| OMB Control Number: 2060-0734 | |||||||||
| Expiration Date: 12/31/2024 | |||||||||
| American Innovation and Manufacturing Act - HFC Inter-Company Transfers Report | |||||||||
| Worksheet Instructions: | |||||||||
| Complete and submit an HFC Inter-Company Transfers Report if your company (transferor) would like to transfer HFC production, consumption, or application-specific allowances to another company (transferee). All sections of the report must be completed prior to submission. The transferor and the transferee may proceed with the transfer when EPA issues a non-objection notice. | |||||||||
| Version: | |||||||||
| r0.4 | |||||||||
| Updated: | |||||||||
| 2/7/2022 | |||||||||
| External Links: | |||||||||
| HFC Allocation Rule Reporting HelpDesk | AIM Act Paperwork Reduction Act Burden | ||||||||
| 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: | |||||||||
| Company ID: | |||||||||
| Reporting Year: | |||||||||
| Section 2 - Transferee Identification | |||||||||
| Instructions: Complete the following company information. | |||||||||
| Transferee Company Name: | |||||||||
| 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) |
Total Cost of Allowances Transferred (USD) §84.19(a)(2)(v) |
Quantity of Unexpended Allowances Held by Transferor (MTEVe) §84.19(a)(2)(vi) |
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) |
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| 3 | |||||||||
| This collection of information is approved by OMB under the Paperwork Reduction Act, 44 U.S.C. 3501 et seq. (OMB Control No. 2060-0734). 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 | |||||||||
| File Type | application/vnd.openxmlformats-officedocument.spreadsheetml.sheet |
| File Modified | 0000-00-00 |
| File Created | 0000-00-00 |