Form EIA-14 Form EIA-14 Refiners’ Monthly Cost Report

Petroleum Marketing Program

eia-14_form.xlsx

Refiners' Monthly Cost Report

OMB: 1905-0174

Document [xlsx]
Download: xlsx | pdf








































































OMB No. 1905-0174





























Expiration Date: xx/xx/xxxx





























Burden: 1.75 hours










































Version No.: 2016.01



















FORM EIA-14



















REFINERS' MONTHLY COST REPORT



















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. RESPONDENT INFORMATION PART 2. SUBMISSION INFORMATION







































Please provide a comment below regarding the resubmission.



















REPORT PERIOD:





Month

Year



Due Date: A completed form must be filed by the 30th calendar day following the end of the report month.



























































EIA ID NUMBER:











































































If any Respondent Identification Data has changed since the last

















Forms may be submitted using one of the following methods:




















report, enter an "X" in the box:
















Secure File Transfer:























Company Name:












































































Fax: (202) 586-9772






















Mailing Address of Contact (e.g., PO Box, RR):




























Electronic Transmission:























City:


State:

Zip:
-

For the PC Electronic Data Reporting Option (PEDRO) software, call (202) 586-9659.




















Contact Name:


























Phone No.:






Ext:


Mail: Oil & Gas Survey



















Fax No.:











U.S. Department of Energy (EI-25)
Ben Franklin Station
PO Box 279
Washington, DC 20044-0279




















Email address:



































































Date of this Report:








Month:

Day:

Year:






















Type of Report (Check one)














































Original
Please select only one Type of Report Questions?
Call 1-800-638-8812


























































Resubmission











































Revision to Report:

Month:

Day:

Year:






































































PART 3. SUMMARY OF CRUDE OIL COSTS AND VOLUMES



















PAD District MONTHLY ACQUISITIONS



















Domestic Crude Oil Imported Crude Oil



















Total Cost
(thousands of dollars)
Total Volume
(thousands of barrels)
Total Cost
(thousands of dollars)
Total Volume
(thousands of barrels)




















PADD 1























PADD 2






























PADD 3






























PADD 4






























PADD 5






























Other






























Total U.S.















































Comments: (Unusual occurrences which may explain variations in the data and/or explanation of 'Other'.)

























































































0 0 0 0






0 0 0 0




























0 0 0 0






0 0 0 0




























0 0 0 0






0 0 0 0




























0 0 0 0






0 0 0 0




























0 0 0 0






0 0 0 0




























0 0 0 0






0 0 0 0




















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