires: TBD

PART H – LEAKS AND REPAIRS
PART H1 – ALL LEAKS ELIMINATED/REPAIRED IN CALENDAR YEAR

Cause

Leaks

External Corrosion
Internal Corrosion
Stress Corrosion Cracking
Manufacturing
Construction
Equipment
Incorrect Operations
Third Party Damage/Mechanical Damage
Excavation Damage
Previous Damage (due to
Excavation Activity)
Vandalism (includes all
Intentional Damage)
Weather Related/Other Outside Force
Natural Force Damage (all)
Other Outside Force Damage
(excluding Vandalism and all
Intentional Damage)
Other
Total

Calc

PART H2 – KNOWN SYSTEM LEAKS AT END OF YEAR SCHEDULED FOR REPAIR

PART H3 – LEAKS ON FEDERAL LAND REPAIRED OR SCHEDULED FOR REPAIR

For the designated Commodity, complete PART I one time for all of the pipelines and/or pipeline facilities
included within this OPID.
PART I - PREPARER INFORMATION
/__/__/__/-/__/__/__/-/__/__/__/__/
Telephone Number

Preparer's Name(type or print)

Preparer's Title

Preparer's E-mail Address

Form PHMSA F 7100.2-3 (11-2021)

Reproduction of this form is permitted.

Pg. 4 of 4

Instructions (rev 11-2021) for Form PHMSA F 7100.2-3 (rev 11-2021)
ANNUAL REPORT FOR CALENDAR YEAR 20__
TYPE R (Reporting-Regulated) GAS GATHERING PIPELINE SYSTEMS

GENERAL INSTRUCTIONS
All section references are to Title 49 of the Code of Federal Regulations (49 CFR). This Annual Report is
required per §191.17 and must be filed per §191.7. Read through the Annual Report and instructions
carefully before beginning to complete the Report.
Each operator of a Type R (reporting-regulated) gas gathering pipeline system must submit this report.
Operators of Type A, B, or C gas gathering pipeline system must submit an Annual Report on Form PHMSA
F 7100.2-1.
This report must be submitted each year, not later than March 15, and provide information about the pipeline
system as-of December 31 of the previous year. If an operator discovers an error in a submitted annual
report, a supplemental report should be filed. Changes made to the pipeline system after the end of the
reporting year should not result in a supplemental report.
If you need copies of the Form PHMSA F 7100.2-3 and/or instructions, they can be found on
https://www.phmsa.dot.gov/forms/operator-reports-submitted-phmsa-forms-and-instructions.

ONLINE REPORTING REQUIREMENTS
Annual Reports must be submitted online through the PHMSA Portal at https://portal.phmsa.dot.gov/portal,
unless an alternate method is approved (see Alternate Reporting Methods below).
You will not be able to submit reports until you have met all of the Portal registration requirements – see
https://portal.phmsa.dot.gov/PHMSAPortal2/staticContentRedesign/howto/PortalAccountCreation.pdf.
Completing these registration requirements could take several weeks. Plan ahead and register well in
advance of the report due date.

REPORTING METHOD
Use the following procedure for online reporting:
1. Go to the PHMSA Portal at https://portal.phmsa.dot.gov/portal
2. Enter PHMSA Portal Username and Password; press enter
3. Select OPID; press “continue” button.
4. Under “Create Reports” on the left side of the screen, under Annual select “Type R
(Reporting-Regulated) Gas Gathering” and proceed with entering your data. Only one
annual report by commodity for an OPID may be submitted per year.
5. To save intermediate work without formally submitting it to PHMSA, click Save. To
modify a draft of an annual report that you saved, go to Saved Reports and click on Type

Page 1 of 8

Instructions (rev 11-2021) for Form PHMSA F 7100.2-3 (rev 11-2021)
ANNUAL REPORT FOR CALENDAR YEAR 20__
TYPE R (Reporting-Regulated) GAS GATHERING PIPELINE SYSTEMS

R (Reporting-Regulated) Gas Gathering. Locate your saved report by the date, report
year, or commodity. Select the record by clicking on it once, and then click Modify
above the record.
6. Once all sections of the form have been completed, click on Validate to ensure all
required fields have been completed and data meets all other requirements. A list of errors
will be generated that must be fixed prior to submitting an Annual Report.
7. Click Submit when you have completed the Report (for either an Initial Report or a
Supplemental Report), and are ready to initiate formal submission of your Report to
PHMSA.
8. A confirmation message will appear that confirms a record has been successfully
submitted. To save or print a copy of your submission, go to Submitted Reports on the
left hand side, and click on Type R (Reporting-Regulated) Gas Gathering . Locate your
submitted report by the date, report year, or commodity, and then click on the PDF icon
to either open the file and print it, or save an electronic copy.
9. To submit a Supplemental Report, go to Submitted Reports on the left hand side, and
click on Type R (Reporting-Regulated) Gas Gathering. Locate your submitted report by
the date, report year, or commodity. Select the record by clicking on it once, and then
click “Create Supplemental”.
Alternate Reporting Methods
Operators for whom electronic reporting imposes an undue burden and hardship may submit a written
request for an alternative reporting method. Operators must follow the requirements in §191.7(d) to request
an alternative reporting method and must comply with any conditions imposed as part of PHMSA’s
approval of an alternate reporting method.

SPECIFIC INSTRUCTIONS
Make an entry in each block for which data is available. Estimate data only if necessary. Avoid entering
any data as UNKNOWN or 0 (zero) except where zero is appropriate to indicate that there were no
instances or amounts of the attribute being reported.
Do not report miles of pipe, pipe segments, or pipeline in feet. When mileage for the same set of pipelines
is reported in different parts of the form, the online system will require the different parts to be consistent.
Mileage values over 60 miles must be within 0.5% of the baseline and values under 60 miles must be within
0.3 miles. For example, if you report 60 miles in Part F, the miles in Parts E and G must be within 0.3 miles
of 60. Use the number of decimal places needed to satisfy these consistency checks.
Enter the Calendar Year for which the Report is being filed, bearing in mind that the report should reflect
the system as-of the end of that calendar year.
The Initial Report or Supplemental Report box will be populated by the online system.

Page 2 of 8

Instructions (rev 11-2021) for Form PHMSA F 7100.2-3 (rev 11-2021)
ANNUAL REPORT FOR CALENDAR YEAR 20__
TYPE R (Reporting-Regulated) GAS GATHERING PIPELINE SYSTEMS

For a given OPID, a separate Annual Report is required for each Commodity within that OPID.
The separate Annual Report is to cover all pipeline facilities – both INTERstate and INTRAstate –
included within that OPID that serve to transport that Commodity. As an example, if an operator
uses a single OPID and has one set of pipeline facilities transporting natural gas and another
transporting landfill gas, this operator must file two Annual Reports – one Annual Report covering
natural gas facilities and a second for the landfill gas facilities. When a pipeline facility transports two
or more Commodities, the pipeline facility should be reported only once under the predominantly
transported Commodity.
Part A is completed once for each Annual Report.
PART A – OPERATOR INFORMATION
Complete all sections of Part A before continuing to the next Part.
1. Operator’s 5-digit Identification Number (OPID)
For online entries, the OPID will automatically populate based on the selection you made when entering
the Portal. If you have log-in credentials for multiple OPID, be sure the report is being created for the
appropriate OPID. Contact PHMSA’s Information Resources Manager at 202-366-8075 if you need
assistance with an OPID.
2. Name of Operator
This is the company name associated with the OPID. For online entries, the name will be automatically
populated based on the OPID entered in A1. If the name that appears is not correct, you need to submit
an Operator Name Change (Type A) Notification.
3. Headquarters address
This is the headquarters address associated with the OPID. For online entries, the address will
automatically populate based on the OPID entered in A1. If the address that appears is not correct,
you need to change it in the online Contacts module.
4. This Report pertains to the following Commodity
It is a PHMSA requirement that operators submit separate Reports for each Commodity within a
particular OPID.
File a separate Annual Report for each of the following commodities:
Natural Gas
Landfill Gas (includes biogas)

Page 3 of 8

Instructions (rev 11-2021) for Form PHMSA F 7100.2-3 (rev 11-2021)
ANNUAL REPORT FOR CALENDAR YEAR 20__
TYPE R (Reporting-Regulated) GAS GATHERING PIPELINE SYSTEMS

Other Gas – If this commodity is selected, report the name of the other gas in the space
provided.
Note: When a pipeline facility transports two or more of the above Commodities, the pipeline facility
should be reported only once under the predominantly transported Commodity. For example, if an
operator has a pipeline segment that is used to transport natural gas during the majority of the year and
other gas for a couple of weeks, that operator should only file an annual report for the natural gas. If an
operator has two pipeline segments with one pipeline segment used to transport natural gas and the other
pipeline segment transporting landfill gas, that operator must file two annual reports - 1 report for natural
gas and 1 report for landfill gas.
5. INTERstate and INTRAstate pipeline
For a given OPID, both INTERstate and INTRAstate pipeline facilities for a commodity can be
entered in a single report. Enter each State for both the INTERstate and INTRAstate pipeline facilities.
The States entered here create the set of Parts E through H in the online reporting system.
Interstate gas pipeline means a gas pipeline facility or that part of a gas pipeline facility that is used to
transport gas and is subject to the jurisdiction of the Federal Energy Regulatory Commission (FERC)
under the Natural Gas Act (15 U.S.C. 717 et seq.).
Intrastate gas pipeline means a gas pipeline facility or that part of a gas pipeline facility that is used to
transport gas within a state and is not subject to the jurisdiction of FERC under the Natural Gas Act (15
U.S.C. 717 et seq.).

Page 4 of 8

Instructions (rev 11-2021) for Form PHMSA F 7100.2-3 (rev 11-2021)
ANNUAL REPORT FOR CALENDAR YEAR 20__
TYPE R (Reporting-Regulated) GAS GATHERING PIPELINE SYSTEMS

Each operator of a Type R (reporting-regulated) gas gathering pipeline system must submit this
report. Operators of Type A, B, or C gas gathering pipeline system must submit an Annual Report
on Form PHMSA F 7100.2-1.
For the designated commodity, Parts B through D will be populated based on data submitted for
combinations of State and INTERstate/INTRAstate combinations in Parts E through G respectively.
For the designated Commodity, complete PARTs E through H covering INTERstate pipeline
facilities for each State in which INTERstate systems exist within this OPID and again covering
INTRAstate pipeline facilities for each State in which INTRAstate systems exist within this OPID.
When mileage for the same set of pipelines is reported in different parts of the form, the online system
will require the different parts to be consistent. Mileage values over 60 miles must be within 0.5% of
the baseline and values under 60 miles must be within 0.3 miles. Part F serves as the baseline. If you report
60 miles in Part F, the miles in Parts E and G must be within 0.3 miles of 60.
PART E – MILES OF BY NOMINAL PIPE SIZE (NPS)
Report the miles by Nominal Pipe Size (NPS). Enter the appropriate mileage in the corresponding nominal
size blocks. Only integers are used for NPS. For example, report 6.625” diameter pipe in the NPS 6
category.
Pipe size which does not correspond to NPS measurements should be included in the “Other Pipe Sizes Not
Listed” columns. Include both the pipe size and the corresponding mileage.
PART F – MILES BY DECADE INSTALLED
Report the miles of pipe by decade installed. When the decade of construction is unknown, enter estimates
of the totals of such mileage in the “Unknown” section of Part F.
PART G – MILES BY MATERIAL AND CORROSION PREVENTION STATUS
For steel pipe, report the miles is cathodically protected and cathodically unprotected subdivided, in each
case, into the amount that is bare and the amount that is coated pipe. COATED means pipe coated with an
effective hot or cold applied dielectric coating or wrapper. For non-steel pipe, report the miles for each
type listed.
Composite means pipe consists of two or more dissimilar materials layered together to be stronger than
the individual materials. Examples include, but are not limited to, fiber reinforced thermoplastic
composite pipe, fiber reinforced thermosetting plastic pipe, steel reinforced thermoplastic pipe, and
metallic composite pipe. Report metallic and non-metallic reinforced composite pipe separately.
Other means a pipe made of a material not specifically designated on the form, such as copper,
aluminum, etc. Describe the other material(s) in the “specify” field.

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Instructions (rev 11-2021) for Form PHMSA F 7100.2-3 (rev 11-2021)
ANNUAL REPORT FOR CALENDAR YEAR 20__
TYPE R (Reporting-Regulated) GAS GATHERING PIPELINE SYSTEMS

PART H – LEAKS AND REPAIRS
PART H1 – ALL LEAKS ELIMINATED/REPAIRED IN CALENDAR YEAR
Leaks are unintentional escapes of gas from the pipeline that are not reportable as Incidents under
§191.3. A non-hazardous release that can be eliminated by lubrication, adjustment, or tightening is not a
leak. Operators should report the number of leaks repaired based on the best data they have available. For
sections replaced and retired in place, operators should consider leak survey information to determine, to
the extent practical, the number of leaks in the replaced section.
Incidents are defined in §191.3 and are reported on Form PHMSA F 7100.2-2.
For the purposes of this Part H1, Leaks are to be classified as one of the following:
EXTERNAL CORROSION: includes galvanic, bacterial, chemical, stray current, or other corrosive
action initiating on the outside surface of the pipe. This includes the “External Corrosion” sub-cause on the
PHMSA Reporting-Regulated Gas Gathering Incident Report form.
INTERNAL CORROSION: includes galvanic, bacterial, chemical, stray current, or other corrosive action
initiating on the inside surface of the pipe. This includes the “Internal Corrosion” sub-cause on the PHMSA
Reporting-Regulated Gas Gathering Incident Report form.
STRESS CORROSION CRACKING: includes a form of environmental attack of the pipe metal
involving an interaction of a local corrosive environment and tensile stresses in the metal resulting in
formation and growth of cracks. This includes the “Environmental Cracking-related” sub-cause on the
PHMSA Reporting-Regulated Gas Gathering Incident Report form.
MANUFACTURING: includes a defect or anomaly introduced during the process of manufacturing the
pipe, including seam defects and defects in the pipe body or pipe girth weld. This includes the “Original
Manufacturing Defect-related” sub-cause on the PHMSA Reporting-Regulated Gas Gathering Incident
Report form.
CONSTRUCTION: includes leaks caused by a dent, gouge, excessive stress, or some other defect or
anomaly introduced during the process of constructing, installing, or fabricating pipe (or welds which are
an integral part of pipe), including welding or other activities performed at the facility. This includes the
“Construction-, Installation-, or Fabrication-related” sub-cause on the PHMSA Reporting-Regulated Gas
Gathering Incident Report form.
EQUIPMENT: includes leaks from items other than pipe or welds, and includes releases or failures
resulting from: malfunction of control/relief equipment including valves, regulators, or other
instrumentation; compressors or compressor-related equipment; various types of connectors, connections,
and appurtenances; the body of equipment, vessel plate, or other material (including those caused by:
construction-, installation-, or fabrication-related and original manufacturing-related defects or anomalies;
and low temperature embrittlement); and, all other equipment-related releases or failures. This includes all
of the sub-causes under Equipment Failure on the PHMSA Reporting-Regulated Gas Gathering Incident
Report form.

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Instructions (rev 11-2021) for Form PHMSA F 7100.2-3 (rev 11-2021)
ANNUAL REPORT FOR CALENDAR YEAR 20__
TYPE R (Reporting-Regulated) GAS GATHERING PIPELINE SYSTEMS

INCORRECT OPERATIONS: includes operating, maintenance, repair, or other errors by operator or
operator contractor personnel, including, but not limited to improper valve selection or operation,
inadvertent overpressurization, or improper selection or installation of equipment. This includes all of the
sub-causes under Incorrect Operations on the PHMSA Reporting-Regulated Gas Gathering Incident Report
form.
THIRD PARTY DAMAGE/MECHANICAL DAMAGE: includes damage caused by earth moving or
other equipment, tools, or vehicles which occurs as a result of excavation activities or a release caused by
vandalism or other similar intentional damage. Report separately, as indicated:
•

Excavation Damage - includes excavation damage by operator's personnel (oftentimes
referred to as “first party” excavation damage) or by the operator’s contractor (oftentimes
referred to as “second party” excavation damage) or by people or contractors not associated
with the operator (oftentimes referred to as “third party” excavation damage) This includes
the Excavation Damage by Operator (First Party), Excavation Damage by Operator’s
Contractor (Second Party), and Excavation Damage by Third Party sub-causes on the
PHMSA Reporting-Regulated Gas Gathering Incident Report form.

•

Previous Damage (due to Excavation Activity) - includes leaks resulting from previous
damage due to excavation activity. This includes only the Previous Damage due to
Excavation Activity sub-cause on the PHMSA Reporting-Regulated Gas Gathering Incident
Report form.

•

Vandalism (includes all Intentional Damage) – includes willful or malicious destruction
of the operator’s pipeline facility or equipment. This includes only the “Intentional Damage”
sub-cause on the PHMSA Reporting-Regulated Gas Gathering Incident Report form.

WEATHER RELATED/OTHER OUTSIDE FORCE DAMAGE: includes earth movement,
earthquakes, landslides, subsidence, lightning, heavy rains/floods, washouts, flotation, mudslide, scouring,
temperature, frost heave, frozen components, high winds, or similar natural causes, or a release from other,
non-excavation-related outside forces, such as nearby industrial, man-made, or other fire or explosion;
damage by vehicles, boats, fishing or maritime vessels or equipment; and, electrical arcing. Report
separately, as indicated:
•

Natural Force Damage (all) - This includes all of the sub-causes under Natural Force
Damage on the PHMSA Reporting-Regulated Gas Gathering Incident Report form.

•

Other Outside Force Damage (excluding Vandalism and all Intentional Damage) - This
includes all of the sub-causes under Other Outside Force Damage, except Intentional
Damage, on the PHMSA Reporting-Regulated Gas Gathering Incident Report form.

OTHER: includes any other cause not listed above, including those of a miscellaneous or unknown or
unknowable nature. This includes both of the two sub-causes under Other Incident Cause on the PHMSA
Reporting-Regulated Gas Gathering Incident Report form.

Page 7 of 8

Instructions (rev 11-2021) for Form PHMSA F 7100.2-3 (rev 11-2021)
ANNUAL REPORT FOR CALENDAR YEAR 20__
TYPE R (Reporting-Regulated) GAS GATHERING PIPELINE SYSTEMS

PART H2 –KNOWN SYSTEM LEAKS AT END OF YEAR SCHEDULED FOR REPAIR
Include all known leaks scheduled for elimination by repairing or by replacing pipe or some other
component.
PART M3 –LEAKS ON FEDERAL LAND REPAIRED OR SCHEDULED FOR REPAIR
FEDERAL LANDS means all lands owned by the United States except lands in the National Park System,
lands held in trust for an Indian or Indian tribe as defined in 30 USC 185.
Enter all leaks repaired, eliminated, or scheduled for repair during the reporting year, excluding those
reported as incidents on Form PHMSA F 7100.2-2.
PART I – PREPARER INFORMATION
The Preparer is the person who compiled the information and prepared the responses to the Report. Enter
the Preparer’s name, title, e-mail address, phone number. PHMSA will contact the Preparer if data quality
checks raise questions about the report.

Page 8 of 8