Natural Gas Data Collection Program Package

OMB No. 1905-0175

MONTHLY UNDERGROUND GAS STORAGE REPORT
FORM EIA-191M

Expiration Date: 12/31/2011
Version No.: 2009.01
Burden: 2.4 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:

Year

Month

PART 2. SUBMISSION INFORMATION
Completed form(s) must be filed no later than 20 days after the
report month.

2 0

Form may be submitted using one of the following methods:

EIA ID NUMBER:

Mail to: ATTN: EIA-191M

If this is a resubmission, enter an "X" in the box:

U. S. Department of Energy

If any Respondent Identification Data has changed since the last report,

Oil & Gas Survey

enter an "X" in the box:

Ben Franklin Station

Company Name:

P.O. Box 279

Contact Name:
Phone No.:
Fax No.:

-

-

Washington, DC 20044-0279

Ext:

Address 1:
Address 2:
City:

Email:

OOG.SURVEYS@eia.gov

Fax:

(202) 586-1076

Secure File Transfer:
State:

Zip:

-

Email address:

https://signon.eia.doe.gov/upload/noticeoog.jsp
Questions?

PART 3. MONTHLY GAS STORAGE as of 9:00 a.m. on the last day of report month
(Report all volumes in Thousand Cubic Feet (Mcf) - @14.73 psia - 60o Fahrenheit)
Field

Call: (877) 800-5261

Field

Storage Field Name
Reservoir Name
Location (State/County)
Base Gas
Working Gas
Total Gas in Storage (sum of
base gas + working gas)
If capacity of this field changed during the
report month, place an "X" in the box
and explain below in comments.

If capacity of this field changed during the
report month, place an "X" in the box
and explain below in comments.

Injections
Withdrawals
Comments: Identify any unusual aspects of your reporting period's activity. (To separate one comment from another, press ALT + ENTER.)