5900-546 HFC Producer Quarterly Report

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Overview

Quarterly Information
Shipment and Sales
End-of-Year Reporting
HFC-23 Emissions
Lists

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Sheet 1: Quarterly Information

					OMB Control Number: 2060-XXXX
					Expiration Date: X/XX/202X
	American Innovation and Manufacturing Act - HFC Producer Quarterly Report
	Worksheet Instructions:
	Version:
	r0.4
	Updated:
	9/23/2021
	External Links:
	Reporting Form Navigation:
	Section 1 - Facility Identification	Section 4 - Application-Specific Allowance Holder Information
	Section 2 - Quarterly Production Information	Section 5 - End-of-Year Reporting
	Section 3 - Recipient Facility Information	Section 6 - HFC-23 Emissions
	Section 1 - Facility Identification
	Instructions: Complete the following facility information.
	Facility Name:
	AIMRS Facility ID:
	Reporting Year:
	Reporting Quarter:
	Were HFCs produced during the reporting period?
	Were any produced HFCs shipped off-site during the reporting period to a second party for transformation, destruction, or process agent use?
	Did the facility produce HFC-23 during the reporting year?
	Section 2 - Production Data
	Instructions: Enter the quantity of each HFC that was produced during the quarter. If no HFCs were produced, the table may be left blank. If HFCs were produced for second party transformation or second party destruction, a copy of the transformation and/or destruction verification from each facility for whom HFCs were produced must be provided along with this report.
	HFC Production Data
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	HFC Produced	Gross Production (kg) §84.31(b)(2)(iv)	In-House Transformation (kg) §84.31(b)(2)(i)	Second Party Transformation (kg) §84.31(b)(2)(i)	In-House Destruction (kg) §84.31(b)(2)(ii)	Second Party Destruction (kg) §84.31(b)(2)(ii)	In-House Process Agent Use (kg) §84.31(b)(2)(iii)	Second Party Process Agent Use (kg) §84.31(b)(2)(iii)	Produced with Application-Specific Allowances (kg) §84.31(b)(2)(ix)	Net Production (kg) §84.31(b)(2)(iv)	Amount of Allowances Expended (MTEVe) §84.31(b)(2)(iv)
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	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 38 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 # 5900-546

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Sheet 2: Shipment and Sales

				OMB Control Number: 2060-XXXX
				Expiration Date: X/XX/202X
	American Innovation and Manufacturing Act - HFC Producer Quarterly Report
	Worksheet Instructions:
	Version:
	r0.4
	Updated:
	9/23/2021
	External Links:
	Reporting Form Navigation:
	Section 1 - Facility Identification	Section 4 - Application-Specific Allowance Holder Information
	Section 2 - Quarterly Production Information	Section 5 - End-of-Year Reporting
	Section 3 - Recipient Facility Information	Section 6 - HFC-23 Emissions
	Section 3 - Recipient Facility Information
	Instructions: 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. Provide a copy of the transformation verification from each transformer showing their intent to transform those substances or a copy of the destruction verification from each destroyer confirming it destroyed the same regulated substance.
	Second Party Transformation, Destruction, or Process Agent Information
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	HFC	Recipient Facility Name §84.31(b)(2)(vii/viii)	Quantity (kg) §84.31(b)(2)(v)	Purpose
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	Section 4 - Application-Specific Allowance Holder Information
	Instructions: Identify the application-specific allowance holders from whom orders were placed, and the quantity of specific HFCs produced for those listed applications.
	Application-Specific Allowance Holder Information
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	HFC	Application-Specific Allowance Holder From Whom Orders Were Placed §84.31(b)(2)(ix)	Quantity Produced (kg) §84.31(b)(2)(ix)
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Sheet 3: End-of-Year Reporting

					OMB Control Number: 2060-XXXX
					Expiration Date: X/XX/202X
	American Innovation and Manufacturing Act - HFC Producer Quarterly Report
	Worksheet Instructions:
	Version:
	r0.4
	Updated:
	9/23/2021
	External Links:
	Reporting Form Navigation:
	Section 1 - Facility Identification	Section 4 - Application-Specific Allowance Holder Information
	Section 2 - Quarterly Production Information	Section 5 - End-of-Year Reporting
	Section 3 - Recipient Facility Information	Section 6 - HFC-23 Emissions
	Section 5 - End-of-Year Reporting
	Instructions: Provide the quantity of each regulated substance held in inventory on December 31. Data should only be reported in the fourth quarter report.
	End-of-Year Inventory
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	HFC	Quantity of Inventory (kg) §84.31(b)(2)(x)
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Sheet 4: HFC-23 Emissions

				OMB Control Number: 2060-XXXX
				Expiration Date: X/XX/202X
American Innovation and Manufacturing Act - HFC Producer Quarterly Report
Worksheet Instructions:
Version:
r0.4
Updated:
9/23/2021
External Links:
Reporting Form Navigation:
Section 1 - Facility Identification	Section 4 - Application-Specific Allowance Holder Information
Section 2 - Quarterly Production Information	Section 5 - End-of-Year Reporting
Section 3 - Recipient Facility Information	Section 6 - HFC-23 Emissions
Section 6 - HFC-23 Emissions
Instructions: Provide annual facility-level data on HFC-23 emissions. Data should only be reported in the fourth quarter report.
HFC-23 Emissions
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HFC-23 Generated (metric ton) §84.31(b)(4)(ii)(A)	HFC-23 Emitted (metric ton) §84.31(b)(4)(ii)(A)	HFC-23 Generated and Captured for any Purpose (metric ton) §84.31(b)(4)(ii)(A)	HFC-23 Generated and Captured for Consumptive Use (metric ton) §84.31(b)(4)(ii)(A)	HFC-23 Generated and Captured for Feedstock Use in the U.S. (metric ton) §84.31(b)(4)(ii)(A)	HFC-23 Generated and Captured for Destruction (metric ton) §84.31(b)(4)(ii)(A)	HFC-23 Used for Feedstock without Prior Capture (metric ton) §84.31(b)(4)(ii)(A)	HFC-23 Destroyed without Prior Capture (metric ton) §84.31(b)(4)(ii)(A)

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Sheet 5: Lists

Chemical Name	[Common Name]					[Common_Name_1]	[Common_Name_2]	[Common_Name_3]	[Common_Name_4]	[CASRN]		[Month]	[Quarter]	[Year]
CHF3	HFC-23	2	2	2	2	HFC-23	HFC-23	HFC-23	HFC-23	75-46-7		January	1	2022
CH2F2	HFC-32	3	3	3	3	HFC-32	HFC-32	HFC-32	HFC-32	75-10-5		February	2	2023
CH3F	HFC-41	4	4	4	4	HFC-41	HFC-41	HFC-41	HFC-41	593-53-3		March	3	2024
CF3CHFCHFCF2CF3	HFC-43-10mee	5	5	5	5	HFC-43-10mee	HFC-43-10mee	HFC-43-10mee	HFC-43-10mee	138495-42-8		April	4	2025
CHF2CF3	HFC-125	6	6	6	6	HFC-125	HFC-125	HFC-125	HFC-125	354-33-6		May		2026
CHF2CHF2	HFC-134	7	7	7	7	HFC-134	HFC-134	HFC-134	HFC-134	359-35-3		June		2027
CH2FCF3	HFC-134a	8	8	8	8	HFC-134a	HFC-134a	HFC-134a	HFC-134a	811-97-2		July		2028
CH2FCHF2	HFC-143	9	9	9	9	HFC-143	HFC-143	HFC-143	HFC-143	430-66-0		August		2029
CH3CF3	HFC-143a	10	10	10	10	HFC-143a	HFC-143a	HFC-143a	HFC-143a	420-46-2		September		2030
CH2FCH2F	HFC-152	11	11	11	11	HFC-152	HFC-152	HFC-152	HFC-152	624-72-6		October
CH3CHF2	HFC-152a	12	12	12	12	HFC-152a	HFC-152a	HFC-152a	HFC-152a	75-37-6		November
CF3CHFCF3	HFC-227ea	13	13	13	13	HFC-227ea	HFC-227ea	HFC-227ea	HFC-227ea	431-89-0		December
CH2FCF2CF3	HFC-236cb	14	14	14	14	HFC-236cb	HFC-236cb	HFC-236cb	HFC-236cb	677-56-5
CHF2CHFCF3	HFC-236ea	15	15	15	15	HFC-236ea	HFC-236ea	HFC-236ea	HFC-236ea	431-63-0
CF3CH2CF3	HFC-236fa	16	16	16	16	HFC-236fa	HFC-236fa	HFC-236fa	HFC-236fa	690-39-1
CH2FCF2CHF2	HFC-245ca	17	17	17	17	HFC-245ca	HFC-245ca	HFC-245ca	HFC-245ca	1814-88-6
CF3CH2CF3	HFC-245fa	18	18	18	18	HFC-245fa	HFC-245fa	HFC-245fa	HFC-245fa	460-73-1
CF3CH2CF2CH3	HFC-365mfc	19	19	19	19	HFC-365mfc	HFC-365mfc	HFC-365mfc	HFC-365mfc	406-58-6
[Option 1]										[Purpose]
Yes										Transformation
No										Destruction
										Process Agent Use