Title: | Template Excel Workbook for Question 70 of the Chromium Finishing Questionnaire | |
Author: | United States Environmental Protection Agency (EPA), Office of Water | |
OMB Control No.: | 2040-NEW | |
OMB Approval Date: | 8/1/2023 | |
OMB Approval Expires: | 8/1/2023 | |
Questionnaire ID: | [enter your Questionnaire ID here] | |
Instruction: | 1) Enter your Questionnaire ID (provided to you in the notification letter from EPA) into the yellow cell above (Cell B13). | |
2) Complete the List of Facilities worksheet by entering all facilities that the ultimate parent company operated in the United States in calendar year 2022. Include facilities that conduct metal finishing, electroplating, or chromium finishing as well as facilities that do not. List each individual facility in a separate row on the List of Facilities worksheet. Enter the information for the facility associated with this questionnaire in the first row of the table. | ||
3) When you have completed entering all applicable facilities into the List of Facilities worksheet, save and close this file. Update the file name to replace the "Questionnaire ID" with your facility's assigned Questionnaire ID (e.g., "CRF####_Question 70_Facilities Operated By Ultimate Parent Company.xlsx"). | ||
4) Upload the completed, renamed file in the file upload/response field for Question 70 in the Qualtrics questionnaire. See the General Instructions file for guidance on submitting electronic copies of workbooks documents and other attachments via Qualtrics. |
Facility Name | Facility Description (describe facility operations or role) |
Street Address | City | State/Territory (two letter abbreviation) |
ZIP Code (5 digits only) |
Constructed or Acquired by Ultimate Parent Company? | Conducted Metal Finishing or Electroplating in 2022? | Questionnaire ID (enter "0" if unknown or not applicable) |
Primary NAICS Code(s) | Percent Employment in Metal Finishing or Electroplating Activities |
File Type | application/vnd.openxmlformats-officedocument.spreadsheetml.sheet |
File Modified | 0000-00-00 |
File Created | 0000-00-00 |