5900-513 HFC Producer Quarterly Report

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Overview

Instructions
Section 1
Section 2
Section 3
Section 4
Section 5
Reference List

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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 Producer 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 Section 5 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:
	[ADD LINK]
	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 # 5900-513

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Sheet 2: Section 1

	U.S. Environmental Protection Agency
	HFC Producer Quarterly Report
	Date Prepared:
	Section 1: Report Identification Information
	Complete all fields below. No fields may be left blank.
	Company Name:
	Facility Name:
	Facility Address:
	Submission Type:
	Reporting Year:
	Reporting Quarter:
		x

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Sheet 3: Section 2

U.S. Environmental Protection Agency

HFC Producer Quarterly Report

Company Name:

Reporting Period:

Section 2: Production Data

In the table below, enter the quantity of each regulated substance that was produced during the reporting period. If no regulated substances were produced, the table may be left blank. As a reminder, if material was produced for second party transformation or second party destruction, a copy of the transformation and/or destruction verification from each company for whom material was produced and a list of additional quantities shipped to that same transformer and/or destroyer for the quarter 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.

Name of the HFC Produced

Gross Production (§84.31(b)(2)(iv))

In-House Transformation (§84.31(b)(2)(i))

Second Party Transformation (§84.31(b)(2)(i))

In-House Destruction (§84.31(b)(2)(ii))

Second Party Destruction (§84.31(b)(2)(ii))

In-House Process Agent Use (§84.31(b)(2)(iii))

Second Party Process Agent Use (§84.31(b)(2)(iii))

Application-Specific Allowance Holders (§84.31(b)(2)(ix))

Net Production (§84.31(b)(2)(iv))

Selection

kg

kg

kg

kg

kg

kg

kg

kg

kg

x

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Sheet 4: Section 3

		U.S. Environmental Protection Agency
		HFC Producer Quarterly Report
		Company Name:
		Reporting Period:
		Section 3: Shipment/Sales Data
		In the table below, provide the quantity of regulated substances sold or transferred during the quarter to a person other than the producer for use in processes resulting in their transformation, destruction, or use as a process agent.
		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, second party destruction, or second party use as a process agent 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 produced and a list of additional quantities shipped to that same transformer and/or destroyer for the quarter must be provided to EPA along with the submission of this report.
		HFC Name	Recipient Company Name (§84.31(b)(2)(v))	Quantity (§84.31(b)(2)(v))	Purpose
		Selection	Text	kg	Selection
		In the table below, identify the application-specific allowance holders from whom orders were placed, and provide the quantity of specific regulated substances produced for those listed applications.
		HFC Name	Application-Specific Allowance Holder (§84.31(b)(2)(ix))	Quantity (§84.31(b)(2)(ix))
		Selection	Text	kg
		x

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Sheet 5: Section 4

		U.S. Environmental Protection Agency
		HFC Producer 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(b)(2)(x))
		Selection	kg

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Sheet 6: Section 5

	U.S. Environmental Protection Agency
	HFC Producer Quarterly Report
	Company Name:
	Reporting Period:
	Section 5: HFC-23 Emissions Data (FOURTH QUARTER REPORT ONLY)
	In the table below, provide annual facility-level data on HFC-23 emissions.
	HFC-23 Generated (§84.31(b)(4)(ii))	HFC-23 Emitted (§84.31(b)(4)(ii))	HFC-23 Captured (§84.31(b)(4)(ii))	HFC-23 Captured for Feedstock Use in the U.S. (§84.31(b)(4)(ii))	HFC-23 Captured for Destruction (§84.31(b)(4)(ii))	HFC-23 Used for Feedstock without Prior Capture (§84.31(b)(4)(ii))	HFC-23 Destroyed without Prior Capture (§84.31(b)(4)(ii))
	MT	MT	MT	MT	MT	MT	MT

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Sheet 7: Reference List

	U.S. Environmental Protection Agency
	HFC 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 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