5900-140 Methyl Bromide Exporter Quarterly Report

Protection of Stratospheric Ozone: Request for Applications from Critical Use Exemption for the Phaseout of Methyl Bromide (Renewal)

MeBr Exporter_v1.0.xlsm

Protection of Stratospheric Ozone: Critical Use Exemption from the Phaseout of Methyl Bromide - Reporting and Periodic Recordkeeping Requirements (transfered from 2060-0564)

OMB: 2060-0482

Document [xlsx]
Download: xlsx | pdf

Overview

Instructions
Section 1
Section 2
Summary
Reference List


Sheet 1: Instructions





U.S. Environmental Protection Agency

Stratospheric Ozone Protection Program




Methyl Bromide Exporter Quarterly Report (Sec 82.13)

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 #5900-140

OMB Control Number: 2060-0482

Expiration Date: 8/31/2018





Sheet 2: Section 1










U.S. Environmental Protection Agency






Methyl Bromide Exporter 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



Enter your company's Employer Identification Number (EIN). Employer Identification Number (EIN):

1












Original Submission






Re-Submittal






Sheet 3: Section 2
























U.S. Environmental Protection Agency

















Methyl Bromide Exporter Quarterly Report


































Company Name:
















Reporting Period:


































Section 2: Export Transaction Data

















In the table below, enter data for each export transaction containing methyl bromide that took place during the reporting period. If no methyl bromide was exported, the table may be left blank. For all transactions, all fields are required.





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



















The transaction number is autopopulated. Transaction Number Enter the date for when the shipment left the United States. Date of Export Enter the name of the company that received or purchased methyl bromide during the reporting period. Recipient Company Enter the street address of the recipient company. Recipient Company Street Address Enter the city of the recipient company. Recipient Company City Select the country to which the shipment was exported. If copying and pasting data into the table, please refer to the Reference List for the valid list of countries. Recipient Company Country Enter the postal code of the recipient company. Recipient Company Postal Code Enter the name of the contact for the recipient company. If this information is not available, enter "Not Available." Recipient Company Contact Name Enter the phone number of the contact from the recipient company. If this information is not available, enter "Not Available." Recipient Company Phone Number This field is autopopulated. Name of the Chemical Exported Enter the total quantity (kg) of methyl bromide exported. Total Quantity Exported Enter the 10-digit commodity code of the chemical exported as it appears on Customs documentation. Refer to the Reference List for a list of commonly used commodity codes. Commodity Code Enter the name of the port where the shipment exited the United States. Port of Exit from the United States Enter the Employer Identification Number (EIN) shown on the Shipper's Export Declaration Form. This number may or may not refer to the exporter as defined by EPA. If a shipping agent is acting on behalf of the exporter as defined by the regulation, the EIN of the agent shown on the U.S. Customs Form 7525 should be reported here. Your company's EIN as entered in Section 1 of this report will automatically populate for each transaction entered. Revise the number if the EIN for the shipment is different from your company's EIN. The number entered should have no dashes. Shipment EIN Identify whether the material was exported for transformation, destruction, critical uses, quarantine and preshipment (QPS) applications, emergency uses, or global lab. If copying and pasting data into the table, please refer to the Reference List for the valid list of intended uses. Intended Use





Autopopulated Date Text Text Text Selection Text Text Text Autopopulated kg Text Text Number Selection





1 1/15/2018 Company A 1 Main Street Melbourne Australia 3000 John Smith 011 46 8 508 280 00 CH3Br 5,000.00 2903.39.1520 Miami, FL 12345678900 QPS






















































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































1


























x







x










Afghanistan







Transformation










Albania







Destruction










Algeria







Critical Use










Andorra







QPS










Angola







Emergency Use










Antigua and Barbuda







Global Lab










Argentina



















Armenia



















Australia



















Austria



















Azerbaijan



















Bahamas



















Bahrain



















Bangladesh



















Barbados



















Belarus



















Belgium



















Belize



















Benin



















Bermuda



















Bhutan



















Bolivia (Plurinational State of)



















Bosnia and Herzegovina



















Botswana



















Brazil



















Brunei Darussalam



















British Virgin Islands



















Bulgaria



















Burkina Faso



















Burundi



















Cambodia



















Cameroon



















Canada



















Cape Verde



















Central African Republic



















Chad



















Chile



















China



















Colombia



















Comoros



















Congo



















Cook Islands



















Costa Rica



















Côte d'Ivoire



















Croatia



















Cuba



















Cyprus



















Czech Republic



















Democratic Republic of the Congo



















Denmark



















Djibouti



















Dominica



















Dominican Republic



















Ecuador



















Egypt



















El Salvador



















Equatorial Guinea



















Eritrea



















Estonia



















Ethiopia



















European Union



















Fiji



















Finland



















France



















Gabon



















Gambia



















Georgia



















Germany



















Ghana



















Greece



















Grenada



















Guatemala



















Guinea



















Guinea-Bissau



















Guyana



















Haiti



















Holy See



















Honduras



















Hong Kong



















Hungary



















Iceland



















India



















Indonesia



















Iran (Islamic Republic of)



















Iraq



















Ireland



















Israel



















Italy



















Jamaica



















Japan



















Jordan



















Kazakhstan



















Kenya



















Kiribati



















Kuwait



















Kyrgyzstan



















Lao People's Democratic Republic



















Latvia



















Lebanon



















Lesotho



















Liberia



















Libya



















Liechtenstein



















Lithuania



















Luxembourg



















Madagascar



















Malawi



















Malaysia



















Maldives



















Mali



















Malta



















Marshall Islands



















Mauritania



















Mauritius



















Mexico



















Micronesia (Federated States of)



















Monaco



















Mongolia



















Montenegro



















Morocco



















Mozambique



















Myanmar



















Namibia



















Nauru



















Nepal



















Netherlands



















New Zealand



















Nicaragua



















Niger



















Nigeria



















Niue



















North Korea (Democratic People's Republic of Korea)



















Norway



















Oman



















Pakistan



















Palau



















Panama



















Papua New Guinea



















Paraguay



















Peru



















Philippines



















Poland



















Portugal



















Qatar



















Republic of Moldova



















Romania



















Russian Federation



















Rwanda



















Saint Kitts and Nevis



















Saint Lucia



















Saint Vincent and the Grenadines



















Samoa



















San Marino



















Sao Tome and Principe



















Saudi Arabia



















Senegal



















Serbia



















Seychelles



















Sierra Leone



















Singapore



















Slovakia



















Slovenia



















Solomon Islands



















Somalia (Federal Republic of)



















South Africa



















South Korea (Republic of Korea)



















South Sudan



















Spain



















Sri Lanka



















Sudan



















Suriname



















Swaziland



















Sweden



















Switzerland



















Syrian Arab Republic



















Tahiti



















Taiwan



















Tajikistan



















Thailand



















The Former Yugoslav Republic of Macedonia



















Timor-Leste



















Togo



















Tonga



















Trinidad and Tobago



















Tunisia



















Turkey



















Turkmenistan



















Tuvalu



















Uganda



















Ukraine



















United Arab Emirates



















United Kingdom of Great Britain and Northern Ireland



















United Republic of Tanzania



















#NAME?



















Uruguay



















Uzbekistan













Sheet 4: Summary














U.S. Environmental Protection Agency








Methyl Bromide Exporter Quarterly Report
















Company Name:







Reporting Period:
















Export Totals









The values in the table below are calculated based on data entered in Section 2. If the totals appear to be incorrect, please return to Section 2 to review your data.


Chemical Name Country Transformation (kg) Destruction (kg) Critical Use (kg) QPS (kg) Emergency Use (kg) Global Lab (kg)































































































































































































































































































Sheet 5: Reference List











U.S. Environmental Protection Agency







Methyl Bromide Exporter Quarterly Report






Reference List















Copying and Pasting Data: If data is 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 lists provided below.

Intended Use List: The table below lists the valid intended uses that may be used when entering data into Section 2 of this form.
Country List: The table below lists the valid country names that may be used when entering data into Section 2 of this form.










Intended Uses
Source Country

Transformation Destruction Critical Use
Afghanistan Greece Papua New Guinea

QPS Emergency Use Global Lab
Albania Grenada Paraguay





Algeria Guatemala Peru

Commodity Code List: The table below lists commonly used methyl bromide commodity codes that may be used when entering data into Section 2 of this form. A complete list of commodity codes can be found in the Official Harmonized Tariff Schedule.
Andorra Guinea Philippines


Angola Guinea-Bissau Poland


Antigua and Barbuda Guyana Portugal


Argentina Haiti Qatar





Armenia Holy See Republic of Moldova

Methyl Bromide Commodity Codes/Description
Australia Honduras Romania

2903.39.1520 Methyl bromide
Austria Hong Kong Russian Federation

3824.77.0000 Mixtures containing methyl bromide
Azerbaijan Hungary Rwanda





Bahamas Iceland Saint Kitts and Nevis





Bahrain India Saint Lucia





Bangladesh Indonesia Saint Vincent and the Grenadines





Barbados Iran (Islamic Republic of) Samoa





Belarus Iraq San Marino





Belgium Ireland Sao Tome and Principe





Belize Israel Saudi Arabia





Benin Italy Senegal





Bermuda Jamaica Serbia





Bhutan Japan Seychelles





Bolivia (Plurinational State of) Jordan Sierra Leone





Bosnia and Herzegovina Kazakhstan Singapore





Botswana Kenya Slovakia





Brazil Kiribati Slovenia





Brunei Darussalam Kuwait Solomon Islands





British Virgin Islands Kyrgyzstan Somalia (Federal Republic of)





Bulgaria Lao People's Democratic Republic South Africa





Burkina Faso Latvia South Korea (Republic of Korea)





Burundi Lebanon South Sudan





Cambodia Lesotho Spain





Cameroon Liberia Sri Lanka





Canada Libya Sudan





Cape Verde Liechtenstein Suriname





Central African Republic Lithuania Swaziland





Chad Luxembourg Sweden





Chile Madagascar Switzerland





China Malawi Syrian Arab Republic





Colombia Malaysia Tahiti





Comoros Maldives Taiwan





Congo Mali Tajikistan





Cook Islands Malta Thailand





Costa Rica Marshall Islands The Former Yugoslav Republic of Macedonia





Côte d'Ivoire Mauritania





Croatia Mauritius Timor-Leste





Cuba Mexico Togo





Cyprus Micronesia (Federated States of) Tonga





Czech Republic Monaco Trinidad and Tobago





Democratic Republic of the Congo Mongolia Tunisia





Denmark Montenegro Turkey





Djibouti Morocco Turkmenistan





Dominica Mozambique Tuvalu





Dominican Republic Myanmar Uganda





Ecuador Namibia Ukraine





Egypt Nauru United Arab Emirates





El Salvador Nepal United Kingdom of Great Britain and Northern Ireland





Equatorial Guinea Netherlands





Eritrea New Zealand United Republic of Tanzania





Estonia Nicaragua Uruguay





Ethiopia Niger Uzbekistan





European Union Nigeria Vanuatu





Fiji Niue Venezuela (Bolivarian Republic of)





Finland North Korea (Democratic People's Republic of Korea) Viet Nam





France Yemen





Gabon Norway Zambia





Gambia Oman Zimbabwe





Georgia Pakistan






Germany Palau






Ghana Panama










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