EIA-851Q Domestic Uranium Production Report (Quarterly)

Domestic Uranium Production Report
4th Quarter 2006

U.S. Department of Energy
Energy Information Administration
Form EIA-851Q (4Q2006) DRAFT

Respond by January 15, 2007

Form To Be Recleared
OMB No. 1905-0160
Approval Expires 11/30/2009

REPORTING BURDEN: Public reporting burden for this collection of information

This report is mandatory under Public Law 93-275. Failure to comply may result is estimated to average 0.75 hours per response, including the time of reviewing
instructions, searching existing data sources, gathering and maintaining the data
in criminal fines, civil penalties and other sanctions as provided by law. For the
needed, and completing and reviewing the collection of information. Send
sanctions and the provisions concerning the confidentiality of information submittedcomments regarding this burden estimate or any other aspect of this collection of
on this form, see the instructions. Title 18 USC 1001 makes it a criminal offense information, including suggestions for reducing this burden, to the Energy
for any person knowingly and willingly to make to any Agency or Department Information Administration, Statistics and Methods Group, EI-70 Forrestal
Building, 1000 Independence Avenue SW, Washington, D.C. 20585-0670; and to
of the United States any false, fictitious, or fraudulent statements as to any
the Office of Information and Regulatory Affairs, Office of Management and
matter within its jurisdiction.
Budget, Washington, D.C. 20503. A person is not required to respond to the
collection of information unless the form displays a valid OMB number.

RESPONDENT AND CONTACT IDENTIFICATION
RESPONDENT ID# (EIA USE ONLY):
Company Name:
Address:
City:
State:
Zip Code:
Parent Company:
Parent ID# (EIA USE ONLY):
ITEM 1: FACILITY INFORMATION
Facility ID# (EIA USE ONLY):
Name:
County:
State:
Owner:
Type:
Rated Capacity:
Operating Status:
ITEM 2: PRODUCTION
October-2006
November-2006
December-2006
Total =

Contact Name:
Title:
Phone:
Fax Number:
Email Address:

CONFIDENTIALITY: The items RESPONDENT
IDENTIFICATION NAME and all of ITEM 1: FACILITY
INFORMATION on Form EIA-851Q are NOT considered
confidential and may be publicly released in identifiable form. In
addition to the use of the information from these two data fields by
EIA for statistical purposes, this information may also be used for any
nonstatistical purposes such as administrative, regulatory, law
enforcement, or adjudicatory purposes.
Pounds U3O8

0.0

ITEM 3: PRODUCTION SOURCE
Mine name(s)

Pounds U3O8

Other type:

Pounds U3O8

Total =

0.0
COMMENTS

All other information you provide on Form EIA-851Q will
be considered confidential and used for statistical purposes
only. In accordance with the Confidential Information
Protection and Statistical Efficiency Act of 2002 (Title 5 of
Public Law 107-347) and other applicable Federal laws,
your responses will not be disclosed in identifiable form
without your consent. By law, every EIA employee, as well
as every agent, is subject to a jail term, a fine of up to
$250,000, or both if he or she discloses ANY identifiable
information about you.