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Federal Operating Permit Regulations (40 CFR part 71)

ICR 200910-2060-005 · OMB 2060-0336 · Object 14076801.

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Federal Operating Permit Regulations (40 CFR part 71)
jeff herring
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2007-06-04
2026-10-12
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                                      OMB No. 2060-0336, Approval Expires 06/30/2010
Federal Operating Permit Program (40 CFR Part 71)

FEE FILING FORM (FF)

Complete this form each time you prepare form FEE and send this form to the appropriate lockbox bank address, along with full payment.  This form required at time of initial fee payment, and thereafter, when paying annual fees.



Source or Facility Name__________________________________________________________

Mailing Address:

 Street/P.O. Box ______________________________  City_____________________________   

 State ______    ZIP __________ - ______

Contact Person:_____________________________  Title______________________________

   Telephone ( ____ ) _____ - __________    Ext. __________ 

Total Fee Payment Remitted:	$ __________________._____



INSTRUCTIONS FOR FF
FEE FILING FORM

Send this form along with fee payment to the appropriate Alockbox@ bank account address. 

Lockbox Bank Account Addresses for each EPA Region

REGION I

U.S. EPA - Region I
P.O. Box 360197M
Pittsburgh, PA 15251
REGION VI

U.S. EPA - Region VI
P.O. Box 360582M
Pittsburgh, PA 15251

REGION II

U.S. EPA - Region II
P.O. Box 360188M
Pittsburgh, PA 15251

REGION VII

Mellon Bank
U.S. EPA - Region VII
Box 360748M
Pittsburgh, PA 15251-6748

REGION III

U.S. EPA - Region III
P.O. Box 360515
Pittsburgh, PA 15251-6515
REGION VIII

Mellon Bank
Attn: Part 71 Permit Accounting
Lockbox 360859
Pittsburgh, PA 15251‑6859

REGION IV

U.S. EPA - Region IV
Nationsbank
P.O. Box 100142
Atlanta, GA 30384

REGION IX

Mellon Bank
U.S. EPA - Region IX
P.O. Box 360863M
Pittsburgh, PA 15251
REGION V

U.S. EPA - Region V
P.O. Box 70753
Chicago, IL 60673
REGION X

U.S. EPA - Region X
P.O. Box 360903M
Pittsburgh, PA 15251

Fee payments must be in United States currency and shall be paid by money order, bank draft, certified check, corporate check, or electronic funds transfer payable to the order of the U.S. Environmental Protection Agency.

Important:  Please also send a photocopy of the fee payment instrument (e.g., the check) to the EPA regional office (or delegate agency).