5900-302 Voluntary Emission Recall Quarterly Progress Report

OMB Control No. 2060-0048 Approval Expires on 10/31/2013
OMB Control No. 2060-0140 Approval Expires on 5/31/2014

United States

ENVIRONMENTAL PROTECTION AGENCY
2000 Traverwood Drive, Ann Arbor, MI, 48105
Voluntary Emission Recall Quarterly Progress Report (QR)
* = required field

Number of Vehicles / Engines
Completed

New or
Correct /
Update *

Additional
Quarter
EPA
Owner
Report
VERR
Notification
Number * Number *
this Quarter? *

EPA Form 5900-XXX (Rev 09/2013)

Number of
Vehicles/
Engines
Involved in
the Recall *

Number
Inspected *

Number
Found to be
Affected *

Number
Receiving
Repair *

Number of Vehicles/Engines Unavailable
for Inspection/Repair

Number of
Vehicles/Engines
Ineligible Due to
Improper
Maintenance *

Due to
Exportation *

Due to
Theft *

Due to
Due to
Other
Scrapping Reasons
*
(Specify in
Notes) *

Notes

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United States

OMB Control No. 2060-0048 Approval Expires on 10/31/2013
OMB Control No. 2060-0140 Approval Expires on 5/31/2014

ENVIRONMENTAL PROTECTION AGENCY
2000 Traverwood Drive, Ann Arbor, MI, 48105
Voluntary Emission Recall Quarterly Progress Report (QR) Help Instructions
General
Validate Form Button
Clicking this button will check to see if the form is valid and identify any form errors for correction. Failure
to submit a valid form means you have not met reporting requirements and the system will
reject the form.

Report Information
Quarter
Indicate the quarter this form is being submitted.
Year
Indicate the year this form is being submitted.
New QR or Correct / Update
If you are submitting this QR for the first time, you should select "New QR". If you are updating or
correcting a previously submitted QR, you should select "Correct / Update QR". If you select "Correct/
Update VERR", you must enter the corresponding quarter for the QR that you are updating/correcting and
the reason for the correction / update in the "Notes" field.
Quarter Report Number
Please enter the applicable quarter for the QR. This is only required for six consecutive quarters after the
recall was started.
EPA Voluntary Emission Recall Report (VERR) Number
You must enter the number for the VERR that this quarterly report (QR) corresponds to. This number
should be the number for the original VERR. Accordingly, this number should be exactly four digits and
must contain zeroes for numbers with fewer than four significant digits (e.g., "0007"). If you are unsure
of the original VERR number, you can also use the first four digits of the number for an updated/corrected
VERR with an eight digit number (e.g., "0007-R01 => "0007").
Additional Owner Notification this Quarter?
Indicate if you have performed additional notifications, following the initial notification at the start of the
recall campaign, to owners of the vehicles involved in the recall campaign for this quarter.
Number of Vehicles / Engines Involved in this Recall
Enter the number of vehicles that are involved in the recall campaign.
Number of Vehicles / Engines Completed - Number Inspected
Enter the number of vehicles that were inspected by the dealership or authorized service/repair facility as
part of the recall campaign.
Number of Vehicles / Engines Completed - Number Found to be Affected
Enter the number of vehicles that were inspected and found to be affected with the problem the recall
campaign addresses.

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Number of Vehicles / Engines Completed - Number Receiving Repair
Enter the number of vehicles that received the repair procedure identified in the recall campaign.
EPA Form 5900-XXX (Rev 09/2013)

United States

OMB Control No. 2060-0048 Approval Expires on 10/31/2013
OMB Control No. 2060-0140 Approval Expires on 5/31/2014

ENVIRONMENTAL PROTECTION AGENCY
2000 Traverwood Drive, Ann Arbor, MI, 48105
Voluntary Emission Recall Quarterly Progress Report (QR) Help Instructions
Number of Vehicles/Engines Ineligible Due to Improper Maintenance
Enter the number of vehicles that were inspected and found to be ineligible for repair due to improper
maintenance as outlined by the criteria in the recall campaign.
Number of Vehicles/Engines Unavailable for Inspection/Repair - Due to Exportation
Enter the number of vehicles that were unavailable for inspection or repair due to exportation.
Number of Vehicles/Engines Unavailable for Inspection/Repair - Due to Theft
Enter the number of vehicles that were unavailable for inspection or repair due to theft.
Number of Vehicles/Engines Unavailable for Inspection/Repair - Due to Scrapping
Enter the number of vehicles that were unavailable for inspection or repair due to scrappage.
Number of Vehicles/Engines Unavailable for Inspection/Repair - Due to Other Reasons
(Specify in Notes)
Enter the number of vehicles that were unavailable for inspection or repair due to a reason, or reasons,
other than exportation, theft, or scrappage. Also, please specify the reason(s) in the "Notes" column.
Notes
Use the notes column to enter additional comments related to the quarterly report. Examples may
include, but are not limited to reasons why vehicles were unavailable for inspection or repair, reason for
an update/correction of a quarterly report, and/or cases where number values are not available or are
zero. (4000 Character Limit)
Quarterly Emission Recall Progress Report (QR) Buttons
Add Quarterly Update - This button is used to for a Quarterly Update of multiple VERRs. Clicking this
button adds a new row at the end of the table to provide a Quarterly Update on another VERR. Delete
Last Quarterly Update - This button is used to delete the last Quarterly Update. Clicking this button
deletes the Quarterly Update Information in the last row of the table.

Paperwork Reduction Act Notice

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The public reporting and recordkeeping burden for this collection of information is estimated to average 0.5 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 5900-91 to this address.

EPA Form 5900-XXX (Rev 09/2013)