7610-11 Notification for Distribution of Proceeds from EPA

United States
Environmental Protection Agency
Acid Rain Program

Step 1

OMB No. 2060-0258
Approval expires 12/31/2021

Notification For Distribution Of
Proceeds From EPA Auctions

Provide your Authorized Account Representative (AAR) or Alternate AAR identification:
Name
(please print)

AAR ID#
(or Alternate)

Phone #

Plant Name
and ORIS Code

EPA will send one payment for each company name (i.e., the proceeds from the auction of allowances for each
plant associated with the same company name will be added together and sent in a single transaction). Proceeds
payments will be distributed no later than 90 days following the conclusion of the auction. If you are the AAR,
or alternate AAR, for multiple plants and the payments are to be made to the same company, either submit a
separate form for each plant or attach a list of the plants and ORIS codes. A separate form must be submitted for
each plant or list of plants where the payment is made to a different company. You do not need to complete this
form for plants that did not have any allowances withheld for the auctions and will not receive proceeds. As the
AAR, or alternate AAR, you are responsible for designating to whom proceeds payments should be made. All
payments will be deposited via ACH to the bank account on record with the EPA Fees & Collection
Branch.
Step 2
The proceeds payment should be endorsed to:
Company Name
Taxpayer ID. No.
Step 3
I understand that EPA will continue to make the payments as indicated above until I give new written
instructions to EPA.
Authorized by

AAR or Alternate AAR

Date

Submit this form via email to both [email protected] and [email protected].
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 No. 2060-0258). Responses to this collection of information are voluntary (40 CFR 73.70). 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 1
hour 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.

EPA Form 7610-11 (Revised 10/2020)