Draft EIA-191 mockup

This form must be submitted to the EIA by secure file transfer (SFT). SFT uses a secure method of transmission: HTTPS. This is an industry standard method to send information over the web using
secure, encrypted processes. (It is the same method that commercial companies communicate with customers when transacting business on the web.) Send your surveys using this secure method
at: https://signon.eia.doe.gov/upload/noticeoog.jsp

OMB No. 1905-0175
Expiration Date: 01/31/2021
Version No.: 2018.01
Burden: 2.6 hours

MONTHLY NATURAL GAS STORAGE
REPORT FORM EIA-191

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 the
sanctions and the provisions concerning the confidentiality of information submitted on this form, see instructions.
Title 18 U.S.C. 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:
EIA ID NUMBER:

Month

Year

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

2 0

1 9 1

Form must be submitted using the following method:

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

Secure File Transfer:

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

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

enter an "X" in the box:
Questions?

Company Name:

Call: (877) 800-5261

Contact Name:
Phone No.:

Ext:

Liquefied natural gas storage facilities

Fax No.:

only answer questions with

Address 1:
Address 2:
City:

State:

Email address:

Zip:

-

.

Underground storage facilities answer all
questions on survey form.

PART 3. FACILITY CHARACTERISTICS as of 9:00 a.m. Central Time on the last day of report month
(Report all volumes in gaseous Thousand Cubic Feet (Mcf) @14.73 psia - 60o Fahrenheit)
Field or Facility
Field or Facility
Field or Facility
Storage Field or Facility Name
Reservoir Name
Location State
Location County
Type of Facility
Aquifer
Aquifer
Aquifer
Depleted Field
Depleted Field
Depleted Field
Salt formation
Salt formation
Salt formation
Field Status - If Inactive, please
Active
Active
Active
explain below in Comments
Inactive
Inactive
Inactive

Field or Facility

Aquifer
Depleted Field
Salt formation
Active
Inactive

Working Gas Capacity (Mcf)
Total Storage Field Capacity (Mcf)
Maximum Deliverability (Mcf/day)
PART 4. MONTHLY GAS STORAGE as of 9:00 a.m. Central Time on the last day of report month
(Report all volumes in Thousand Cubic Feet (Mcf) @14.73 psia - 60o Fahrenheit)
Base Gas
Working Gas
Total Inventory levels
(sum of base gas + working gas)
Injections for the month
Withdrawals for the month
Comments: Identify any unusual aspects of your reporting period's activity. (To separate one comment from another, press ALT + ENTER.)