EIA-6Q Quarterly Coal Report (Standby)

QUARTERLY COAL REPORT

U.S. Department of Energy
Energy Information Administration
Form EIA-6 Schedule Q
(March 2011)

Form Approved
OMB No. 1905-0167
Expires: xx/xx/xxxx
Burden: 0.5 hours

SCHEDULE Q

NOTICE: 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 further information concerning sanctions and data protections see the provision on sanctions and the
provision concerning the disclosure of information in the 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.

SECTION 1
IDENTIFICATION
If the information to the left is not correct please write the correct
information below.

Reporting Year and Quarter:
State Code and Company ID Number:
Company Name:
Contact Name:
Company Street Address:
City State and ZIP:

GENERAL INSTRUCTIONS
1. You must complete this form if you have produced more than 30,000 short tons of coal during the last 4 quarters, or if you are a non-coal-producing distributor that averages 10,000 or
more short tons of coal stocks per quarter.
2. Round all quantities reported to the nearest short ton (2,000 Pounds).
3. Sign and date the form.

SECTION 2
COAL ORIGIN, PRODUCTION, AND STOCKS
ORIGIN STATE

TOTAL PRODUCTION
(SHORT TONS)

ENDING STOCKS
(SHORT TONS)

ORIGIN STATE

Alabama

Montana

Alaska

New Mexico

Arizona

North Dakota

Arkansas

Ohio

Colorado

Oklahoma

Illinois

Pennsylvania Anthracite

Indiana

Pennsylvania Bituminous

Iowa

Tennessee

Kansas

Texas

Eastern Kentucky

Utah

Western Kentucky

Virginia

Louisiana

Washington

Maryland

Northern
West Virginia

Mississippi

West Virginia

Missouri

Wyoming

TOTAL PRODUCTION
(SHORT TONS)

ENDING STOCKS
(SHORT TONS)

Southern

SECTION 3
VERIFICATION
A. CERTIFICATION This part of the form must be completed by the official of the reporting company empowered to certify the truth and accuracy of the
information provided on this form. Print or type the name and title of the certifying official. The certifying official must sign and date and certification.

I certify that the information provided herein and appended hereto (if any) is true and accurate to the best of my knowledge.

Telephone Number: ________________________________
Fax Number: ________________________________
E-Mail Address:: ________________________________

Name

Title

Date