5900-539 HFC Conferral of Allowances Reporting Form

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Overview

Company Information
Lists

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Sheet 1: Company Information

				OMB Control Number: 2060-XXXX
				Expiration Date: X/XX/202X
	American Innovation and Manufacturing Act - HFC Conferral of Allowances Reporting Form
	Worksheet Instructions:
	Version:
	r0.2
	Updated:
	10/20/2021
	External Links:
	Reporting Form Navigation:
	Section 1 - Conferrer Identification
	Section 2 - Conferee Identification
	Section 3 - Allowance Conferral Data
	EPA may request additional information or ask follow up questions to verify the accuracy of this submission and supporting documentation, including pursuant to CAA section 114 as authorized under the AIM Act.
	Section 1 - Conferrer Identification
	Instructions: Complete the following company information.
	Company Name:
	AIMRS Company ID:
	Reporting Year:
	Section 2 - Conferee Identification
	Instructions: Complete the following company information.
	Conferree Company Name:
	AIMRS Conferree Company ID:
	Section 3 - Allowance Conferral Data
	Instructions: Provide the following information for each conferral of application-specific allowances. In addition, provide a certification from the conferrer and the conferee stating that the regulated substances being acquired, produced, or imported are solely for an application listed in § 84.5(c)(2) and will not be resold for use in a different application or used in any other manufacturing process. §84.31(h)(4)(vi)
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	Application §84.31(h)(4)(iii)	Quantity of Application-Specific Allowances being Conferred (MTEVe) §84.31(h)(4)(iv)	Quantity of Unexpended Application-Specific Allowances Held by the Conferrer (MTEVe) §84.31(h)(4)(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 84.31). 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 for this information, 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 # 5900-539

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Sheet 2: Lists

[Application-Specific Allowance]		[Year]		[State]
Propellants in Metered-dose Inhalers		2022		Alabama
Defense Spray		2023		Alaska
Structural Composite Preformed Polyurethane Foam (Marine and Trailer Use)		2024		American Samoa
Etching of Semiconductor Material or Wafers and the Cleaning of Chemical Vapor Desposition (CVD) Chambers within the Semiconductor Manufafturing Sector		2025		Arizona
On-board Aerospace Fire Suppression		2026		Arkansas
		2027		California
		2028		Colorado
		2029		Connecticut
		2030		Delaware
				District of Columbia
				Florida
				Georgia
				Guam
				Hawaii
				Idaho
				Illinois
				Indiana
				Iowa
				Kansas
				Kentucky
				Louisiana
				Maine
				Marshall Islands
				Maryland
				Massachusetts
				Michigan
				Minnesota
				Mississippi
				Missouri
				Montana
				Nebraska
				Nevada
				New Hampshire
				New Jersey
				New Mexico
				New York
				North Carolina
				North Dakota
				Northern Mariana Islands
				Ohio
				Oklahoma
				Oregon
				Pennsylvania
				Palau
				Puerto Rico
				Rhode Island
				South Carolina
				South Dakota
				Tennessee
				Texas
				Utah
				Vermont
				Virginia
				Washington
				West Virginia
				Wisconsin
				Wyoming
				U.S. Virgin Islands