5900-142 Methyl Bromide Pre-2005 Stocks Annual Report

---

Overview

Instructions
Section 1
Section 2

---

Sheet 1: Instructions

	OMB Control Number: 2010-0170
	Expiration Date: 4/16/2023
	U.S. Environmental Protection Agency
	Stratospheric Ozone Protection Program
	Methyl Bromide Pre-2005 Stocks Annual Report (Sec 82.13)
	Version 5.0
	Last Updated: April 2020
	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 in Section 2 to generate your CSV file.
	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.
	This collection of information is approved by OMB under the Paperwork Reduction Act, 44 U.S.C. 3501 et seq. (OMB Control No. 2060-0170). Responses to this collection of information are mandatory (40 CFR 82.13). 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 number and expiration date are displayed in the upper right corner of the form. The public reporting and recordkeeping burden for this collection of information is estimated to be 1 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 #5900-142

---

Sheet 2: Section 1

	U.S. Environmental Protection Agency
	Methyl Bromide Pre-2005 Stocks Annual 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
	Company Type (Select all that apply):	Select all types that apply to your company.		1
		Original Submission
		Re-Submittal

---

Sheet 3: Section 2

		U.S. Environmental Protection Agency
		Methyl Bromide Pre-2005 Stocks Annual Report
		Company Name:
		Reporting Period:
		Section 2: Pre-2005 Stocks Data
		Identify the total stocks of pre-phaseout methyl bromide held as of December 31 of the reporting year. Include all quantities owned by your company that are held by other suppliers.
		These quantities of stocks refer only to amount of methyl bromide that were produced or imported before January 1, 2005. Any quantities of newly produced critical use methyl bromide (i.e., material produced after January 1, 2005) left in the reporting company’s possession as of December 31 of this year should be reported on the “Sales of Critical Use Methyl Bromide” reporting form. Total Stocks of Pre-Phaseout Methyl Bromide (kg)
		In addition to stocks that are held by your company, identify the name of company(s) holding pre-phaseout stocks of methyl bromide on behalf of your company (i.e., the owner of the material), and the total stocks held by the respective company(s).
		Enter the name of the company(s) holding pre-phaseout stocks of methyl bromide on behalf of the owner as of December 31 of the reporting year. Company Name	Enter the quantity (kg) of pre-phaseout methyl bromide held by a company on behalf of the owner. Amount Held on Behalf of Owner
		Text	kg