Form Eia-856 - Monthly Foreign Crude Oil Acquisition Report - U.s. Energy Information Administration

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OMB No. 1905-0174
Expiration Date: XX/XX/XXXX
Burden: 6.1 hours
FORM EIA-856
MONTHLY FOREIGN CRUDE OIL ACQUISITION REPORT
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. 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. See Instructions for further details on the sanctions and the provisions concerning the confidentiality of information
submitted on this form.
PART 1. RESPONDENT IDENTIFICATION
If any Respondent Identification information has changed
Due Date: A completed form must be filed by
since the last report, enter an "X" in the block:
the 30th calendar day following the end of the
Mo
Year
report month.
Report Period:
EIA ID NUMBER:
How to Submit Forms:
Company Name:
Instructions:
Physical Address:
(e.g., Street Address, Bldg, Floor, Suite)
Appendix A:
Mailing Address:
(e.g., PO Box, RR)
City:
Appendix B:
State:
Zip Code
-
Contact Name:
Secure File Transfer option available at:
https://signon.eia.doe.gov/upload/noticeoog.jsp
Phone No.:
-
-
Ext:
Fax form to: (202) 586-9772
Email address:
Mail form to:
Oil & Gas Survey
Mo
Day
Year
U.S. Department of Energy (EI-25)
Attn: EIA-863
Date of this Report:
Ben Franklin Station
Type of Report (Check One ):
PO Box 279
(1)
Original
Washington, DC 20044-0279
(2)
Resubmission
Mo
Day
Year
Questions? Call toll free: 1-800-638-8812
Revision to Report:
PART 2. SUMMARY DATA
1. Total Acquisitions
(Enter the total volume of foreign crude oil acquired during the report
month for importation into the United States. This is the sum of
Barrels
column (l), Part III, excluding resubmission.)
2. Offshore Inventories
(Enter the total volume of foreign oil owned by the firm, for eventual
importation into the United States which is held in storage outside
the United States and/or is enroute to the United States as of the
Barrels
end of the report month.)

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