7610-5 Instruction for General Account Form

Instructions for General
Account Form
The regulations for the Acid Rain Program (ARP), and the Cross State Air Pollution Rule (CSAPR) trading
programs, and the Texas SO2 Trading Program (TXSO2) - require any person, company, or organization
wishing to open a general account for the purpose of holding and transferring allowances to submit a
completed General Account form. You also may use this form to change the information previously
submitted for a general account, such as the identity of the authorized account representative. In such
cases, enter your allowance account identification number in the space provided at the top of the form.
Note: A compliance account can only be established, and information concerning a compliance account
can only be changed, by submitting a Certificate of Representation form.
If you need assistance, please send an email to [email protected].
STEP 1 The Authorized Account Representative for a general account must be an individual (i.e., a natural
person).
STEP 2 The owners may choose an alternate to act on behalf of the Authorized Account Representative.
STEP 3 Identify all parties with an ownership interest in the allowances held in this account. All of these
parties must be subject to a binding agreement authorizing the representation of the account by
the authorized account representative, and, if applicable, the alternate authorized account
representative, identified in Steps 1 and 2. If you (the authorized account representative) are the
only person with an ownership interest in the allowances held in the account, list your name here.
If additional space is needed, please attach a separate sheet of paper.
STEP 4 If you are establishing a general account, both the authorized account representative and the
alternate (if any) must sign and date the certifications. You are encouraged to use the CAMD
Business System (CBS) to submit general account information online. To register for CBS, go to
https://camd.epa.gov/CBS/login/auth.
Paperwork Burden Estimate
This collection of information is approved by OMB under the Paperwork Reduction Act, 44 U.S.C. 3501 et seq.
(OMB Control Nos. 2060-0258 and 2060-0667). Responses to this collection of information are voluntary (40 CFR
73.31, 73.33, 97.420, 97.520, 97.620, 97.720, 97.820, 97.920 and 97.1020). 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 10 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 to the Regulatory
Support Division Director, 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.

1

United States Environmental Protection Agency
Acid Rain, CSAPR, and Texas SO2 Programs

General Account Form

OMB Nos. 2060-0258 and 2060-0667
Approval expires 03/31/2022

For more information, see instructions.
This submission is:

New (to open a new general account)
Revised (to revise information on an existing general account)

This account is authorized to hold allowances in these programs:
Acid Rain
CSAPR NOX Annual
CSAPR NOX Ozone Season Group 1
CSAPR NOX Ozone Season Group 2
CSAPR NOX Ozone Season Group 3

CSAPR SO2 Group 1
CSAPR SO2 Group 2
Texas SO2

If you are opening a new allowance account, complete all steps in this form. If this is a revised submission,
enter your account # and account name and complete Step 4 to authorize the change of information. Only
the authorized account representative or alternate authorized account representative can authorize the
change.

Account #

Account Name

STEP 1
Enter requested
information for the
authorized account
representative.

Name

Title

Company Name

Mailing Address

Phone Number

Fax Number

Email Address

STEP 2
Enter requested
information for the
alternate authorized
account representative
(required only if you want
the general account to
have an alternate
authorized account
representative).

Name

Title

Company Name

Mailing Address

Phone Number

Email Address

EPA Form 7610-5 (Revised 10-2020)

Fax Number

Page 2 of 6

STEP 3
Enter the names of all
parties (persons or
companies) subject to
the binding agreement
authorizing your
representation of the
account.

Name

Name

Name
Name

STEP 4
Read the certifications
and sign and date.

Acid Rain Program
I certify that I was selected under the terms of an agreement that is binding on all
persons who have an ownership interest with respect to allowances held in the
Allowance Tracking System account. I certify that I have all necessary authority to carry
out my duties and responsibilities on behalf of the persons with an ownership interest
and that they shall be fully bound by my actions, inactions, or submissions under 40
CFR part 73. I am authorized to make this submission on behalf of the persons with an
ownership interest for whom this submission is made.
I certify under penalty of law that I have personally examined, and am familiar with, the
statements and information submitted in this document and all its attachments. Based
on my inquiry of those individuals with primary responsibility for obtaining the
information, I certify that the statements and information are to the best of my knowledge
and belief true, accurate, and complete. I am aware that there are significant penalties
for submitting false statements and information or omitting material information,
including the possibility of fine or imprisonment for violations.
CSAPR NOX Annual Trading Program
I certify that I was selected as the authorized account representative or the alternate
authorized account representative, as applicable, by an agreement that is binding on all
persons who have an ownership interest with respect to CSAPR NOX Annual allowances
held in the general account. I certify that I have all the necessary authority to carry out
my duties and responsibilities under the CSAPR NOX Annual Trading Program on behalf
of such persons and that each such person shall be fully bound by my representations,
actions, inactions, or submissions and by any decision or order issued to me by the
Administrator regarding the general account.
I am authorized to make this submission on behalf of the persons having an ownership
interest with respect to the CSAPR NOX Annual allowances held in the general account.
I certify under penalty of law that I have personally examined, and am familiar with, the
statements and information submitted in this document and all its attachments. Based
on my inquiry of those individuals with primary responsibility for obtaining the
information, I certify that the statements and information are to the best of my knowledge
and belief true, accurate, and complete. I am aware that there are significant penalties
for submitting false statements and information or omitting required statements and
information, including the possibility of fine or imprisonment.
CSAPR NOX Ozone Season Group 1 Trading Program
I certify that I was selected as the authorized account representative or the alternate
authorized account representative, as applicable, by an agreement that is binding on all
persons who have an ownership interest with respect to CSAPR NOX Ozone Season

EPA Form 7610-5 (Revised 10-2020)

Page 3 of 6

Group 1 allowances held in the general account. I certify that I have all the necessary
authority to carry out my duties and responsibilities under the CSAPR NOX Ozone
Season Group 1 Trading Program on behalf of such persons and that each such person
shall be fully bound by my representations, actions, inactions, or submissions and by
any decision or order issued to me by the Administrator regarding the general account.
I am authorized to make this submission on behalf of the persons having an ownership
interest with respect to the CSAPR NOX Ozone Season Group 1 allowances held in the
general account. I certify under penalty of law that I have personally examined, and am
familiar with, the statements and information submitted in this document and all its
attachments. Based on my inquiry of those individuals with primary responsibility for
obtaining the information, I certify that the statements and information are to the best of
my knowledge and belief true, accurate, and complete. I am aware that there are
significant penalties for submitting false statements and information or omitting required
statements and information, including the possibility of fine or imprisonment.
CSAPR NOX Ozone Season Group 2 Trading Program
I certify that I was selected as the authorized account representative or the alternate
authorized account representative, as applicable, by an agreement that is binding on all
persons who have an ownership interest with respect to CSAPR NOX Ozone Season
Group 2 allowances held in the general account. I certify that I have all the necessary
authority to carry out my duties and responsibilities under the CSAPR NOX Ozone
Season Group 2 Trading Program on behalf of such persons and that each such person
shall be fully bound by my representations, actions, inactions, or submissions and by
any decision or order issued to me by the Administrator regarding the general account.
I am authorized to make this submission on behalf of the persons having an ownership
interest with respect to the CSAPR NOX Ozone Season Group 2 allowances held in the
general account. I certify under penalty of law that I have personally examined, and am
familiar with, the statements and information submitted in this document and all its
attachments. Based on my inquiry of those individuals with primary responsibility for
obtaining the information, I certify that the statements and information are to the best of
my knowledge and belief true, accurate, and complete. I am aware that there are
significant penalties for submitting false statements and information or omitting required
statements and information, including the possibility of fine or imprisonment.
CSAPR NOX Ozone Season Group 3 Trading Program
I certify that I was selected as the authorized account representative or the alternate
authorized account representative, as applicable, by an agreement that is binding on all
persons who have an ownership interest with respect to CSAPR NOX Ozone Season
Group 3 allowances held in the general account. I certify that I have all the necessary
authority to carry out my duties and responsibilities under the CSAPR NOX Ozone
Season Group 3 Trading Program on behalf of such persons and that each such person
shall be fully bound by my representations, actions, inactions, or submissions and by
any decision or order issued to me by the Administrator regarding the general account.
I am authorized to make this submission on behalf of the persons having an ownership
interest with respect to the CSAPR NOX Ozone Season Group 3 allowances held in the
general account. I certify under penalty of law that I have personally examined, and am
familiar with, the statements and information submitted in this document and all its
attachments. Based on my inquiry of those individuals with primary responsibility for
obtaining the information, I certify that the statements and information are to the best of
my knowledge and belief true, accurate, and complete. I am aware that there are
significant penalties for submitting false statements and information or omitting required
statements and information, including the possibility of fine or imprisonment.
EPA Form 7610-5 (Revised 10-2020)

Page 4 of 6

CSAPR SO2 Group 1 Trading Program
I certify that I was selected as the authorized account representative or the alternate
authorized account representative, as applicable, by an agreement that is binding on all
persons who have an ownership interest with respect to CSAPR SO2 Group 1
allowances held in the general account. I certify that I have all the necessary authority
to carry out my duties and responsibilities under the CSAPR SO2 Group 1 Trading
Program on behalf of such persons and that each such person shall be fully bound by
my representations, actions, inactions, or submissions and by any decision or order
issued to me by the Administrator regarding the general account.
I am authorized to make this submission on behalf of the persons having an ownership
interest with respect to the CSAPR SO2 Group 1 allowances held in the general
account. I certify under penalty of law that I have personally examined, and am familiar
with, the statements and information submitted in this document and all its
attachments. Based on my inquiry of those individuals with primary responsibility for
obtaining the information, I certify that the statements and information are to the best of
my knowledge and belief true, accurate, and complete. I am aware that there are
significant penalties for submitting false statements and information or omitting
required statements and information, including the possibility of fine or imprisonment.
CSAPR SO2 Group 2 Trading Program
I certify that I was selected as the authorized account representative or the alternate
authorized account representative, as applicable, by an agreement that is binding on all
persons who have an ownership interest with respect to CSAPR SO2 Group 2
allowances held in the general account. I certify that I have all the necessary authority
to carry out my duties and responsibilities under the CSAPR SO2 Group 2 Trading
Program on behalf of such persons and that each such person shall be fully bound by
my representations, actions, inactions, or submissions and by any decision or order
issued to me by the Administrator regarding the general account.
I am authorized to make this submission on behalf of the persons having an ownership
interest with respect to the CSAPR SO2 Group 2 allowances held in the general account.
I certify under penalty of law that I have personally examined, and am familiar with, the
statements and information submitted in this document and all its attachments. Based
on my inquiry of those individuals with primary responsibility for obtaining the
information, I certify that the statements and information are to the best of my knowledge
and belief true, accurate, and complete. I am aware that there are significant penalties
for submitting false statements and information or omitting required statements and
information, including the possibility of fine or imprisonment.

EPA Form 7610-5 (Revised 10-2020)

Page 5 of 6

Texas SO2 Trading Program
I certify that I was selected as the authorized account representative or the alternate
authorized account representative, as applicable, by an agreement that is binding on all
persons who have an ownership interest with respect to Texas SO2 Trading Program
allowances held in the general account. I certify that I have all the necessary authority
to carry out my duties and responsibilities under the Texas SO2 Trading Program on
behalf of such persons and that each such person shall be fully bound by my
representations, actions, inactions, or submissions and by any decision or order issued
to me by the Administrator regarding the general account.
I am authorized to make this submission on behalf of the persons having an ownership
interest with respect to the Texas SO2 Trading Program allowances held in the general
account. I certify under penalty of law that I have personally examined, and am familiar
with, the statements and information submitted in this document and all its attachments.
Based on my inquiry of those individuals with primary responsibility for obtaining the
information, I certify that the statements and information are to the best of my knowledge
and belief true, accurate, and complete. I am aware that there are significant penalties
for submitting false statements and information or omitting required statements and
information, including the possibility of fine or imprisonment.

Signature (Authorized Account Representative)

Date

Signature (Alternate Authorized Account Representative, if any)

Date

EPA Form 7610-5 (Revised 10-2020)

Page 6 of 6

Is the authorized account representative employed by an allowance brokerage firm?
STEP 5 (Optional)
Respond to the
No
questions by marking all
appropriate boxes. (EPA
Yes (if yes, please mark all boxes that apply)
will use this information
for program evaluation
This account will be used to transfer allowances between clients
purposes only.)
This account will be used to hold allowances for investment purposes
This account will be used for other purposes
What types of business are represented by the owner(s) of allowances in this account (mark all
boxes that apply)?
Utility
Non-Utility Generators of Electricity
Industrial Boiler
Fuel Supplier
Coal

Oil

Gas

Other

Pollution Control Equipment Manufacturer or Distributor
Public Interest Group
Consumer

Other

Environmental

Other

Submission
Information

Mail to one of the following addresses (please note the different zip codes):
By regular/certified mail:

By overnight mail:

U.S. Environmental Protection Agency
CAMD – Market Operations Branch
Attention: General Accounts
1200 Pennsylvania Avenue NW
Mail Code 6204M
Washington, DC 20460

U.S. Environmental Protection Agency
CAMD – Market Operations Branch
Attention: General Accounts
1200 Pennsylvania Avenue, NW
4th Floor, Room # 4153C
Washington, DC 20004
(202) 564-8717

EPA Form 7610-5 (Revised 10-2020)