5900-507 HFC Exporter Quarterly Report

Phasedown of Hydrofluorocarbons: Establishing the Allowance Allocation and TradingProgram under the American Innovation and Manufacturing Act (Proposed Rule)

HFC Exporter Quarterly Reporting Form.xlsx

OMB: 2060-0734

Document [xlsx]
Download: xlsx | pdf

Overview

Instructions
Section 1
Section 2
Section 3
Summary
Reference List


Sheet 1: Instructions





OMB Control Number: 2060-XXXX

Expiration Date: X/XX/202X

U.S. Environmental Protection Agency

Allowance Allocation and Trading Program under the AIM Act




HFC Exporter Quarterly Report (Sec 84.31)

Version 1.0

Last Updated:




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 HFC 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/climate-hfcs-reduction/collection-data-support-establishment-hfc-allowance-allocation-and-trading




This collection of information is approved by OMB under the Paperwork Reduction Act, 44 U.S.C. 3501 et seq. (OMB Control No. 2060-XXXX). Responses to this collection of information are mandatory (40 CFR 84.31). 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. The public reporting and recordkeeping burden for this collection of information is estimated to be X hours per response. Send comments on the Agency’s need this formation, 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, Regulatory Support Division, U.S. Environmental Protection Agency (2821T), 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.




EPA Form # 5900-507





Sheet 2: Section 1






U.S. Environmental Protection Agency


HFC Exporter Quarterly Report




Date Prepared:





Section 1: Report Identification Information


Complete all fields below. No fields may be left blank.

Company Name:


Submission Type:


Reporting Year:


Reporting Quarter:


Employer Identification Number (EIN):



x


Sheet 3: Section 2























U.S. Environmental Protection Agency


















HFC Exporter Quarterly Report




































Company Name:
















Reporting Period:




































Section 2: Export Transaction Data

















In the table below, enter data for each export transaction containing a regulated substance that took place during the reporting period. If no regulated substances were exported, the table may be left blank. As a reminder, if material was exported for second party transformation or second party destruction, the invoice or sales agreement containing language similar to the transformation verifications that importers use, or destruction verifications showing that the purchaser or recipient intends to destroy the regulated substances 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.

Transaction Number Date of Export
(§84.31(d)(1)(iv))
Recipient Company
(§84.31(d)(1)(i))
Recipient Company Street Address
(§84.31(d)(1)(i))
Recipient Company City
(§84.31(d)(1)(i))
Recipient Company Country
(§84.31(d)(1)(v))
Name of the Substance Exported Quantity of the Substance Exported Commodity Code
(§84.31(d)(1)(vi))
Summary of Regulated Substances Exported (§84.31(d)(1)(iii)) Port of Exit from the United States
(§84.31(d)(1)(iv))
Shipment EIN
(§84.31(d)(1)(ii))
Transaction Type
(§84.31(d)(1)(iii))
Intended Use
(§84.31(b)(2)(vi)


Regulated Substance in Export Percentage of Export Regulated Substance in Export Percentage of Export Regulated Substance in Export Percentage of Export

Number Date Text Text Text Selection Text kg Text Selection % Selection % Selection % Text Text Selection Selection









































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































x



















Sheet 4: Section 3






U.S. Environmental Protection Agency


HFC Exporter Quarterly Report



Company Name:

Reporting Period:



Section 3: End-of-Year Inventory (FOURTH QUARTER REPORT ONLY)


In the table below, provide the quantity of each regulated substance held in inventory on December 31.

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

HFC Name End-of-Year Inventory (§84.31(d)(1)(viii))

Selection kg













































Sheet 5: Summary







U.S. Environmental Protection Agency



HFC 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.

HFC Name Country Total Exported (kg)
























































Sheet 6: Reference List









U.S. Environmental Protection Agency





HFC Exporter 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 HFC 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

HFC-23 HFC-134 HFC-152 HFC-236ea HFC-365mfc

HFC-32 HFC-134a HFC-152a HFC-236fa HFC-43-10mee

HFC-41 HFC-143 HFC-227ea HFC-245ca


HFC-125 HFC-143a HFC-236cb HFC-245fa




File Typeapplication/vnd.openxmlformats-officedocument.spreadsheetml.sheet
File Modified0000-00-00
File Created0000-00-00

© 2024 OMB.report | Privacy Policy