Motor Vehicle and Engine Compliance Program Fees

MVECP Miscellaneous Payments Due Form

Instructions:

Manufacturer Name:

Check Here if IMO/Annex Engine Family:

Engine Family Name:

For these three items, enter the manufacturer’s name and the original engine family or test group name. If the engine name is for an IMO/Annex certification, check the box. If payment is being made on an engine family older than the current model year minus one, contact your certification representative. If you are using this form to submit an Annual Model Year Reduced Fee Payment Report, enter any relevant engine family name.

Original Payment Date:

Enter the date of the original online payment or of the offline payment by check, wire or ACH. Use the best information available. If you are using this form to submit an Annual Model Year Reduced Payment Report, enter today’s date.

Original Amount Paid:

Indicate the amount you have already paid for this engine or test group.

Original Check #/Wire/ACH/Pay.gov Tracking Number:

Enter the original check number, or indicate “Wire” or “ACH” if the original offline payment was by those methods. Enter the Pay.gov Tracking ID number assigned for the original payment if it was online. This information will help EPA confirm the original payment information.

Revised Engine Family Name:

Enter a revised engine family name if payment is owed because an engine family name has been changed or corrected to a category requiring a higher fee than originally paid. It will also be necessary to fill out a Fees Correction Form, which is available online from Pay.gov.

Reasons for Payment:

Select from the following options:

-- Incorrect/Revised engine family: If an underpayment was made because the wrong engine family certification was originally applied for, and/or the original engine family is being revised to a different family with a different certification fee payment requirement, select this button, enter the amount of the shortfall in the Amount Owed box at the bottom of the form, and add any explanation in the Comments box. Indicate that the corresponding Fee Correction Form has been filed. Include the revised engine family name in the space provided above for Revised Engine Family Name.

-- Underpayment: If the original payment did not cover the full required amount, select this button, enter the amount of the shortfall in the Amount Owed box at the bottom of the form, and add any explanation in the Comments box.

-- New calendar year fee schedule change: New certification fees are calculated for each calendar year. The fee that applies to an engine is determined by the calendar year in which a complete application is received. If a manufacturer or ICI owes EPA due to a fee schedule change, select this button, enter the amount of the shortfall in the amount due box and add any explanation in the Comments box. If EPA owes the manufacturer or ICI due to a fee schedule change, use the Fees Correction Form or Fee Refund Form.

-- Annual Model Year Reduced Fee Payment Report: 40 CFR 85.2406(e) requires some reduced fee certificate holders to submit a reduced fee payment report annually within thirty days of the end of each model year. Selecting this button will cause a form for such a report to appear. This form may be used for the annual report and to pay the difference between the initial reduced fee and the final calculation. If the initial fee payment exceeds the final reduced fee then the manufacturer or ICI may request a refund using the Fee Refund Form.

-- Other: Select this button for any other underpayments, enter the amount to be paid in the amount due box, and explain in the Comments box.

Comments:

Enter any comments that are necessary or useful to explain the payment.

Fee Payment Details:

Amount Owed:

Enter the amount owed.

Payment Type:

Select one of the five payment options listed: Online ACH, Online Credit Card, Offline ACH, Offline Wire, or Offline Check. If paying offline by check, enter the check number.

-- For offline payments:

Before submitting, please make a copy of the form for your own records and to remember the amount to be paid, by printing from the PDF version after selecting the PDF Preview button. (The form can also be saved as a computer file by using the Save A Copy icon on the Adobe taskbar.) After copying the PDF version, use the backspace button on your browser to return to the form so that it can be submitted.

Submit Data

If paying online has been selected, pushing this button will take you to a plastic card or an ACH debit summary page for submission of payment. Please make sure all information is correct before submitting data. Once the “Submit Data” button is selected, changes cannot be made. The browser’s backspace key cannot be used to make modifications to the form.

After payment is made, a Payment Confirmation will appear that can be copied for your records. A payment summary will also be sent automatically to your email address. The Payment Confirmation lists the engine family along with the other payment information; the summary sent to your email address does not. It is a good idea to make a copy of the Payment Confirmation.

If payment offline was selected, pushing the Submit Data button will take you back to the forms list; payment will be the responsibility of the manufacturer/ICI according to the instructions at http://www.epa.gov/otaq/fees.htm. Those instructions are summarized below. Before submitting, please make a copy of the form for your own records, and to remember the amount to be paid, by printing from the PDF version after selecting the PDF Preview button. The form can also be saved as a computer file by using the “Save A Copy” icon on the Adobe taskbar.

– To pay offline by check, after submitting the form online: Make the check payable to “U.S. Environmental Protection Agency”. Write “MVECP fee” and the engine family or test group name on the check, or, if the check is for multiple test groups or engine families, write “MVECP for ___ engine families/test groups” (edit number as appropriate). Mail the check to:

Environmental Protection Agency

Motor Vehicle and Engine Compliance Program

P.O. Box 954472

St. Louis, MO 63195-4472

If using a private shipping service such as Federal Express (or other service), send checks to

US BANK

Government Lock Box Division

Mail Station SLMOC1GL, Operations Center

1005 Convention Plaza

St. Louis, MO 63101-1200

– To pay offline by wire, after filing the form online: Electronic Funds Transfer wire payments through the New York Federal Reserve Bank are the only wire transactions normally accepted for certification fee payments. Fedwire payments are not normally accepted. EFT/wire transactions must be arranged with the manufacturer’s bank. The bank will need the following information:

The EPA location code is 68010099.

The ABA# is 021030004.

The manufacturer must submit the following information in the EFT/wire message field (maximum 80 columns):

Description: “EPA MVECP FEE”

Standard Engine Family or Test Group Name (s)

Corporate Name.

– To pay offline by Automated Clearing House Electronic Funds Transfer (EFT/ACH) after filing the form online: To set up an EFT/ACH payment method, the manufacturer should contact its bank, which will make arrangements with the US Bank. At this time, the US Bank can only receive EFT/ACH payments from banks in the United States. The bank will need the following EPA routing and account information:

RDFI- US Bank

Routing Transit # 081000210

Receiving Account # 1001091030

Account Name: U.S. Environmental Protection Agency (EPA)

The manufacturer must submit the following information:

Description: “EPA MVECP FEE”

Standard Engine Family or Test Group Name (s)

Corporate Name.