Form 5900-202 Class II Producer Quarterly Report

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Overview

Instructions
Section 1
Section 2
Section 3
Summary
Reference List

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Sheet 1: Instructions

	U.S. Environmental Protection Agency
	Stratospheric Ozone Protection Program
	Class II Producer Quarterly Report (Sec 82.24)
	Version 1.0
	Last Updated: December 2017
	Instructions
	Complete this form by filling in the data fields that are highlighted in blue. Guidance on how to complete individual data fields are provided in comment bubbles. Use the arrows to navigate between the tabs. Once completed, use the 'prepare submission' button on the Summary tab to generate your CSV file.
	Copying and Pasting Data: If data are pasted into this reporting form from another spreadsheet, the formatting of specific cells must be consistent with the requirements of the form in order to be
	accepted into EPA’s ODS Tracking System. Refer to the Reference List to identify the valid naming scheme for specific data fields. Additionally, select "Paste As Values" when pasting data into the form.
	Report Submission: This Excel file, the generated CSV file, and all supporting attachments should be submitted to EPA through the Central Data Exchange (CDX). Refer to EPA's website for additional information on form submission:
	https://www.epa.gov/ods-phaseout/ods-recordkeeping-and-reporting
	All information submitted to EPA will be treated as confidential in accordance with 40 CFR Part 2, Subpart B, and will only be disclosed by the means set forth in the subpart.
	The public reporting and recordkeeping burden for this collection of information is estimated to average 2 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 Avenue NW, Washington, D.C. 20460. Include the OMB control number in any correspondence. Do not send the completed form to this address.
	EPA Form #5900-202
	OMB Control Number: 2060-0498
	Expiration Date: 4/30/2019

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Sheet 2: Section 1

	U.S. Environmental Protection Agency
	Class II Producer Quarterly Report
	Date Prepared:
	Section 1: Report Identification Information
	Complete all fields below. No fields may be left blank.
	The company name must match the organization name under which this report is submitted to EPA through CDX. Company Name:			1
	Submission Type:			1
	Reporting Year:			1
	Reporting Quarter:			1
		x
		Original Submission
		Re-Submittal

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Sheet 3: Section 2

U.S. Environmental Protection Agency

Class II Producer Quarterly Report

Company Name:

Reporting Period:

Section 2: Production Data

In the table below, enter the quantity of each class II controlled substance that was produced during the reporting period. If no controlled substances were produced, the table may be left blank. As a reminder, if material was produced for second party transformation, second party destruction, or produced using Article 5 allowances (but sold domestically prior to export), a copy of the transformation, destruction, and/or Article 5 verification from each company for whom material was produced must be provided to EPA along with the submission of this report.

If copying and pasting data into the table, please refer to the Reference List and the accompanying instructions.

Select the name of the chemical produced. Each chemical should only appear once in the table. If copying and pasting data into the table, please refer to the Reference List for the valid list of chemical names. Name of the Class II Chemical Produced

Enter the gross quantity (kg) of the chemical produced during the reporting period. Gross Production

Enter the quantity (kg) of the chemical produced for in-house transformation during the reporting period. This quantity must be less than or equal to the gross quantity produced. In-House Transformation

Enter the quantity (kg) of the chemical produced for second party transformation during the reporting period. This quantity must be less than or equal to the gross quantity produced. Second Party Transformation

Enter the quantity (kg) of the chemical produced for in-house destruction during the reporting period. This quantity must be less than or equal to the gross quantity produced. In-House Destruction

Enter the quantity (kg) of the chemical produced for second party destruction during the reporting period. This quantity must be less than or equal to the gross quantity produced. Second Party Destruction

Enter the quantity (kg) of the chemical produced using Article 5 allowances during the reporting period. This quantity must be less than or equal to the gross quantity produced. Article 5

Net production (kg) equals gross production - in-house transformation - 2nd party transformation - in-house destruction - 2nd party destruction - Article 5 production. This field is autopopulated and cannot be negative. Net Production

Selection

kg

kg

kg

kg

kg

kg

Autopopulated

HCFC-22

1,550.65

0.00

250.85

0.00

0.00

1,008.00

291.80

x

HCFC-21

HCFC-22

HCFC-31

HCFC-121

HCFC-122

HCFC-123

HCFC-123a

HCFC-123b

HCFC-124

HCFC-124a

HCFC-131

HCFC-132b

HCFC-133a

HCFC-141b

HCFC-142b

HCFC-151

HCFC-221

HCFC-222

HCFC-223

HCFC-224

HCFC-225ca

HCFC-225cb

HCFC-226

HCFC-231

HCFC-232

HCFC-233

HCFC-234

HCFC-235

HCFC-241

HCFC-242

HCFC-243

HCFC-244

HCFC-251

HCFC-252

HCFC-253

HCFC-261

HCFC-262

HCFC-271

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Sheet 4: Section 3

		U.S. Environmental Protection Agency
		Class II Producer Quarterly Report
		Company Name:
		Reporting Period:
		Section 3: Shipment/Sales Data
		Identify the recipient company(s) of the material produced for second party transformation, second party destruction, or produced with Article 5 allowances (but sold domestically), and the amount shipped to each company during the quarter.
		Note: Due to a potential time lag between the date of production and the date of shipment, it is recognized that for a given quarter the information in Section 3 may not match the information reported in Section 2; however, it is expected that all material produced for second party transformation or second party destruction will eventually be shipped to a second party and must be reported as such in the applicable quarterly report.
		If copying and pasting data into the table, please refer to the Reference List and the accompanying instructions.
		As a reminder, a copy of the transformation, destruction, and/or Article 5 verification from each company for which material was produced must be provided to EPA along with the submission of this report.
		Select the chemical name from the dropdown list if the controlled substance was produced during the reporting period and subsequently shipped to a second party for transformation or destruction, or produced with Article 5 allowances and sold domestically prior to export. If the material was shipped to more than one company, enter the chemical name in more than one row. If copying and pasting data into the table, please refer to the Reference List for the valid list of chemical names. Chemical Name	Enter the name of the company that received or purchased material during the quarter for transformation, destruction, or Article 5 exports. Recipient Company Name	Enter the quantity (kg) of the chemical shipped to or purchased by the recipient company during the reporting period. Quantity	Identify whether the material will be (1) transformed, (2) destroyed, or (3) exported by the recipient company to an Article 5 country. Purpose
		Selection	Text	kg	Selection
		HCFC-22	Company A	250.85	Transformation
		x			x
		HCFC-21			Transformation
		HCFC-22			Destruction
		HCFC-31			Article 5
		HCFC-121
		HCFC-122
		HCFC-123
		HCFC-123a
		HCFC-123b
		HCFC-124
		HCFC-124a
		HCFC-131
		HCFC-132b
		HCFC-133a
		HCFC-141b
		HCFC-142b
		HCFC-151
		HCFC-221
		HCFC-222
		HCFC-223
		HCFC-224
		HCFC-225ca
		HCFC-225cb
		HCFC-226
		HCFC-231
		HCFC-232
		HCFC-233
		HCFC-234
		HCFC-235
		HCFC-241
		HCFC-242
		HCFC-243
		HCFC-244
		HCFC-251
		HCFC-252
		HCFC-253
		HCFC-261
		HCFC-262
		HCFC-271

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Sheet 5: Summary

		U.S. Environmental Protection Agency
		Class II Producer Quarterly Report
		Company Name:
		Reporting Period:
		Allowance Summary
		The values in the table below are calculated based on data entered in Section 2 for chemicals that have allowances. If the totals appear to be incorrect, please return to Section 2 to review your data.
		Chemical Name	Allowances Expended (kg)
			Production	Consumption	Article 5

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Sheet 6: Reference List

	U.S. Environmental Protection Agency
	Class II Producer Quarterly Report
	Reference List
	Copying and Pasting Data: If data are pasted into this reporting form from another spreadsheet, the formatting of specific cells must be consistent with the requirements of the form in order to be accepted into EPA’s ODS tracking system. When copying and pasting data into the form, please ensure consistency with the formatting of the list below.
	Chemical Name List: The table below lists the valid chemical names that may be used when entering data into Section 2 and Section 3 of this form.
	Chemical Name
	HCFC-21	HCFC-124a	HCFC-142b	HCFC-231	HCFC-251
	HCFC-22	HCFC-131	HCFC-151	HCFC-232	HCFC-252
	HCFC-31	HCFC-132b	HCFC-221	HCFC-233	HCFC-253
	HCFC-121	HCFC-133a	HCFC-222	HCFC-234	HCFC-261
	HCFC-122	HCFC-141	HCFC-223	HCFC-235	HCFC-262
	HCFC-123	HCFC-141a	HCFC-224	HCFC-241	HCFC-271
	HCFC-123a	HCFC-141b	HCFC-225ca	HCFC-242
	HCFC-123b	HCFC-142	HCFC-225cb	HCFC-243
	HCFC-124	HCFC-142a	HCFC-226	HCFC-244