5900-90 Manufacturer Production Report for Engine/Equipment

---

Overview

Submission Template
Exemptions
Instructions

---

Sheet 1: Submission Template

United States

Environmental Protection Agency

Office of Air and Radiation, Office of Transportation and Air Quality

Manufacturer Production Report for Engine/Equipment Manufacturers - Heavy-Duty, Nonroad, and Highway Motorcycles

Last Revision: December 2014 Version Number: 3.3.1

Manufacturer Information

Submission Date:

Manufacturer Name:

Manufacturer Address:

Contact Name:

Address 1

Email Address:

Address 2

Phone #:

City

State

MODEL YEAR:

ZIP

INDUSTRY:

Country

Production Data

Engine Family Name

Configuration or Engine Model

Locomotive Model*

Assembly Plant (Locomotive only)

Production (U.S.-Total)

Production (California only)

Max Power (hp)*

Displacement (liters)*

Fuel System Type*

# Exempted Engines*

Remanufactured Locomotive?

Configuration Description

Total Production Volume:

0

0

* Locomotive Model - Part 1033 only. Max Power, Displacement and Fuel System Type - Part 1039 only. # Exempted Engines - Part 1033 only. If locomotives are identified in the "# Exempted Engines" field, additional information on each exempted locomotive must be entered in the "Exemptions" worksheet. Note that reporting serial number information for Part 86/1036 engines is not required at this time. Do not use this template to report Part 1037 production data. If no Production, enter zero.

Paperwork Reduction Act Notice

The public reporting and recordkeeping burden for this collection of information is estimated to average 30 minutes 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, Collection Strategies Division, U.S. Environmental Protection Agency (2822T), 1200 Pennsylvania Ave., NW, Washington, D.C. 20460. Include the OMB control number(s) in any correspondence. Do not send the completed form to this address.

OMB Nos. 2060-0287, 2060-0338, 2060-0392, 2060-0641 Approvals Expire on: 12/31/2017 (0287); 11/30/2016 (0641); 12/31/2014 (0338 and 0392) EPA Form 5900-90

---

Sheet 2: Exemptions

United States
Environmental Protection Agency
Office of Air and Radiation, Office of Transportation and Air Quality
Manufacturer Production Report for Heavy-Duty and Nonroad Engine/Equipment Manufacturers
Last Revision: December 2014 Version Number: 3.3.1
Exempt Locomotives
	Manufacturer Name:
	Contact Name:
	Email Address:
	Phone #:
	MODEL YEAR:
		NOTE: The requirement to report exempt engines/locomotives applies to 40 CFR Parts 1033 (Locomotive)
	Engine Family Name	Configuration or Engine Model	Locomotive ID* (Part 1033)	Buyer	Shipping Destination
	* In accordance with §1033.250(a)(2), do not report locomotives that were temporarily exempted, exported locomotives, locomotives exempted as manufacturer/remanufacturer-owned locomotives, or locomotives exempted as test locomotives.
		Paperwork Reduction Act Notice
		The public reporting and recordkeeping burden for this collection of information is estimated to average 30 minutes 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, Collection Strategies Division, U.S. Environmental Protection Agency (2822T), 1200 Pennsylvania Ave., NW, Washington, D.C. 20460. Include the OMB control number(s) in any correspondence. Do not send the completed form to this address.
					OMB Nos. 2060-0287, 2060-0338, 2060-0392, 2060-0641 Approvals Expire on: 12/31/2017 (0287); 11/30/2016 (0641); 12/31/2014 (0338 and 0392) EPA Form 5900-90

---

Sheet 3: Instructions

United States

Environmental Protection Agency

Office of Air and Radiation, Office of Transportation and Air Quality

Manufacturer Production Report for Heavy-Duty and Nonroad Engine/Equipment Manufacturers

Last Revision: December 2014 Version Number: 3.3.1

Production Report - INSTRUCTIONS

This template allows engine and vehicle manufacturers to submit their annual production data in a simple, consistent format. It is intended that a copy of this template be created for each industry for which the reporting of production numbers is required. The number of engines produced by engine family and configuration (if required by regulation) should be entered into the "Submission Template" worksheet. Your report must include production information on each certified engine family, even if the production was zero. If you have produced locomotives that are exempt, the relevant information can be entered into the "Exemptions" worksheet. This template should not be used to report production data for Part 1037 engines.

Submission Template Production data for all non-exempt engines or vehicles should be entered in the Submission Template worksheet. Note that some fields are required only for certain industries. The Locomotive Model field is required only for Part 1033. The fields for Max Power, Displacement and Fuel System Type only apply to Nonroad CI Part 1039 submittals. Finally, data on Number of Exempted Engines is only required for Parts 1033 and 1039. Note that the reporting of engine serial number data for Part 86/1036 engines is not required at this time. Exemptions If exempted locomotives are identified in the "# Exempted Engines" field in the Submission Template worksheet, additional information on each exempted locomotive must be entered in the "Exemptions" worksheet. Basic information as entered in the Submission Template worksheet will appear at the top of the Exemptions worksheet. Note that this worksheet only applies only to 40 CFR Part 1033 (Locomotive). In addition to identifying information for each exempt engine/locomotive, the associated buyer and shipping destination should also be provided.

Paperwork Reduction Act Notice

OMB Nos. 2060-0287, 2060-0338, 2060-0392, 2060-0641 Approvals Expire on: 12/31/2017 (0287); 11/30/2016 (0641); 12/31/2014 (0338 and 0392) EPA Form 5900-90

The public reporting and recordkeeping burden for this collection of information is estimated to average 30 minutes 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, Collection Strategies Division, U.S. Environmental Protection Agency (2822T), 1200 Pennsylvania Ave., NW, Washington, D.C. 20460. Include the OMB control number(s) in any correspondence. Do not send the completed form to this address.