Form 3520-20L Reformulated Gasoline NOx Emissions Performance Averagin

RFG and Anti-Dumping Program Report Instructions
OMB Control No. 2060-0277; Expires: (Renewal Pending)

Reformulated Gasoline NOx Emissions Performance Averaging Report
Report Form ID: RFG1200
EPA Form 3520-20L eAlternate

Issue Date: September, 10 2003
Revised: March 20, 2008

This report must be submitted annually by refiners and importers of reformulated gasoline and RBOB,
that choose to meet NOx emissions performance standards on average. A separate report must be
submitted for each refinery, while imports must be aggregated and reported as a single import facility.
This report is due with fourth quarter submissions.
No.

Field Name

Units

Field Formats, Codes & Special Instructions

1.

Report Form ID

AAAAAAA; Character.
Enter RFG1200

2.

Report Type

A; Character. Specify if the data submitted in this report
is original or if it being resubmitted. Submit only one
original report; any corrections or updates should be
marked as a resubmission.
O = Original
R = Resubmission

3.

CBI

A; Character. Specify if the data contained within the
report is claimed as Confidential Business Information
(CBI) under 40 CFR Part 2, subpart B:
Y = Confidential Business Information
N = Non-Confidential Business Information

4.

Report Date

MM/DD/YYYY; Character. Enter the date the original or
resubmitted report is created.

5.

Report Year

YYYY; Character. Enter the averaging/compliance year
the report covers.

6.

Company ID

AAAA; Character. Enter EPA-assigned four-character
ID for the reporting company.

7.

Facility ID

AAAAA; Character. Enter EPA-assigned five-character
ID for the facility.

8.

Total Volume of
Averaged
Reformulated Gasoline
or RBOB

Gallons

9.

Applicable NOx
Performance Standard

%
Reduction

10

Compliance Total NOx
Emissions
Performance

%
Reduction Gallons

99999999999; Number. The compliance total using the
formula in 80.67(g)(1)(i). (The sum of NOx emissions
performance reduction for each batch).

11.

Actual Total NOx
Emissions
Performance

%
Reduction Gallons

99999999999; Number. The actual total using the
formula in 80.67(g)(1)(ii). (The sum of NOx emissions
performance reduction for each batch).

12.

Actual Total –
Compliance Total

%
Reduction Gallons

99999999999; Number. The actual total [No. 11] minus
the compliance total [No. 10]. The result must be greater
than or equal to zero to achieve compliance.

9999999999; Number. The total gallons of averaged
reformulated gasoline or RBOB produced or imported.

9.9; Number. The compliance value, in percent
reduction, for NOx emissions performance (SEE 80.41 of
the regulations for complex model averaged standards).

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RFG and Anti-Dumping Program Report Instructions
OMB Control No. 2060-0277; Expires: (Renewal Pending)

Reformulated Gasoline NOx Emissions Performance Averaging Report
Report Form ID: RFG1200
EPA Form 3520-20L eAlternate

Issue Date: September, 10 2003
Revised: March 20, 2008

13.

Non-VOC Total
Volume of Averaged
Reformulated Gasoline
or RBOB

14.

Non-VOC Applicable
NOx Performance
Standard

15.

Non-VOC Compliance
Total NOx Emissions
Performance

%
Reduction Gallons

99999999999; Number. The compliance total using the
formula in 80.67(g)(1)(i). (The product of [No. 13] and
[No.14]).

16.

Non-VOC Actual Total
NOx Emissions
Performance

%
Reduction Gallons

99999999999; Number. The actual total using the
formula in 80.67(g)(1)(ii). (The sum of NOx emissions
performance reduction for each batch).

17.

Non-VOC Actual Total
– Compliance Total

%
Reduction Gallons

99999999999; Number. The actual total [No. 16] minus
the compliance total [No. 15]. The result must be greater
than or equal to zero to achieve compliance.

Gallons

%
Reduction

9999999999; Number. The total gallons of averaged
reformulated gasoline or RBOB produced or imported.

9.9; Number. The compliance value, in percent
reduction, for NOx emissions performance (SEE 80.41 of
the regulations for complex model averaged standards).

Electronic Submission Sample Record:
RFG1200,O,Y,02/28/2008,2007,1234,09876,10000,1.2,12000,13000,1000,5000,1.2,6000,6500,500

Paperwork Reduction Act Statement
The public reporting and recordkeeping burden for this collection of information is disclosed in the
estimates of the individual report form instructions. Burden means the total time, effort, or financial
resources expended by persons to generate, maintain, retain, or disclose or provide information to or for
a Federal agency. This includes the time needed to review instructions; develop, acquire, install, and
utilize technology and systems for the purposes of collecting, validating, and verifying information,
processing and maintaining information, and disclosing and providing information; adjust the existing
ways to comply with any previously applicable instructions and requirements; train personnel to be able to
respond to a collection of information; search data sources; complete and review the collection of
information; and transmit or otherwise disclose the information. An agency may not conduct or sponsor,
and a person is not required to respond to, a collection of information unless it displays a currently valid
OMB control number.
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 (2822), 1200 Pennsylvania Ave., NW, Washington, D.C. 20460. Include the OMB
control number in any correspondence. Do not send the completed form to this address.

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