Form EIA-782C Monthly Report of Prime Supplier Sales of Petroleum Prod

OMB No. 1905-0174
Expiration Date: XX/XX/XXXX
Burden: 2.1 hours
FORM EIA-782C
MONTHLY REPORT OF PRIME SUPPLIER SALES OF PETROLEUM PRODUCTS
SOLD FOR LOCAL CONSUMPTION
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 IDENTIFICATION DATA
If any Respondent Identification Data has changed since the last report,
enter an "X" in the box:
REPORT PERIOD:

PART 2. SUBMISSION INFORMATION
Due Date: A completed form must be filed by the 20th
calendar day following the end of the report moth.
How to Submit Forms:

Year

Month

EIA ID NUMBER:

Instructions:
http://www.eia.gov/survey/form/eia_782c/instructions.pdf

Company Name:

Exclusionary List:

Doing Business as:
Contact Name:

https://www.eia.gov/survey/form/eia_782c/exclusion_list.pdf

Phone No.:

Ext:

Secure File Transfer option available at:
https://signon.eia.doe.gov/upload/noticeoog.jsp

Physical Address:
(e.g., Street Address, Bldg, Floor, Suite)

Fax:

Mailing Address:

(202) 586-9772

(e.g., PO Box, RR)

City:

Zip:

State:

-

Questions?

Call: 1-855-342-4872

Fax No.:
Email address:
Mo

Day

Year

DATE OF THIS REPORT:
Number of States for which you are reporting:
Type of Report (Check One ):
Original
Revision to Report Dated:

Mo

Day

Year

PART 3. TYPE OF OPERATIONS
Type of Entity (Check One ):
1

Refiner/Gas Plant Operator

3

Reseller/Retailer

2

Reseller

4

Retailer

Which of the following best describes this firm at the end of this report period? (Check one ):
1

In operation

3

Sold or leased to another firm. See PART 3 of the instructions.

2

Temporarily or seasonally inactive

4

Permanently ceased operation. See PART 3 of the instructions.

Comments: (To separate one comment from another, press ALT+ENTER)

OMB No. 1974-0174
Expiration Date: XX/XX/XXXX
Burden: 2.1 hours
FORM EIA-782C
MONTHLY REPORT OF PRIME SUPPLIER SALES OF PETROLEUM PRODUCTS
SOLD FOR LOCAL CONSUMPTION
Mo

Type of Report (Check One ):
Mo

Original

Year

REPORT PERIOD:
Day

Year

EIA ID NUMBER:

Revision to Report Dated:
Enter the abbreviation of the State for which these data are being filed.
A separate form should be filed for each State. (See Appendix A of the form instructions for State abbreviations.)
PART 4. STATE DATA
MONTHLY SALES
PRODUCT
(Refer to Definitions)

PRODUCT
CODE

(Thousand Gallons)
(For the report period, enter the total volume sold into the State
where delivery of product occurs.)

Reformulated Gasoline
Regular

153

Midgrade

154

Premium

155

Conventional Gasoline
Regular

159

Midgrade

160

Premium

161

No. 1 Distillate

467

Kerosene

311

No. 2 Fuel Oil

470

No. 2 Diesel Fuel
15 ppm sulfur and under

472

Greater than 15 ppm to 500 ppm sulfur (incl.)

468

Greater than 500 ppm sulfur

469

Aviation Gasoline (Finished)

111

Kerosene-Type Jet Fuel

213

No. 4 Fuel Oil

471

Residual Fuel Oil ≤ 1% sulfur

501

Residual Fuel Oil > 1% sulfur

510

Propane, Consumer Grade

624