Form EIA-858 Uranium Marketing Annual Survey

---

Overview

IDENTIFICATION
ITEM 1
ITEM 2
ITEM 3
ITEM 4
ITEM 5
ITEM 6
COMMENTS

---

Sheet 1: IDENTIFICATION

	U.S. Department of Energy		OMB No. 1905-0160
	U.S. Energy Information Administration		Approval Expires: xx/xx/xxxx
	Washington, DC 20585		Burden: 15 hours
	Form EIA-858
	Uranium Marketing Annual Survey
	Calendar Year xxxx
This report is mandatory under 15 U.S.C. §772 (b). 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 confidentiality of information in the instructions. Title 18 U.S.C. §1001 makes it a criminal offense for any person to knowingly and willingly make to any Agency or Department of the United States any false, fictitious, or fraudulent statements as to any matter within its jurisdiction.		REPORTING BURDEN: Public reporting burden for this collection of information is estimated to average 15 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to the U.S. Energy Information Administration, Survey Development and Statistical, EI-21, Forrestal Building, 1000 Independence Avenue S.W., Washington, D.C. 20585-0670; and to the Office of Information and Regulatory Affairs, Office of Management and Budget, Washington, D.C. 20503. A person is not required to respond to the collection of information unless the form displays a valid OMB number.
RESPONDENT AND CONTACT IDENTIFICATION
Company Name:		Preparer Name:
Company Address:		Preparer Title:
Company City:		Preparer Company Name:
Company State:		Preparer Address:
Company Zip Code:		Preparer City:
		Preparer State:
Parent Company Name:		Preparer Zip Code:
Parent Company Street Address:		Preparer Phone #:
Parent Company City:		Preparer Fax #:
Parent Company State:		Preparer E-mail Address:
Parent Company Zip Code:
		Supervisor Name:
		Supervisor Title:
		Supervisor Company Name:
		Supervisor Address:
		Supervisor City:
		Supervisor State:
		Supervisor Zip Code:
		Supervisor Phone #:
		Supervisor Fax #:
		Supervisor E-mail Address:
CONFIDENTIALITY OF INFORMATION: The items RESPONDENT IDENTIFICATION Company Name and OTHER PARTY NAME (Item 1.A.), and SELLER’S NAME (Item 3.B.) on Form EIA-858 are NOT considered confidential and may be publicly released in identifiable form. All other information you provide on Form EIA-858 will be used for statistical purposes only and is confidential by law. In accordance with the Confidential Information Protection and Statistical Efficiency Act of 2002 and other applicable Federal laws, your responses will not be disclosed in identifiable form without your consent. Per the Federal Cybersecurity Enhancement Act of 2015, Federal information systems are protected from malicious activities through cybersecurity screening of transmitted data. Every EIA employee, as well as every agent, is subject to a jail term, a fine, or both if he or she makes public ANY identifiable information you reported.

---

Sheet 2: ITEM 1

	U.S. Department of Energy			OMB No. 1905-0160
	U.S. Energy Information Administration			Approval Expires: xx/xx/xxxx
	Washington, DC 20585			Burden: 15 hours
	Form EIA-858
	Uranium Marketing Annual Survey
	Calendar Year xxxx
ITEM 1: CONTRACT (Complete a separate Item 1 Contract for each existing contract and new contract signed in the Survey Year)
A. Other Party Name:
B. Date Contract Signed:
Date Contract Renegotiated:		Was the renegotiation price related?
C. Contract Type:
D. Uranium Deliveries in CY 2016
Transaction Type (Transfer of Title)	Material Type	Country of Origin	Quantity (1000 lbs U3O8 Equivalent)	Price (US$/lb)	Pricing Mechanism
Total:			0.0
E. Future Deliveries
Year	Transaction Type	Material Type	Minimum (1000 lbs U3O8 Equivalent)	Maximum (1000 lbs U3O8 Equivalent)
F. Contract Completed:

---

Sheet 3: ITEM 2

	U.S. Department of Energy			OMB No. 1905-0160
	U.S. Energy Information Administration			Approval Expires: xx/xx/xxxx
	Washington, DC 20585			Burden: 15 hours
	Form EIA-858
	Uranium Marketing Annual Survey
	Calendar Year xxxx
ITEM 2: TOTAL URANIUM INVENTORIES (1000 lbs U3O8 EQUIVALENT)
Type of Inventory	Domestic-Origin Uranium		Foreign-Origin Uranium
	Year-end 2015	Year-end 2016	Year-end 2015	Year-end 2016
Totals:	0.0	0.0	0.0	0.0

---

Sheet 4: ITEM 3

	U.S. Department of Energy		OMB No. 1905-0160
	U.S. Energy Information Administration		Approval Expires: xx/xx/xxxx
	Washington, DC 20585		Burden: 15 hours
	Form EIA-858
	Uranium Marketing Annual Survey
	Calendar Year xxxx
ITEM 3: ENRICHMENT SERVICES PURCHASED BY OWNERS AND OPERATORS OF CIVILIAN NUCLEAR POWER REACTORS
A. Country of Enrichment Service (SWU-origin)	B. Seller's Name	C. Contract Type	D. Quantity (SWU)
Total:			0.0
E. Average SWU price (US$ per SWU):			$0.00

---

Sheet 5: ITEM 4

	U.S. Department of Energy			OMB No. 1905-0160
	U.S. Energy Information Administration			Approval Expires: xx/xx/xxxx
	Washington, DC 20585			Burden: 15 hours
	Form EIA-858
	Uranium Marketing Annual Survey
	Calendar Year xxxx
ITEM 4: URANIUM IN FUEL ASSEMBLIES LOADED INTO U.S. NUCLEAR POWER REACTORS
Report only the total of unirradiated uranium loaded into the reactor(s) during the Survey Year and during the prior-year by domestic- and foreign-origin uranium. Do not include uranium removed from a reactor that subsequently will be reloaded.	Domestic-Origin Uranium		Foreign-Origin Uranium
	2015	2016	2015	2016
Quantity (1000 lbs U3O8 equivalent)

---

Sheet 6: ITEM 5

	U.S. Department of Energy	OMB No. 1905-0160
	U.S. Energy Information Administration	Approval Expires: xx/xx/xxxx
	Washington, DC 20585	Burden: 15 hours
	Form EIA-858
	Uranium Marketing Annual Survey
	Calendar Year xxxx
ITEM 5: URANIUM FEED DELIVERIES TO U.S. AND FOREIGN ENRICHERS IN THE SURVEY YEAR
Country of Origin for Uranium Feed	Quantity (1000 lbs U3O8 Equivalent)	Enrichment Country
Total:	0.0

---

Sheet 7: ITEM 6

	U.S. Department of Energy	OMB No. 1905-0160
	U.S. Energy Information Administration	Approval Expires: xx/xx/xxxx
	Washington, DC 20585	Burden: 15 hours
	Form EIA-858
	Uranium Marketing Annual Survey
	Calendar Year xxxx
ITEM 6: PROJECTED ENRICHMENT FEED DELIVERIES AND UNFILLED MARKET REQUIREMENTS
	Quantity (1000 lbs U3O8 Equivalent)
Year	Projected shipments to enrichment suppliers	Unfilled market requirements

---

Sheet 8: COMMENTS

	U.S. Department of Energy		OMB No. 1905-0160
	U.S. Energy Information Administration		Approval Expires: xx/xx/xxxx
	Washington, DC 20585		Burden: 15 hours
	Form EIA-858
	Uranium Marketing Annual Survey
	Calendar Year xxxx
COMMENTS