HD GHG Vehicle Cert Template (11/2011)

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Greenhouse Gas Certification Template
Heavy-duty tractors and vocational vehicles

Office of Transportation and Air Quality
November 2011

United States Environmental Protection Agency, Office of Air and Radiation, Office of Transportation and Air Quality
September 22, 2026

General Information

Paperwork Reduction Act Notice
The public reporting and recordkeeping burden for this collection of information is estimated to average 70 hours per response (for combination tractors)
and 24 hours per response (for vocational vehicles). 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(s) in any correspondence. Do not send the completed form to this address.
OMB Control No: 2060-NEW
Expires: xx-xx-20xx

source.xlsx
Please Read

Form number: 5900-249
OMB control number: 2060-xxxx

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Greenhouse Gas Certification Template

Office of Transportation and Air Quality
November 2011

Heavy-duty tractors and vocational vehicles

United States Environmental Protection Agency, Office of Air and Radiation, Office of Transportation and Air Quality
September 22, 2026

OMB Control No: 2060-NEW
Expires: Xx-xx-XXX

Vehicle Family Information
a) Vehicle Family Description
Manufacturer
Model year
Family
Process code

Fee paid?
Production start date
Intro. to commerce date
Est production volume
Are you a secondary vehicle
manufacturer (§1037.620(b))?

Vehicle type
Averaging set
Useful life (yrs/miles)
Advanced technology (vehicle only)?

10/185,000

CO2 Emission standard
Lowest projected CO2 family emission limit
Highest projected CO2 family emission limit
Trade name(s) of vehicles in family

Please identify the emission control system(s)
utilized in this vehicle family

For Tractors Only
Cab
Roof height
Class

Prod. end date

Please identify the
primary vehicle
manufacturer
Please list typical applications for this vehicle family

7
Is this a vocational tractor family?

g/ton-mile
g/ton-mile
g/ton-mile
Vehicle assembly location(s)
City

Name, address & telephone of
U.S.-based agent for service

State

Country

Importation Point

Minimum

Maximum

Please identify any adjustable parameters (per §1037.115)
Name

Nominal

CO2 Deterioration Factor
Are you using EPAassigned DF?
Type?
Value

b) Disclosure

Yes/No/N-A

Do you intend on using the averaging, banking & trading provisions of §1037, subpart H?

To the best of your belief, you will not have a
negative balance of emission credits for any
averaging set when all emission credits are
calculated at the end of the year; or you will
have a negative balance of emission credits
for one or more averaging sets such that it is
allowed under §1037.745

Has a copy of the warranty statement been sent to the certification staff?
Has a copy of the emission control label been sent to the certification staff?
Has a copy of your aerodynamic worksheet been sent to the certification staff (tractors only)?
Do you meet the maintenance requirements of §1037.125?
Are you participating in NHTSA's early-credit program?
Secondary veh. manufacturers: Will vehicles be distributed without conforming to all applicable regulations?

c) Vehicle Speed Limit (VSL) System
Do any of your configurations use a vehicle speed
limiter, consistent with §1037.640?
Please enter your VSL properties for at least the following configurations: Highest Projected Sales, Lowest GEM Input, Highest GEM Input
VSL Configuration Type
Default speed limit (MPH)
Soft top?
Soft top speed (MPH)
Max soft top duration (per day)
Soft top Units
Does your VSL expire?
Expiration point (Miles)
Effective speed limit (GEM input) (MPH)

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General Family Info

0.0

0.0

Form number: 5900-249

0.0

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Greenhouse Gas Certification Template

Office of Transportation and Air Quality
November 2011

OMB Control No: 2060-NEW
Expires: Xx-xx-XXX

Heavy-duty tractors and vocational vehicles
d) Automatic Engine Shutdown (AES) System
Do any of your configurations utilize
automatic engine shut-down features, as
described in §1037.660?
Please describe conditions that must be
met for the engine to shut-down after 300
seconds (§1037.660(a))
Please describe any conditions that may
override the AES (§1037.660(b))
Does the AES system have an expiration
point?

Configuration 1

Configuration 2

Configuration 3

Configuration 4

0.00

0.00

0.00

0.00

Configuration type
Please enter the expiration point in miles
AES Credit (GEM Input), g CO2/ton-mile

e) Aerodynamics

Method 1

Method 2

Method 3

Method 4

Method 5

Method for determining CdA?
Falt-aero

Are CdA measurements from a high-roof
tractor being used for a low or mid-roof
tractor (per §1037.520(b)(3))?

Date of alternate procedure
approval

Please enter the vehicle family name of the
high-roof tractor

f) Tire Information

Make

Please identify all the tires used in this vehicle family. Alternatively,
you may submit your own document with this information.
Crr

Model

Please list all components associated with
weight reduction (§1037.520(e))

g) Weight Reduction
Information

Drive/Steer
Wheels
Type

Wheel material

Single-wide drive tire

Steel
Aluminum
Light-Weight Steel
High-Strength Steel
Aluminum
Light-Weight Aluminum

Steer or dual-wide drive tire

Used in
this family?

Other Components (per Table 5 of §1037.520)
Component

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General Family Info

Form number: 5900-249

Material

Weight reduction (lb) Innovative technology?

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Office of Transportation and Air Quality
November 2011

Greenhouse Gas Certification Template
Heavy-duty tractors and vocational vehicles

United States Environmental Protection Agency, Office of Air and Radiation, Office of Transportation and Air Quality
September 22, 2026

OMB Control No: 2060-NEW
Expires: Xx-xx-XXX

Auxiliary Emission Control Device (AECD) Worksheet
Manufacturer

0

Vehicle Family

0

Regulatory Subcategory

0

Averaging set

Process Code

0

Model Year

0

Projected Volume

0

0

Please use this worksheet to disclose any AECDs your vehicle may have
As a reminder, §1037.801 defines "AECD" as: "any element of design that senses temperature, motive speed, engine RPM, transmission gear, or any other parameter for the purpose of activating, modulating, delaying or deactivating the operation of any part of the emission control system." AECDs are not restricted
to physical "devices" and in many cases are software algorithms.

AECD Name

source.xlsx
AECD

Sensed parameter(s)

Controlled parameter(s)

Form number: 5900-249

Purpose

Reduced effectiveness?

4 of 4

Office of Transportation and Air Quality
November 2011

Greenhouse Gas Certification Template
Heavy-duty tractors and vocational vehicles

United States Environmental Protection Agency, Office of Air and Radiation, Office of Transportation and Air Quality
September 22, 2026
OMB Control No: 2060-NEW

Technology Worksheet

Expires: Xx-xx-XXX

Manufacturer

0

Vehicle Family

0

Regulatory Subcategory

0

Averaging set

Process Code

0

Model Year

0

Projected Volume

0

0

i) Advanced Technologies
Test Vehicle "A" (conventional vehicle)
Configuration

1-A

2-A

3-A

4-A

5-A

Vehicle model
Serial number
Service accumulation (miles)
Please describe the conventional vehicle used for comparison ("Vehicle A"), including why its suitable for comparison. If you submit a supplemental document containing
more detailed information, please reference the document name here.
Please enter description here…

Test Vehicle "B" (advanced technology vehicle)
Configuration

1-B

2-B

3-B

4-B

5-B

Vehicle model
Serial number
Service accumulation (miles)
Please describe the features of the advanced technology vehicle ("Vehicle B"). If this technology is applied across multiple configurations, please explain the differences
between each of the configurations. If you submit a supplemental document containing more detailed information, please reference the document name here.
Please enter description here…

Calculations
Configuration
Emission rate of Vehicle A
Emission rate of Vehicle B
Improvement factor
Estimated volume of configuration

If you have more than 5 configurations, please list the 5 with the highest
projected sales in the table below
1
2
3
4
5
g CO2/ton-mile
g CO2/ton-mile
0.00
0.00
0.00
0.00
0.00

ii) Innovative Technologies
Please provide a brief description of any innovative technologies you are claiming emission credits for (per §1037.610). If you submit a supplemental document containing
more detailed information, please reference the document name here.
Please enter description here…

Summary of innovative technologies
Technology name

source.xlsx
Technology Worksheet

Improvement
factor

Projected volume

Form number: 5900-249

Approval date

US EPA approval number

5 of 5

Office of Transportation and Air Quality
November 2011

Greenhouse Gas Certification Template
Heavy-duty tractors and vocational vehicles

United States Environmental Protection Agency, Office of Air and Radiation, Office of Transportation and Air Quality
September 22, 2026

OMB Control No: 2060-NEWExpires:
Xx-xx-XXX

HFC Worksheet
Manufacturer

0

Process Code

0

Vehicle Family

0

Model Year

0

Regulatory Subcategory

0

Projected Volume

0

Averaging set

0

Please enter information for at least the following configurations: highest system emission rate, largest refrigerant capacity , highest % leakage, and highest projected sales
A/C System Information

A/C system number

Refrigerant

Refrigerant
GWP, if other
than R134a

Leakage Inputs (optional)

Production
Volume

Refrigerant
Capacity (g)

Service
Rigid Pipe
port/control
Hose
Connections device emission permeation
emission rate rate (g/year): rate (g/year):

A/C Leakage Rate

Compressor
emission rate
(g/year):

Total System
HFC Emission
Rate (g/year)

Total System HFC
Percent Leakage
(%/year)

Installation details
Please list the corporate name(s) (other than the certifying manufacturer) of who will be the final installer(s) of the A/C system
Name
Location (state or country, if non-U.S.)
Location (state or country, if non-U.S.)

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HFC Worksheet

Form number: 5900-249

Location (state or country, if non-U.S.)

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Please paste your GEM input file on this page
This should include at least 10 subconfigurations
(unless the family has fewer), including: highestCO2 emissions, lowest-CO2 emissions, and
highest projected volume and equivalent fuel
consumption values in 49 CFR 535.8(c)

OMB Control No: 2060-NEW
Expires: Xx-xx-XXX

Please paste your GEM output file on this page
This should include at least 10 subconfigurations
(unless the family has fewer), including: highestCO2 emissions, lowest-CO2 emissions, and
highest projected volume

OMB Control No: 2060-NEW
Expires: Xx-xx-XXX

o: 2060-NEW
XX