EIA 112 Survey- Late Letter

FROM: JOSEPH WILSON, DIRECTOR, OFFICE OF SURVEY OPERATIONS

SUBJECT: THE EIA-112 SURVEY DATA IS LATE

REFERENCE: OMB NO. [XXXX-XXXX] (EXPIRATION DATE: [MM/DD/YYYY])

Dear [Respondent Name],

The [Reporting Period] data submission for Form EIA-112, Residential Utility Disconnections Survey was due on [Due Date] and is now considered late. If you have already submitted your form, thank you for your submission.

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.

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

You can access the EIA-112 survey form here. Please include the EIA ID number in Part 1 of the form. Once you have completed the form, submit your data using our secure file transmission site. Visit our EIA-112 Instructions page for information on how to submit your data or for general information.

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.

Thank you for supporting EIA's data collection activities. Sincerely,

Joseph Wilson, Director Office of Survey Operations

U.S. Energy Information Administration

U.S. Department of Energy