Form EIA-888 On-Highway Diesel Fuel Price Survey

Petroleum Marketing Program

eia-888_form

On-Highway Diesel Fuel Price Survey

OMB: 1905-0174

Document [docx]
Download: docx | pdf




U.S. DEPARTMENT OF ENERGY

U.S. ENERGY INFORMATION ADMINISTRATION

Washington, DC 20585


OMB No. 1905-0174

Expiration Date: xx/xx/xxxx

Burden: 3 minutes



EIA-888

ON-HIGHWAY DIESEL FUEL PRICE SURVEY



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. IDENTIFICATION DATA






Company Name





Name of Contact Person






Contact’s Telephone Number













-








-












City


State


Zip Code


Prices for:








Month






Day






Year








EIA ID No.




































PART 2. PRICE DATA



(Enter the retail price of self-service, cash only, on-highway diesel fuel, including all taxes)





Date Called

Price










Comments:



Shape1







File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
File Modified0000-00-00
File Created0000-00-00

© 2024 OMB.report | Privacy Policy