5900-241 TPEM Engine Manufacturer Report

United States
US Environmental Protection Agency
Office of Transportation and Air Quality
Transition Program for Equipment Manufacturers
Engine Manufacturer Report
Engine Manufacturer Information					Submission Date:
	Manufacturer Name:				OMB No. 2060-0369
	Contact Name:				Approval Expires on
	Email Address:				May 31, 2011
	Phone #:				EPA Form 5900-241
	Manufacturer Address:
	40 CFR Part:
	Model Year:
	Comments:
Engine Manufacturer TPEM Report Data
	Engine Family	Configuration	Buyer or Shipping Destination	Exempt Engines Production Volume	CA Sales Included? (Part 1054 Only)	CA Sales (Part 1054 Only)
				Paperwork Reduction Act Notice
				The public reporting and recordkeeping burden for this collection of information is estimated to average 11 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 Number 2060-0369 in any correspondence. Do not send the completed Form 5900-241 to this address.