5900-537 HFC Inter-Company Transfers Report

Initial Reporting of the Hydrofluorocarbon Allowance Allocation and Trading Program

HFC Inter-Company Transfers Reporting Form r0.3.xlsx

OMB: 2060-0735

Document [xlsx]
Download: xlsx | pdf

Overview

Company and Transfer Info
Lists


Sheet 1: Company and Transfer Info






OMB Control Number: 2060-XXXX








Expiration Date: X/XX/202X














American Innovation and Manufacturing Act - HFC Inter-Company Transfers Report


















Worksheet Instructions:














Version:




r0.3








Updated:




10/20/2021








External Links:














Reporting Form Navigation:




Section 1 - Transferor Identification








Section 2 - Transferee Information








Section 3 - Transfer Request Information


















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 - Transferor Identification








Instructions: Complete the following company information.








Company Name:








AIMRS Company ID:








Reporting Year:


















Section 2 - Transferee Identification








Instructions: Complete the following company information.








Transferee Company Name:








AIMRS Transferee Company ID:


















Section 3 - Transfer Request Information








Enter data for each transfer request. For all regulated substances that are transferred, all fields are required unless otherwise indicated. For transfers of application-specific allowances, additionally provide a signed document from the transferee certifying that the transferee will use the application-specific allowances only for the same application for which the application-specific allowance was allocated (§84.19(a)(2)(viii)).



Transaction Data

1 2 3 4 5 6 7 8

Transaction Number Allowance Type
§84.19(a)(2)(iii)
Type of Application
(If Applicable)
§84.19(a)(2)(iii)
Quantity of Unexpended Allowances Held by Transferor
(MTEVe)
§84.19(a)(2)(vi)
Total Cost of Allowances Transferred
(USD)
§84.19(a)(2)(v)
Quantity of Allowances Being Transferred
(MTEVe)
§84.19(a)(2)(iv)
Amount of Offset
(MTEVe)
§84.19(a)(2)(vii)
Number of Allowances Subtracted from Transferor's Allowance Balance
(MTEVe)







1







2







3


















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 84.19). 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 # 5900-537








Sheet 2: Lists

[Allowance]
[Application-Specific Allowance]
[Year]
Production
Propellants in Metered-dose Inhalers
2022
Consumption
Defense Spray
2023
Application-Specific
Structural Composite Preformed Polyurethane Foam (Marine and Trailer Use)
2024


Etching of Semiconductor Material or Wafers and the Cleaning of Chemical Vapor Desposition (CVD) Chambers within the Semiconductor Manufafturing Sector
2025


On-board Aerospace Fire Suppression
2026




2027




2028




2029




2030
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