5900-544 HFC Process Agent Use One-Time Reporting Form

Hydrofluorocarbon Allowance Allocation and Trading Program (Final Rule)

HFC Process Agent Use One-Time Reporting Form r0.1.xlsx

OMB: 2060-0734

Document [xlsx]
Download: xlsx | pdf

Overview

Facility Information
Lists


Sheet 1: Facility Information







OMB Control Number: 2060-XXXX






Expiration Date: X/XX/202X








American Innovation and Manufacturing Act - HFC Process Agent Use One-Time 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 1 - Facility Identification





Instructions: Complete the following facility information.





Company Name:





Facility Name:





AIMRS Facility ID:












Section 2 - Process Agent Use Information





Instructions: Provide the following information on the process agent use at the facility. Information on only one facility may be reported per reporting form. Provide supporting documentation, as needed, to respond to these reporting requirements.









Product and Byproduct Information

1 2 3 4 5 6

HFC Name of Product Manufactured
§84.31(g)(1)(iii)
Name of Byproduct (1) Manufactured
§84.31(g)(1)(iii)
Name of Byproduct (2) Manufactured
§84.31(g)(1)(iii)
Name of Byproduct (3) Manufactured
§84.31(g)(1)(iii)
Anticipated Ratio of Process Agent Emissions to End Product Manufactured
§84.31(g)(1)(iv)


1





2





3





4





5













Provide a description of the process agent use that includes details of the percentages of process agent retained within the process, recovered after the process, and emitted or entrained in the final product. §84.31(g)(1)(i)
















Provide a description of all technologies and actions taken to minimize emissions of regulated substances. §84.31(g)(1)(ii)















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 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 # 5900-544





Sheet 2: Lists

Chemical Name [Common Name]
CHF3 HFC-23
CH2F2 HFC-32
CH3F HFC-41
CF3CHFCHFCF2CF3 HFC-43-10mee
CHF2CF3 HFC-125
CHF2CHF2 HFC-134
CH2FCF3 HFC-134a
CH2FCHF2 HFC-143
CH3CF3 HFC-143a
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
File Typeapplication/vnd.openxmlformats-officedocument.spreadsheetml.sheet
File Modified0000-00-00
File Created0000-00-00

© 2024 OMB.report | Privacy Policy