5900-508 HFC Importer Quarterly Report

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

HFC Importer Quarterly Reporting Form.xlsx

OMB: 2060-0734

Document [xlsx]
Download: xlsx | pdf

Overview

Instructions
Section 1
Section 2
Section 3
Section 4
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 Importer 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 # 5900-508





Sheet 2: Section 1








U.S. Environmental Protection Agency




HFC Importer 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:




Importer Number:





x



Sheet 3: Section 2





















U.S. Environmental Protection Agency















HFC Importer Quarterly Report































Company Name:














Reporting Period:
































Section 2: Import Transaction Data















In the table below, enter data for each import transaction containing a regulated substance that took place during the reporting period. If no regulated substances were imported, the table may be left blank. As a reminder, if material was imported for second party transformation or second party destruction, a copy of the transformation and/or destruction verification from each company for whom material was imported 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 Import
(§84.31(c)(1)(v))
Source Country
(§84.31(c)(1)(vii))
Name of Regulated Substance Imported
(§84.31(c)(1)(i))
Quantity of Regulated Substance Imported
(§84.31(c)(1)(ii))
Commodity Code
(§84.31(c)(1)(iii))
Summary of Regulated Substances Imported (§84.31(c)(2)(i)) Port of Entry into the United States
(§84.31(c)(2)(vi))
Customs Entry Summary Number
(§84.31(c)(2)(xii))
Shipment Importer Number
(§84.31(c)(2)(ix))
Transaction Type
(§84.31(c)(2)(ii))
Intended Use
(§84.31(c)(1)(iv) and §84.31(c)(1)(v))


Regulated Substance in Import Percentage of Import Regulated Substance in Import Percentage of Import Regulated Substance in Import Percentage of Import

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































































































































































































x

















Sheet 4: Section 3








U.S. Environmental Protection Agency



HFC Importer Quarterly Report






Company Name:


Reporting Period:






Section 3: Data on Shipment/Sales/Allowances Conferred


In the table below, provide the quantity of regulated substances sold or transferred during the quarter to each person for use in processes resulting in their transformation or destruction.

Note: Due to a potential time lag between the date of import 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 imported 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 and/or destruction verification from each company for which material was imported must be provided to EPA along with the submission of this report (§84.31(c)(1)(vii)).

Regulated Substance Name Recipient Company Name
(§84.31(c)(1)(vi))
Quantity
(§84.31(c)(1)(vi))
Purpose

Selection Text kg Selection



































































In the table below, identify the application-specific allowance holders from whom orders were placed and the number of application-specific allowances conferred.

Regulated Substance Name Application-Specific Allowance Holder
(§84.31(c)(1)(iv))
Quantity Conferred
(§84.31(c)(1)(iv))



Selection kg kg




































































x




Sheet 5: Section 4








U.S. Environmental Protection Agency


HFC Importer Quarterly Report



Company Name:

Reporting Period:




Section 4: 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(c)(1)(viii))



Selection kg





































































Sheet 6: Summary















U.S. Environmental Protection Agency








HFC Importer Quarterly Report
















Company Name:







Reporting Period:


















Import 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 New Imports (kg) Total Used Imports (kg)


Gross Imports In-House Transformation Second Party Transformation In-House Destruction Second Party Destruction Application-Specific Allowance Holders Net Imports





































































































































Sheet 7: Reference List









U.S. Environmental Protection Agency





HFC Importer 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, Section 3, and Section 4 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


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