EIA-821 Annual Fuel Oil and Kerosene Sales Report

OMB No.: 1905-0174
Expiration Date: XX/XX/XXXX
Burden: 4.4 hours
FORM EIA-821
01
ANNUAL FUEL OIL AND KEROSENE SALES REPORT
REFERENCE YEAR XXXX
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
000 000
EIA ID Number is required.

EIA ID NUMBER:

How to Submit Forms:
Instructions:

000

http://www.eia.gov/survey/form/eia_821/instructions.pdf

1. Company Name:

Secure File Transfer option available at:

2. Doing Business as:

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

3. Physical Address:

(Street Address, Bldg, Floor, Suite)

Fax:

4. Mailing Address:

1-202-586-9772, Attn: EIA-821

(PO Box, RR)

Mail to: Oil & Gas Survey
U.S. Department of Energy
Ben Franklin Station
Attn: EIA-821
PO Box 279
Washington, DC 20044-0279

5. City:
6. State:

-

7. Zip:
8. Contact Information:
a. Contact Name:
b: Phone No.:

Ext:
Questions?

c: Fax No.:

Call: 1-855-342-4872

d: Email address:
9.
10.
11.
12.

Reference Year:
YYYY
Original
Resubmission
Type of Report (Check One) :
The number of States in which your firm sells Fuel Oil and/or Kerosene to Energy Users.
Which of the following best describes this firm at the end of 2019?
Instructions
Status
a.
b.

13.
14.
15.
16.
17.
18.
19.
20.
21.

In operation - Sales include petroleum products
1.

Sold

2.

Merged

3.

Leased

Skip to and complete Part 2

Complete items 13-21 and Part 2 for that portion of 2019 in which the firm was
active under your ownership and control

c.

Subsidiary of another

d.

Commissioned Agent

e.

Permanently ceased operation

Complete item 13, then skip to and complete Part 2 for that portion of 2019 in which
the firm was active under your ownership and control

f.

Not in petroleum business

Stop here and submit form to EIA

Effective Date of Status Change:
Company Name:
Doing Business as:
Physical Address:
Mailing Address:
City:
State:
Zip:
Contact Information
a. Contact Name:
b. Phone No.:
c. Fax No.:
d. Email address:

Month

Day

Year

(Street Address, Bldg, Floor, Suite)
(PO Box, RR)

Ext:

YYYY EIA-821

EIA ID NUMBER:

000

OMB No. 1905-0174
Expiration Date: XX/XX/XXXX

PART 2. TOTAL SALES DURING THE REFERENCE YEAR
Line
Type of Fuel and Use
No.

Please enter a state abbreviation for each column containing volumes.
States of Destination (Enter Standard Abbreviations. See page 6 of the instructions)

Kerosene (Report in Actual Whole Gallons)

1
2
3
4
5
6
7

Sold directly to consumers for:
Residential Use (Non-Farm):
Commercial Use:
Industrial Use:
Farm Use:

All Other Uses (Include own company use,
please specify):
Sold to Dealers, Resellers, and Refiners:
Total Kerosene (Add Lines 1 thru 6)

Distillate Fuel Oil (Report in Actual Whole Gallons)
8
9

Sold directly to consumers for:
Residential Use (Non-Farm):
No. 1
No. 2

Commercial Use (See Reference Guide):
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29

No. 1
No. 2 Fuel Oil
No. 2 Diesel < 15 ppm Sulfur, Ultra Low
No. 2 Diesel > 15 and < 500 ppm Sulfur, Low
No. 2 Diesel > 500 ppm Sulfur, High
No. 4
Industrial Use (Manufacturing & Mining):
No. 1
No. 2 Fuel Oil
No. 2 Diesel < 500 ppm Sulfur, Low (include Ultra Low Sulfur)
No. 2 Diesel > 500 ppm Sulfur, High
No. 4
Oil Company Use (Drilling and Own Company Refining):
No. 2 Diesel < 500 ppm Sulfur, Low (include Ultra Low Sulfur)
No. 2 Diesel > 500 ppm Sulfur, High
Other Distillate
Railroad Use:
No. 2 Diesel < 500 ppm Sulfur, Low (include Ultra Low Sulfur)
No. 2 Diesel > 500 ppm Sulfur, High
Other Distillate
Vessel Bunkering (Shipping & Boating):
No. 2 Diesel < 500 ppm Sulfur, Low (include Ultra Low Sulfur)
No. 2 Diesel > 500 ppm Sulfur, High
Other Distillate

Report sales of diesel for automobiles, trucks, buses, and school buses on Line 39, under On-highway Diesel Use, with the exception
of government vehicles which should be reported on Line 12.

YYYY EIA-821

EIA ID NUMBER:

000

OMB No. 1905-0174
Expiration Date: XX/XX/XXXX

PART 2. TOTAL SALES DURING THE REFERENCE YEAR
Line
Type of Fuel and Use
No.
Military Use:
No. 2 Diesel < 500 ppm Sulfur, Low (include Ultra Low Sulfur)
30
No. 2 Diesel > 500 ppm Sulfur, High
31
Other Distillate
32
Electric Power Use (Electric utility and Nonutility power producers):
No. 2 Diesel < 500 ppm Sulfur, Low (include Ultra Low Sulfur)
33
No. 2 Diesel > 500 ppm Sulfur, High
34
Other Distillate
35
Farm Use:
No. 2 Diesel < 500 ppm Sulfur, Low (include Ultra Low Sulfur)
36
No. 2 Diesel > 500 ppm Sulfur, High
37
Other Distillate
38
On-highway Diesel Use: (Report No.1 and No.2 Diesel)
Diesel < 15 ppm Sulfur, Ultra Low
39
Diesel > 15 and < 500 ppm Sulfur, Low
40
Off-highway Use: Construction:
No. 2 Diesel < 500 ppm Sulfur, Low (include Ultra Low Sulfur)
41
No. 2 Diesel > 500 ppm Sulfur, High
42
Other Distillate
43
Off-highway Use: Other (Specify e.g., Logging):
No. 2 Diesel < 500 ppm Sulfur, Low (include Ultra Low Sulfur)
44
No. 2 Diesel > 500 ppm Sulfur, High
45
Other Distillate
46
47 All Other Uses (Specify):
48 Sold to Dealers, Resellers, and Refiners:
49 Total Distillate (Add Lines 8 thru 48)

Residual Fuel Oil - Include No. 5 and No. 6 (Report in Actual Whole Gallons)
50
51
52
53
54
55
56
57
58

Sold directly to consumers for:
Commercial Use (Nonmanufacturing):
Industrial Use (Manufacturing & Mining):
Oil Company Use (Drilling and Own Company Refining):
Vessel Bunkering (Shipping & Boating):
Military Use:
Electric Power Use (Electric utility and Nonutility power producers):
All Other Uses (Specify):
Sold to Dealers, Resellers, and Refiners:
Total Residual (Add Lines 50 thru 57)

Please enter a state abbreviation for each column containing volumes.
States of Destination (Enter Standard Abbreviations. See page 6 of the instructions)

YYYY EIA-821

EIA ID NUMBER:

000

OMB No. 1905-0174
Expiration Date: XX/XX/XXXX

PART 2. TOTAL SALES DURING THE REFERENCE YEAR (READ PAGES 2-4 OF INSTRUCTIONS CAREFULLY)

Comments: