7620-4 Allowance Deduction

United States
Environmental Protection Agency
Acid Rain Program

OMB No. 2060-0258

Allowance Deduction (Optional)
For more information, see instructions and refer to 40 CFR 72.90

STEP 1
Enter the compliance
year and ATS account
number.
STEP 2
Check the appropriate
box.
STEP 3
Enter the serial
numbers of the
allowances to be
deducted.

Compliance Year

ATS Account Number

This deduction is for:

__ Annual Compliance

Allowance
Year

You may specify
single
allowances or a series
of allowances. In the
total column, enter
the
total number of
allowances to be
deducted. Enter
separate series or
series with a different
use date on a
separate line.

STEP 4
Read the certification
statement, and sign
and date.

Start Number

Facility Name
Emissions Offset Plan
__ Excess
Immediate Deduction

End Number

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

Total

Certification
I am authorized to make this submission on behalf of the owners and operators of the affected
source or affected units for which the submission is made. I certify under penalty of law that I
have personally examined, and am familiar with, the statements and information submitted in
this document and all its attachments. Based on my inquiry of those individuals with primary
responsibility for obtaining the information, I certify that the statements and information are to
the best of my knowledge and belief true, accurate, and complete. I am aware that there are
significant penalties for submitting false statements and information or omitting required
statements and information, including the possibility of fine or imprisonment.

Signature

Date
Page

EPA Form 7620-4 (rev. 1-07; previous versions obsolete)

__

of

__

Acid Rain Program
Instructions for Allowance Deduction Form
(OPTIONAL) (40 CFR 72.90)

The Allowance Deduction Form may be used to identify the allowances to be deducted for annual
compliance and excess emissions. The form must be submitted by March 1 (or February 29 in a
leap year) of the year after the compliance year.

Step 1

Enter the Compliance Year, the Allowance Tracking System (ATS) Account Number
of the facility (i.e., plant) from which allowances are to be deducted, and the Facility
Name.

Step 2

Mark the appropriate box to indicate the type of deduction for which this form is being
submitted. Mark only one box. You must submit a separate form for each type of
deduction.

Step 3

List by serial number the allowances to be deducted. You may specify single allowances
or a series of allowances. In the total column, enter the total number of allowances to
be deducted.
Verify the accuracy of your entries by computing one of the following simple equations:
Start Number = End Number - Total + 1
or
End Number = Start Number + Total - 1
NOTE: If the serial number range does not correspond with the figure for the
total number of allowances, then EPA will rely on the serial number range and
not the total number.
You may copy the form to list additional allowances to be deducted. When you have
completed the form, for each ATS account number indicate the page order and total
number of pages (e.g., 1 of 4, 2 of 4, etc.) in the boxes in the lower left hand corner of
each page.
Except for Excess Emissions Offset Plan Immediate Deductions, the compliance use
date in the first four digits of the serial numbers of allowances to be deducted must
be the same as, or a year prior to, the compliance year listed in Step 1. Allowances
identified for Excess Emissions Offset Plan Immediate Deduction must have a
compliance use date that is for the year immediately following the compliance year.
If you do not identify enough allowances by serial number, EPA will deduct any
additional allowances necessary on a first-in, first-out (FIFO) basis starting with
those allowances with the earliest date of recordation into the compliance account
(generally, allowances originally allocated by EPA to the unit will have the earliest
date of recordation).
If you identify more than enough allowances, EPA will deduct the allowances in the
order listed on the form. EPA will not deduct more allowances than necessary for
compliance.

Step 4

Read the Certifications, sign, and date.
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Mailing Instructions

Mail this form to EPA at one of the following addresses:

for regular or certified mail:

for overnight mail:

U.S. EPA
Acid Rain Program (6204J)
Attention: Annual Reconciliation
1200 Pennsylvania Avenue, NW
Washington, DC 20460

U.S. EPA
Acid Rain Program (6204J)
Attention: Annual Reconciliation
1310 L Street, NW.,
Second Floor
Washington, DC 20005
Phone: 202-343-9150

Paperwork Burden Estimate
The public reporting and recordkeeping burden for this collection of information is estimated to average 3
hours per response. Send comments on the Agency's need for this information, the accuracy of the
provided burden estimates, and any suggested methods for minimizing respondent burden, including
through the use of automated collection techniques to the Director, Collection Strategies Division, U.S.
Environmental Protection Agency (2822T), 1200 Pennsylvania Ave., NW, Washington, D.C. 20460.
Include the OMB control number in any correspondence. Do not send the completed form to this
address.

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