EIA 112 Survey-Escalation Letter

[Current Date]

[Contact Name]

[Company Name]

[Company Address1]

[City, [State] [Zip]

Department of Energy

Washington, DC 20585

Reference: OMB NO. <OMB No.> (Expiration Date: <Expiration Date>)

Dear [Respondent Name],

[Entity Name] has not filed its report with the U.S. Energy Information Administration (EIA) for Form EIA-112, Residential Utility Disconnections Survey for [Reporting Period]. Your report was due on [Due Date].

These data are collected pursuant to the Federal Energy Administration (FEA) Act of 1974, Public Law 93-275, and response to this survey is mandatory under the FEA Act. Failure to respond may result in a civil penalty of not more than $10,949 per day for each violation.

EIA has a legal mandate to carry out a central, comprehensive, and unified energy data and information program. All persons owning or operating facilities or business premises who are engaged in any phase of energy supply shall make available to the EIA Administrator such information and periodic reports. By law, the EIA Administrator has the authority to conduct mandatory information collections and obtain the information by issuing subpoenas, conducting physical inspections or by other means identified in 15

U.S.C. 779.

We have attempted to contact [Entity Name] staff by email and telephone numerous times to resolve these issues, but without success. If you are no longer the appropriate contact for form EIA-112, please forward the appropriate person's contact information to [email protected] and we will contact them directly. Please provide the following information:

New Preparer’s Name New Preparer’s Address New Preparer’s Telephone

New Preparer’s Email Address

EIA needs you to report the requested information on Form EIA-112 no later than [New Date] by 4:00

p.m. ET. If you continue to refuse to file your report on time, EIA will request further action to compel the production of all information, documents, reports, records, and accounts needed to complete the reporting requirements for your company. If you have any questions, please contact us directly at [email protected], or call 1-855-EIA-4USA (1-855-342-4872) Monday through Friday, 8:00 a.m. - 6:00 p.m. ET.

Sincerely,

Joseph Wilson, Director Office of Survey Operations

U.S. Energy Information Administration

U.S. Department of Energy