Form EIA-856 Monthly Foreign Crude Oil Acquisition Report

OMB No. 1905-0174

FORM EIA-856
MONTHLY FOREIGN CRUDE OIL ACQUISITION REPORT

Expiration Date: XX/XX/XXXX
Burden: 6.1 hours

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
If any Respondent Identification information has changed
since the last report, enter an "X" in the block:
Mo
Year
Report Period:
EIA ID NUMBER:

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

Company Name:

http://www.eia.gov/survey/form/eia_856/instructions.pdf

Physical Address:
(e.g., Street Address, Bldg, Floor, Suite)
Mailing Address:
(e.g., PO Box, RR)
City:
State:
Contact Name:
Phone No.:

Appendix A:
http://www.eia.gov/survey/form/eia_856/eia856appa.pdf

Appendix B:

Zip Code
-

Email address:
Date of this Report:
Type of Report (Check One ):
(1)
Original
(2)
Resubmission
Revision to Report:
PART 2. SUMMARY DATA
1. Total Acquisitions

http://www.eia.gov/survey/form/eia_856/eia856appb.pdf

-

Secure File Transfer option available at:
Ext:

Mo

Day

Year

Mo

Day

Year

(Enter the total volume of foreign crude oil acquired during the report
month for importation into the United States. This is the sum of
column (l), Part III, excluding resubmission.)

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

Fax form to: (202) 586-9772
Questions? Call toll free: 1-855-342-4872

Barrels

2. Offshore Inventories
(Enter the total volume of foreign oil owned by the firm, for eventual
importation into the United States which is held in storage outside
the United States and/or is enroute to the United States as of the
end of the report month.)

Barrels

OMB Number: 1905-0174
Expiration Date: XX/XX/XXXX
Burden: 6.1 hours

FORM EIA-856
MONTHLY FOREIGN CRUDE OIL ACQUISITION REPORT

Page

of

PART 3. TRANSACTIONS
EIA ID NUMBER:

(a)
(b)
(c)
Transaction Type of Country/
Num- Trans- Crude Code
ber action

(d)

(e)

(f)

(g)

Crude Type

Gravity

Date of
Loading
(YYMMDD)

Port
of
Loading

(h)
(I)
Port Date of
of
Landing
Desti- (YYMM)
nation

Comments: (Report any occurences that could explain variation in the data reported)

(j)
Vessel/Carrier

(k)
Contract/Point
Code

(l)
Volume
Acquired
(BBLs)

Report Period:
Date submitted:
(m)
(n)
(o)
(p)
Acquisi- Other Landed
tion Price Cost
Cost
Days
($/BBLs) ($/BBL) ($/BBL) Credit

Mo

Year
(q)
Name of Vendor