5900-538 HFC Sale or Conveyance Report

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Overview

Company and Transaction Info
Lists

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Sheet 1: Company and Transaction Info

				OMB Control Number: 2060-XXXX
				Expiration Date: X/XX/202X
	American Innovation and Manufacturing Act - HFC Sale or Conveyance Report
	Worksheet Instructions:
	Version:
	r0.2
	Updated:
	10/20/2021
	External Links:
	Reporting Form Navigation:
	Section 1 - Application-Specific Seller Identification
	Section 2 - Application-Specific Purchaser Information
	Section 3 - Transaction 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 - Application-Specific Seller Identification
	Instructions: Complete the following company information.
	Company Name:
	AIMRS Company ID:
	Reporting Year:
	Section 2 - Application-Specific Purchaser Identification
	Instructions: Complete the following company information.
	Purchaser Company Name:
	AIMRS Purchaser Company ID:
	Section 3 - Transaction Information
	Instructions: Provide the following information for each HFC produced or imported using application-specific allowances that is being sold or conveyed. In addition, provide a certification that the HFCs will be used only for the same application for which the application-specific allowance under which the substances were produced or imported was allocated. §84.21(a)(2)(vi)
	Transaction Data
	1	2	3	4
	HFC	Quantity Sold or Conveyed (kg) §84.21(a)(2)(iii)	Total Cost of the Regulated Substance being Sold or Conveyed (USD) §84.21(a)(2)(iv)	Application for Which Allowances Were Allocated §84.21(a)(2)(v)
1
2
3
	Should the certification that the HFCs will be used only for the same application for which the application-specific allowance under which the substances were produced or imported was allocated be treated as confidential business information (CBI)?
	Provide the specific products that the application-specific purchaser plans to produce with the HFCs. §84.21(a)(2)(v)
	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 84.21). 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 # 5900-538

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Sheet 2: Lists

Chemical Name	[Common Name]		[Application-Specific Allowance]		[Year]		[Option 1]
CHF3	HFC-23		Propellants in Metered-dose Inhalers		2022		Yes
CH2F2	HFC-32		Defense Spray		2023		No
CH3F	HFC-41		Structural Composite Preformed Polyurethane Foam (Marine and Trailer Use)		2024
CF3CHFCHFCF2CF3	HFC-43-10mee		Etching of Semiconductor Material or Wafers and the Cleaning of Chemical Vapor Desposition (CVD) Chambers within the Semiconductor Manufafturing Sector		2025
CHF2CF3	HFC-125		On-board Aerospace Fire Suppression		2026
CHF2CHF2	HFC-134				2027
CH2FCF3	HFC-134a				2028
CH2FCHF2	HFC-143				2029
CH3CF3	HFC-143a				2030
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