5900-553 HFC Process Agent Use Annual Reporting Form

Hydrofluorocarbon Allowance Allocation and Trading Program (Final Rule)

HFC Process Agent Use Annual Reporting Form r0.1.xlsx

OMB: 2060-0734

Document [xlsx]
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Overview

Facility Identification
Lists


Sheet 1: Facility Identification








OMB Control Number: 2060-XXXX
















Expiration Date: X/XX/202X




























American Innovation and Manufacturing Act - HFC Process Agent Use Annual Reporting Form


































Worksheet Instructions:




























Version:










r0.1
















Updated:










9/24/2021
















External Links:




























Reporting Form Navigation:










Section 1 - Facility Identification
















Section 2 - Process Agent Use Information
















Section 3 - HFC Emission Reduction Plans


































Section 1 - Facility Identification
















Instructions: Complete the following facility information.
















Facility Name:
















AIMRS Facility ID:
















Reporting Year:


































Section 2 - Process Agent Use Information
















Instructions: Provide the quantiy of each HFC that was used as a process agent during the reporting period, along with the amount of products and byproducts manufacutred and the mass of stack point source emissions.

Process Agent Product and Byproduct Information

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17






Byproduct (1) Byproduct (2) Byproduct (3)

HFC Quantity Used as Process Agent
(kg)
§84.31(g)(2)(ii)
Stack-Point Source Emissions Quantity
(kg)
§84.31(g)(2)(iv)
Name of Product Manufactured Quantity of Product Manufactured
(kg)
§84.31(g)(2)(iii)
Name of Byproduct Manufactured Quantity Manufactured
(kg)
§84.31(g)(2)(iii)
Quantity Eventually Destroyed
(kg)
§84.31(g)(2)(iii)
Quantity Eventually Used as Feedstock
(kg)
§84.31(g)(2)(iii)
Name of Byproduct Manufactured Quantity Manufactured
(kg)
§84.31(g)(2)(iii)
Quantity Eventually Destroyed
(kg)
§84.31(g)(2)(iii)
Quantity Eventually Used as Feedstock
(kg)
§84.31(g)(2)(iii)
Name of Byproduct Manufactured Quantity Manufactured
(kg)
§84.31(g)(2)(iii)
Quantity Eventually Destroyed
(kg)
§84.31(g)(2)(iii)
Quantity Eventually Used as Feedstock
(kg)
§84.31(g)(2)(iii)




1
















2
















3
















4
















5



































Section 3 - HFC Emission Reduction Plans
















Instructions: Provide a description of any HFC emission reduction actions planned or currently under investigation. §84.31(g)(2)(v)

























































































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 6 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 # 5900-553
















Sheet 2: Lists

Chemical Name [Common Name]
[Year]
CHF3 HFC-23
2022
CH2F2 HFC-32
2023
CH3F HFC-41
2024
CF3CHFCHFCF2CF3 HFC-43-10mee
2025
CHF2CF3 HFC-125
2026
CHF2CHF2 HFC-134
2027
CH2FCF3 HFC-134a
2028
CH2FCHF2 HFC-143
2029
CH3CF3 HFC-143a
2030
CH2FCH2F HFC-152

CH3CHF2 HFC-152a

CF3CHFCF3 HFC-227ea

CH2FCF2CF3 HFC-236cb

CHF2CHFCF3 HFC-236ea

CF3CH2CF3 HFC-236fa

CH2FCF2CHF2 HFC-245ca

CF3CH2CF3 HFC-245fa

CF3CH2CF2CH3 HFC-365mfc

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