5900-531 Manufacturers of Class II Controlled Substances under §8

U.S. Environmental Protection Agency Stratospheric Ozone Protection Program

OMB Control Number: 2060-0170 Expiration Date: 04/30/2023

Instructions

Complete this form by responding to each question below. Provide supporting documentation, as needed, to respond to the questions. Once completed, submit the report along with any attachments to EPA through the Central Data Exchange (CDX). Refer to EPA’s website for additional information on form submission: [ADD LINK]

Any changes to information required in §82.24(g)(1)(i) must be reflected in a revision to the report to be submitted to EPA within 60 days of the change(s).

Manufacturers of Class II Controlled Substances under §82.15(a)(3)

Submitter Information

Company Name	Click or tap here to enter text.
Address	Click or tap here to enter text.
Contact Name	Click or tap here to enter text.
Email	Click or tap here to enter text.
Phone	Click or tap here to enter text.
Submission Date	Click or tap here to enter text.

1. Provide information on the capacity to manufacture the intended chemical on the line(s) on which HFC-23 is generated. (§82.24(g)(1)(i)(A)): Click or tap here to enter text.

2. Describe what is being done at the plant to control the generation and emission of HFC-23 (§82.24(g)(1)(i)(B)): Click or tap here to enter text.

3. Identify the approved destruction technology and its location intended for use for HFC-23 destruction (§82.24(g)(1)(i)(C)): Click or tap here to enter text.

4. Please attach a copy of the destruction removal efficiency report associated with the destruction technology (82.24(g)(1)(i)(D)). Click or tap here to enter text.

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 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 100 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 #5900-531