Form 7620-14 Allowance Transfer

United States
Environmental Protection Agency

OMB No. 2060-0445

Allowance Transfer
This form is required to record a transfer of allowances under the Nox Budget Trading Program from one account to another in
the NOx Allowance Tracking System (NATS). Upon receipt of a completed allowance transfer form, EPA will move the
requested allowances from the transferor’s account to the transferee’s account. The Authorized Account Representative (AAR)
should notify all persons who have an ownership interest in the allowances held in an account every time he or she makes a
NOx Budget Trading Program submittal.

STEP 1
Enter account
information about the
transferor (in whose
account the allowances
currently reside

Transferor

NATS Account Number

AAR Name

AAR ID Number

Address

Phone Number
Fax Number

STEP 2
Enter account
information about
the transferee (into
whose account the
allowances are being
transferred).

Transferee:

NATS Account Number

AAR Name

AAR ID Number

Address

Phone Number

Fax Number

STEP 3
Complete Step 4. The
transferor AAR should
read the certification,
print name, and sign and
date.

I am authorized to make this submission on behalf of the owners and operators of the NOX Budget sources or NOX
Budget units for which the submission is made (or in the case of general accounts, the persons having an ownership
interest with respect to the NOX allowances held in the general account.) 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.
Transferor:
Name
Signature

EPA Form 7620-14

Date

Allowance Transfer - Page 2
NATS Account Number (from page 1)

Start Number (12 digits)

STEP 4
List the allowances to
be transferred by
serial
number (see example).
You may specify single
allowances or a series
of allowances. In the
“Total” column, enter
the total number of
allowances to be
transferred. Enter
each separate series or
series with a different
use date on a separate
line.
EPA will not transfer
allowances unless the
allowances are in the
transferor's account
at the time EPA
processes this request.
Further Details:
Enter the Start Number
and End Number in the
appropriate columns;
EPA recommends that
you select a start number
or end number that
represents the start or the
end of a pre-existing
series in the transferor's
account, so that series of
allowances are not
segregated unnecessarily,
as would occur if you
chose an intermediate
start or end number.Enter
the number of allowances
to be transferred in the
"Total" column. Verify
the accuracy of your
entries by using one of he
following simple
equations:
Start Number =
End Number ! Total + 1
or
End Number =
Start Number + Total ! 1

2 0 0 3 -0 5 2 5 1 9 9 3

End Number (12 digits)

2 0 0 3 -0 5 2 5 2 0 0 0

Total

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If you are transferring allowances for purposes of compliance with NOx Budget Trading Program requirements for a given
control period, this form must be postmarked no later than the Allowance Transfer Deadline (November 30th of the year in
which the control period falls).
U.S. Mail:
U.S. Environmental Protection Agency
Nox Budget Trading Program (6204J)
Attention: NOx Allowance Tracking System 1200
Pennsylvania Ave., N.W.
Washington, D.C. 20460

Overnight Mail:
U.S. Environmental Protection Agency
NOx Budget Trading Program (6204J)
Attention: NOx Allowance Tracking System
1310 L Street, N.W.
Washington, D.C. 20005

If you have any questions, please call the CAMD Hotline at 202-343-9620.

EPA Form 7620-14

Paperwork Burden Estimate
The public reporting and recordkeeping burden for this collection of information is estimated to average 2 hours per response.
Burden means the total time, effort, or financial resources expended by persons to generate, maintain, retain, or disclose or
provide information to or for a Federal agency. This includes the time needed to review instructions; develop, acquire, install,
and utilize technology and systems for the purposes of collecting, validating, and verifying information, processing and
maintaining information, and disclosing and providing information; adjust the existing ways to comply with any previously
applicable instructions and requirements; train personnel to be able to respond to a collection of information; search data
sources; complete and review the collection of information; and transmit or otherwise disclose the information. An agency
may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a
currently valid OMB control number.
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 (2822), 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.

EPA Form 7620-14