5900-464 Catalytic Converter Information

	Catalyst Information 40 CFR §86.416-80(a)(2)(i), 40 CFR §86.420-78(b)(7), and/or 1051.230(b)(5) where applicable Note 1. For fields in which the catalyst information is not applicable or not available, please type “NA”. We may consider your application to be incomplete if appropriate information is not provided. Note 2. Production tolerances for the specifications below may be included at the applicant’s discretion.
	Engine Family Name: ________________________							Paperwork Reduction Act Notice
	Catalyst Information (Catalyst on this form refers to the loaded substrate without casing)							This collection of information is approved by OMB under the Paperwork Reduction Act, 44 U.S.C. 3501 et seq. (OMB Control No. 2060-0338). Responses to this collection of information are mandatory (40 CFR 1051). 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 2 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.
Section 1		Catalytic Converter Catalyst 1	Catalytic Converter Catalyst 2	Catalytic Converter Catalyst 3
	Catalyst Manufacturer
	Part # shown on catalyst
	Part # shown on catalyst casing
	Vehicle Manufacturer Part #
	Catalyst Manufacturer Part #
	Catalytic/Active material (Pt, Pd, Rh, Ag, Ni, Ce, Zr, CoO, etc)
	Ratio of Catalytic/Active material, in the order: Pt:Pd:Rh:Ag:Ni:Ce:Zr:CoO...
	Loading of Catalytic/Active material (g/L)
	Carrier/Washcoat Materials
	Catalyst Type (honeycomb, mesh, etc.)							OMB No. 2060-0338
	Catalyst Location (e.g., in muffler, etc.)							Approval Expires on
	Substrate Material (ceramic, metallic, etc.)							1/31/2022
	Substrate Material (ceramic, metallic, etc.)							EPA Form 5900-464
Section 2		Honeycomb Type
	Outside Container Diameter (mm)
	Outside Container Length (mm)
	Inside Substrate Diameter (mm)
	Inside Substrate Length (mm)
	Cell Density (specify units)
Section 3		Mesh Type
	Type of Mesh (grate, wire knit/woven brick,etc.)
	Outside of Container Length
	Outside of Container Width
	Outside of Container Depth
	Coated Brick Weight(g), if Wire Knit/Woven Brick
	Wire Diameter
	Aperture Size (if grate type)
Section 4		Other Type
	Type Description
	Catalytic/active Material Dimensions
	Container Dimensions
	Illustration of Relative Positions of Engine(s), Catalyst(s), Sensor(s), Muffler(s) and Exhaust(s)
	Manufacturer Notes to EPA
				Rev: Sep 29 2016 5900-464