EIA-910 Monthly Natural Gas Marketer Survey

OMB No. 1905-0175
Expiration Date: 06/30/2024
Version No.: 2021.01
MONTHLY NATURAL GAS MARKETER SURVEY
FORM EIA-910

Burden: 2.0 hours

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
REPORT PERIOD:

Month:

EIA ID NUMBER:

9 1 0

Year:

PART 2. SUBMISSION INFORMATION
Completed form(s) must be filed no later than 30 calendar
days following the end of the report month.

2 0

Form must be submitted using 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,
enter an "X" in the box:

Questions?

Company Name:

Please contact the EIA Survey Support Team using the
following communication methods:

Contact Name:
Phone No.:

Ext:

By email:
By phone:

Fax No.:

[email protected]
1-855-EIA-4USA (1-855-342-4872)

[Monday through Friday, 8:00 a.m. to 6:00 p.m. eastern time]

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.

2.

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

Residential

Commercial

(Number of Customers)
3.

4.

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.

For companies reporting sales in all States except Georgia:
What were the gross receipts for the natural gas commodity sold, plus customer
service charges, taxes, and other charges excluding any amount owed to the local
distribution company who transported gas to your customers?

Residential

Commercial

Mcf
Therm

Mcf
Therm

Residential

Commercial
(Dollars)

5.

For companies reporting sales in Georgia:
What were the gross receipts for the natural gas commodity sold, plus customer
service charges, taxes and other charges, including any amount owed to the local
distribution company who transported gas to your customers?

Residential

Commercial
(Dollars)

Comments: Identify any unusual aspects of your reporting month's activity.