5900-545 HFC Request for Additional Consumption Allowances Report

Hydrofluorocarbon Allowance Allocation and Trading Program (Final Rule)

HFC RACA Reporting Form r0.2.xlsx

Hydrofluorocarbon Allowance Allocation and Trading Program

OMB: 2060-0734

Document [xlsx]
Download: xlsx | pdf

Overview

Export Information
Export Summary
Lists


Sheet 1: Export Information







OMB Control Number: 2060-XXXX


















Expiration Date: X/XX/202X

































American Innovation and Manufacturing Act - HFC Request for Additional Consumption Allowances Reporting Form






































Worksheet Instructions:






































Version:


















r0.2


















Updated:


















9/22/2021


















External Links:






































Reporting Form Navigation:


















Section 1 - Facility Identification Section 3 - Summary of Additional Consumption Allowances Requested

















Section 2 - Export Information






































Section 1 - Company Identification


















Instructions: Complete the following company information.


















Company Name:


















AIMRS Company ID:


















Reporting Year:


















Employer Identification Number (EIN):






































Section 2 - Export Information


















Instructions: Enter data for each export transaction containing an HFC for which you are requesting additional consumption allowances. Consumption allowances may only be requested for substances originally produced or imported with consumption allowances in the same calendar year. For each transaction provide a copy of the bill of lading and the invoice indicating the net quantity (in kilograms) of HFC shipped and documenting the sale of the HFC to the purchaser. §84.17(a)(1)(viii)


















HFC Export Information

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Transaction Number Date of Export
§84.17(a)(1)(vi)
Shipment Reference Number Port of Exit
§84.17(a)(1)(vi)
HTS Code
§84.17(a)(1)(ix)
Country to which the HFCs were Exported
§84.17(a)(1)(vii)
HFC Exported
§84.17(a)(1)(iv)
Quantity Exported
(kg)
§84.17(a)(1)(iv)
Recipient Company
§84.17(a)(1)(i)
Recipient Company Address
§84.17(a)(1)(i)
Recipient Company City
§84.17(a)(1)(i)
Recipient Company Country
§84.17(a)(1)(i)
Recipient Company Contact Name
§84.17(a)(1)(iii)
Recipient Company Contact Telephone Number
§84.17(a)(1)(iii)
Recipient Company Contact Email
§84.17(a)(1)(iii)
If Produced in the U.S. If Imported into the U.S. Date of Purchase
§84.17(a)(1)(v)

Company that Produced the HFC
§84.17(a)(1)(v)
Company that Imported the HFC
§84.17(a)(1)(v)
Source Country
§84.17(a)(1)(v)


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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 84.17). 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 # 5900-545


















Sheet 2: Export Summary






OMB Control Number: 2060-XXXX





Expiration Date: X/XX/202X







American Innovation and Manufacturing Act - HFC Request for Additional Consumption Allowances Reporting Form










Worksheet Instructions:







Version:

r0.2




Updated:

9/22/2021




External Links:







Reporting Form Navigation:

Section 1 - Facility Identification Section 3 - Summary of Additional Consumption Allowances Requested



Section 2 - Export Information










Section 3 - Summary of Additional Consumption Allowances Requested




Instructions: The values in the table below are calculated based on data entered in Section 2. If the totals appear to be incorrect, please return to Section 2 to review your data.



Additional Consumption Allowances Requested



1 2



HFC Exported
§84.17(a)(1)(iv)
Total Quantity Exported
(kg)







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Sheet 3: Lists

Chemical Name [Common Name]
[Year]
[Port of Exit]
[County]
CHF3 HFC-23
2022
Addison Airport, Texas - 5584
Afghanistan
CH2F2 HFC-32
2023
Aguadilla, Puerto Rico - 4901
Albania
CH3F HFC-41
2024
Albany, New York - 1002
Algeria
CF3CHFCHFCF2CF3 HFC-43-10mee
2025
Albuquerque, New Mexico - 2407
Andorra
CHF2CF3 HFC-125
2026
Alcan, Alaska - 3104
Angola
CHF2CHF2 HFC-134
2027
Alexandria Bay, New York - 0708
Antigua and Barbuda
CH2FCF3 HFC-134a
2028
Alliance Airport, Texas - 5583
Argentina
CH2FCHF2 HFC-143
2029
Amarillo, Texas - 5502
Armenia
CH3CF3 HFC-143a
2030
Ambrose, North Dakota - 3410
Australia
CH2FCH2F HFC-152


Anacortes - 3010
Austria
CH3CHF2 HFC-152a


Anchorage, Alaska - 3126
Azerbaijan
CF3CHFCF3 HFC-227ea


Andrade - Class A, California - 2502
Bahamas
CH2FCF2CF3 HFC-236cb


Antler, North Dakota - 3413
Bahrain
CHF2CHFCF3 HFC-236ea


Appleton International Airport, Wisconsin - 3781
Bangladesh
CF3CH2CF3 HFC-236fa


Area Port of Jacksonville, Florida - 1803
Barbados
CH2FCF2CHF2 HFC-245ca


Area Port of Sweetgrass, Montana - 3310
Belarus
CF3CH2CF3 HFC-245fa


Area Port of Tampa, Florida - 1801
Belgium
CF3CH2CF2CH3 HFC-365mfc


Ashtabula/Conneaut, Ohio - 4122
Belize





Astoria, Oregon - 2901
Benin





Atlanta, Georgia - 1704
Bhutan





Austin, Texas - 5506
Bolivia





Baltimore, Maryland - 1303
Bosnia and Herzegovina





Bangor, Maine - 0102
Botswana





Bar Harbor, Maine - 0112
Brazil





Bath, Maine - 0111
Brunei





Baton Rouge, Louisiana - 2004
Bulgaria





Battle Creek, Michigan - 3805
Burkina Faso





Baudette, Minnesota - 3424
Burundi





Beecher Falls, Vermont - 0206
Côte d'Ivoire





Belfast, Maine - 0132
Cabo Verde





Bellingham - 3005
Cambodia





Binghamton, New York - 0981
Cameroon





Birmingham, Alabama - 1904
Canada





Blaine, Washington - 3004
Central African Republic





Boise, Idaho - 2907
Chad





Boston, Massachusetts - 0401
Chile





Bozeman Yellowstone User Fee Airport, Montana - 3386
China





Bridgeport, Connecticut - 0410
Colombia





Bridgewater, Maine - 0127
Comoros





Brownsville, Texas - 2301
Congo (Congo-Brazzaville)





Brunswick, Georgia - 1701
Costa Rica





Buffalo, New York - 0901
Croatia





Burlington International Airport, Vermont - 0207
Cuba





Butte Airport, MT, Montana - 3305
Cyprus





Calais, Maine - 0115
Czechia (Czech Republic)





Calexico East - Class A, California - 2507
Democratic Republic of the Congo





Calexico West - Class A, California - 2503
Denmark





Cape Canaveral, Florida - 1816
Djibouti





Cape Vincent, New York - 706
Dominica





Capital Region International Airport Lansing, Michigan - 3883
Dominican Republic





Carbury, North Dakota - 3421
Ecuador





Centennial Airport, Colorado - 3384
Egypt





Champaign, Illinois - 3987
El Salvador





Champlain, New York - 0712
Equatorial Guinea





Charleston, South Carolina - 1601
Eritrea





Charleston, West Virginia - 1409
Estonia





Charlotte Amalie (Area Port of St. Thomas), Virgin Islands - 5101
Eswatini (fmr. "Swaziland")





Charlotte, North Carolina - 1512
Ethiopia





Chattanooga, Tennessee - 2008
Fiji





Chicago, Illinois - 3901
Finland





Cincinnati, OH-Erlanger, KY, Kentucky - 4102
France





Cleveland, Ohio - 4101
Gabon





Columbia, South Carolina - 1604
Gambia





Columbus, New Mexico - 2406
Georgia





Columbus, Ohio - 4103
Germany





Conroe, Texas - 5382
Ghana





Coos Bay, Oregon - 2903
Greece





Corpus Christi, Texas - 5312
Grenada





Cruz Bay (St. John), Virgin Islands - 5102
Guatemala





Dallas/Ft. Worth, Texas - 5501
Guinea





Dalton Cache, Alaska - 3106
Guinea-Bissau





Davenport, IA-Moline and Rock Island, IL, Illinois - 3908
Guyana





Dayton, Ohio - 4104
Haiti





Daytona Beach International Airport (UFA), Florida - 1884
Holy See





Del Bonita, MT, Montana - 3322
Honduras





Del Rio, Texas - 2302
Hungary





Denver, Colorado - 3307
Iceland





Derby Line, Vermont - 0209
India





Des Moines, Iowa - 3513
Indonesia





Detroit Metropolitan Airport, Michigan - 3807
Iran





Detroit, Michigan - 3801
Iraq





Douglas, Arizona - 2601
Ireland





Duluth, MN and Superior, WI, Minnesota - 3510
Israel





Dunseith, North Dakota - 3422
Italy





Eagle County Regional Airport, Colorado - 3385
Jamaica





Eagle Pass, Texas - 2303
Japan





Eastport, ID, Idaho - 3302
Jordan





Eastport, Maine - 0103
Kazakhstan





El Paso, Texas - 2402
Kenya





Erie, Pennsylvania - 4106
Kiribati





Eureka, California - 2802
Kuwait





Evansville, IN, Indiana - 4116
Kyrgyzstan





Fairbanks, Alaska - 3111
Laos





Fajardo, Puerto Rico - 4904
Latvia





Fall River (New Bedford), Massachusetts - 0407
Lebanon





Fargo - Hector International Airport, North Dakota - 3411
Lesotho





Fernandina Beach, Florida - 1805
Liberia





Fort Fairfield, Maine - 0107
Libya





Fort Kent, Maine - 0110
Liechtenstein





Fort Myers, Florida - 1822
Lithuania





Fort Wayne, Indiana - 4183
Luxembourg





Fortuna, North Dakota - 3417
Madagascar





Freeport, Texas - 5311
Malawi





Fresno (2803/2882), California - 2803
Malaysia





Friday Harbor - 3014
Maldives





Front Royal, Virginia - 1410
Mali





Gary, Indiana - 3905
Malta





Georgetown, South Carolina - 1602
Marshall Islands





Gloucester, Massachusetts - 0404
Mauritania





Gramercy, Louisiana - 2010
Mauritius





Grand Forks - Mark Andrews International Airport, North Dakota - 3427
Mexico





Grand Portage, Minnesota - 3613
Micronesia





Grand Rapids, Michigan - 3806
Moldova





Great Falls Airport, MT, Montana - 3304
Monaco





Green Bay, Wisconsin - 3703
Mongolia





Greensboro/Winston-Salem, North Carolina - 1502
Montenegro





Greenville-Spartanburg, South Carolina - 1603
Morocco





Gulfport, Mississippi - 1902
Mozambique





Hagatna, Guam, Guam - 3207
Myanmar (formerly Burma)





Hannah, North Dakota - 3408
Namibia





Hansboro, North Dakota - 3415
Nauru





Harlingen Airport (Valley International Airport) – 2383
Nepal





Harrisburg, Pennsylvania - 1109
Netherlands





Hartford, Connecticut - 0411
New Zealand





Helena Airport, Montana - 3348
Nicaragua





Hidalgo, Texas - 2305
Niger





Highgate Springs, Vermont - 0212
Nigeria





Hillsboro, Oregon - 2983
North Korea





Hilo, Hawaii - 3202
North Macedonia





Honolulu International Airport, Hawaii - 3205
Norway





Honolulu, Hawaii - 3201
Oman





Houlton, Maine - 0106
Pakistan





Houston Airport, Texas - 5309
Palau





Houston Seaport, Texas - 5301
Palestine State





Huntsville, Alabama - 1910
Panama





Indianapolis, Indiana - 4110
Papua New Guinea





International Falls, Minnesota - 3604
Paraguay





Jackman, Maine - 0104
Peru





John F. Kennedy International Airport, New York - 4701
Philippines





Jonesport (Calais), Maine - 0122
Poland





Juneau, Alaska - 3101
Portugal





Kahului, Hawaii - 3203
Qatar





Kalispell Airport, MT, Montana - 3324
Romania





Kansas City, Missouri - 4501
Russia





Kenneth G. Ward Memorial Lynden Port of Entry
Rwanda





Ketchikan, Alaska - 3102
Saint Kitts and Nevis





Key West, Florida - 5202
Saint Lucia





Knoxville, Tennessee - 2016
Saint Vincent and the Grenadines





Kodiak, Alaska - 3127
Samoa





Kona, Hawaii - 3206
San Marino





Lake Charles, Louisiana - 2017
Sao Tome and Principe





Lakeland Linder Airport, Florida - 1881
Saudi Arabia





Lancaster, Minnesota - 3430
Senegal





Laredo, Texas - 2304
Serbia





Las Vegas, Nevada - 2722
Seychelles





Lawrence (Gloucester), Massachusetts - 0416
Sierra Leone





Leesburg International Airport (UFA), Florida - 1887
Singapore





Lexington, Kentucky - 4184
Slovakia





Limestone, Maine - 0118
Slovenia





Little Rock-North Little Rock, Arkansas - 2003
Solomon Islands





Logan Airport, Massachusetts - 0417
Somalia





Longview, Washington - 2905
South Africa





Los Angeles International Airport-Cargo Operations, California - 2720
South Korea





Los Angeles/Long Beach Seaport, California - 2704
South Sudan





Louisville, Kentucky - 4115
Spain





Lubbock, Texas - 5503
Sri Lanka





Luis Munoz Marin International Airport, Puerto Rico - 4913
Sudan





Lukeville, Arizona - 2602
Suriname





Madawaska, Maine - 0109
Sweden





Maida, North Dakota - 3416
Switzerland





Manchester (User Fee Airport), New Hampshire - 0182
Syria





Mascoutah/ MidAmerica St. Louis, Illinois - 4581
Tajikistan





Massena, New York - 0704
Tanzania





Mayaguez, Puerto Rico - 4907
Thailand





McKinney, Texas - 5585
Timor-Leste





Melbourne International Airport (UFA), Florida - 1885
Togo





Memphis, Tennessee - 2006
Tonga





Miami International Airport, Florida - 5206
Trinidad and Tobago





Miami Seaport, Florida - 5201
Tunisia





Midland, Texas - 5582
Turkey





Milwaukee, Wisconsin - 3701
Turkmenistan





Minneapolis, Minnesota - 3501
Tuvalu





Minot - Minot International Airport, North Dakota - 3434
Uganda





Mobile (Including Theodore), Alabama - 1901
Ukraine





Morehead City - Beaufort, North Carolina - 1511
United Arab Emirates





Morgan City, Louisiana - 2001
United Kingdom





Morgan, MT, Montana - 3319
United States of America





Morristown Airport, New Jersey - 4681
Uruguay





Myrtle Beach International Airport, South Carolina - 1681
Uzbekistan





Naco, Arizona - 2603
Vanuatu





Naples, Florida - 1880
Venezuela





Nashville, Tennessee - 2007
Vietnam





Natrona County Airport, Wyoming - 3332
Yemen





Nawiliwili-Port Allen, Hawaii - 3204
Zambia





Neche, North Dakota - 3404
Zimbabwe





New Bedford, Massachusetts - 0405






New Haven, Connecticut - 0412






New London, Connecticut - 0413






New Orleans, Louisiana - 2002






New River Valley Airport, Virginia - 1412






New York/Newark, New Jersey - 4601






Newport, Oregon - 2902






Newport, Rhode Island - 0501






Nogales, Arizona - 2604






Nome, Alaska - 3128






Noonan, North Dakota - 3420






Norfolk-Newport News, Virginia - 1401






Northgate, North Dakota - 3406






Norton, Vermont - 0211






Ogdensburg, New York - 0701






Oklahoma City, Oklahoma - 5504






Omaha, Nebraska - 3512






Ontario Airport, California - 2721






Opheim, MT, Montana - 3317






Orlando Executive Airport (UFA), Florida - 1888






Orlando International Airport, Florida - 1808






Orlando Sanford International Airport, Florida - 1809






Oroville, WA, Washington - 3019






Otay Mesa, California - 2506






Palm Springs, California - 2781






Panama City, Florida - 1818






Pascagoula, Mississippi - 1903






Pembina - (Area Port), North Dakota - 3401






Pensacola, Florida, Florida - 1819






Peoria, Illinois - 3902






Perth Amboy, New Jersey - 4602






Philadelphia, Pennsylvania - 1101






Phoenix, Arizona - 2605






Phoenix-Mesa Gateway Airport, Arizona - 2682






Piegan, MT, Montana - 3316






Pinecreek, Minnesota - 3425






Pittsburgh, Pennsylvania - 1104






Plymouth (New Bedford), Massachusetts - 0406






Ponce, Puerto Rico - 4908






Port Arthur-Beaumont, Texas - 2101






Port Everglades/Fort Lauderdale, Florida - 5203






Port Hueneme, California - 2713






Port Huron, Michigan - 3802






Port Lavaca-Point Comfort, Texas - 5313






Port Manatee, Florida - 1821






Port of Washington-Dulles, Virginia - 5401






Portal, North Dakota - 3403






Porthill, ID, Idaho - 3308






Portland, Maine - 0101






Portland, Oregon - 2904






Portsmouth, New Hampshire - 0131






Presidio, Texas - 2403






Progreso, Texas - 2309






Providence, Rhode Island - 0502






Racine, Wisconsin - 3708






Raleigh-Durham, North Carolina - 1503






Raymond, Montana - 3301






Reno, Nevada - 2833






Richford, Vermont - 0203






Richmond - Petersburg, Virginia - 1404






Rio Grande City, Texas - 2307






Rochester, Minnesota - 3581






Rochester, New York - 0903






Rockford, Illinois - 3909






Rockland (Belfast), Maine - 0121






Rocky Mountain Metropolitan Airport, Colorado - 3383






Rogers Airport, Arkansas - 2084






Roma, Texas - 2310






Rome, New York - 0982






Roosville, Montana - 3318






Roseau, Minnesota - 3426






Rota, Northern Mariana Islands - 3213






Sabine, Texas - 2102






Sacramento, California - 2835






Saginaw/Bay City/Flint, Michigan - 3804






Saint Croix, Virgin Islands - 5104






Saint John, North Dakota - 3405






Saipan, Northern Mariana Islands - 3211






Salem (Gloucester), Massachusetts - 0408






Salt Lake City, Utah - 3303






San Antonio, Texas - 5507






San Bernardino International Airport, California - 2782






San Diego, California - 2501






San Francisco International Airport, California - 2801






San Francisco, California - 2809






San Jose International Airport, California - 2834






San Juan, PR (Area Port), Puerto Rico - 4909






San Luis, Arizona - 2608






San Ysidro - Class A, California - 2504






Santa Teresa, New Mexico - 2408






Sarasota, Florida - 1883






Sarles, North Dakota - 3409






Sasabe, Arizona - 2606






Sault Sainte Marie, Michigan - 3803






Savannah, Georgia - 1703






Scobey, MT, Montana - 3309






Scottsdale Airport, Arizona - 2681






Seattle, Washington - 3001






Sherwood, North Dakota - 3414






Shreveport-Bossier City, Louisiana - 2018






Sioux Falls Regional Airport - Joe Foss Field, South Dakota - 3502






Sitka, Alaska - 3115






Skagway, Alaska - 3103






South Texas International Airport at Edinburg - 2381






Spirit of St. Louis Airport, Missouri - 4506






Springfield, Massachusetts - 0402






Springfield, Missouri - 4505






St. Albans, Vermont - 0201






St. Augustine, Florida - 1889






St. Louis, Missouri - 4503






St. Petersburg, Florida - 1814






Sugarland, Texas - 5381






Sumas, Washington - 3009






Syracuse, New York - 0906






Tacoma, Washington, Washington - 3002






Tecate - Class A, California - 2505






Tinian, Northern Mariana Islands - 3212






Toledo-Sandusky-Port Clinton, Ohio - 4105






Tornillo, Texas - 2404






Tri-Cities, Tennessee - 2027






Trout River, New York - 0715






Tucson, Arizona - 2609






Tulsa, Oklahoma - 5505






Turner, MT, Montana - 3306






Valdez, Alaska - 3107






Van Buren, Maine - 0108






Vanceboro, Maine - 0105






Vicksburg, Mississippi - 2015






Victorville - S. California Logistics Airport, California - 2783






Walhalla, North Dakota - 3407






Warroad, Minnesota - 3423






Waukegan, Illinois - 3981






West Chicago, Illinois - 3984






West Palm Beach, Florida - 5204






Westhope, North Dakota - 3419






Wheeling, Illinois - 3983






Whitlash, Montana - 3321






Wichita, Kansas - 4504






Wild Horse, MT, Montana - 3323






Williston Basin International Airport, Williston, ND - 3433






Willow Creek, Montana - 3325






Wilmington, Delaware - 1103






Wilmington, North Carolina - 1501






Worcester, Massachusetts - 0403






Wrangell, Alaska - 3105

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