5900-144 Methyl Bromide Importer Quarterly Report

Production, Import, Export, Recycling, Destruction, Transhipment, and Feedstock Use of Ozone-Depleting Substances (Renewal)

Copy of MeBr Importer_v5.0.xlsm

Reporting of the Production, Import, Export, Recycling, Destruction, Transhipment, and Feedstock Use of Ozone-Depleting Substances

OMB: 2060-0170

Document [xlsx]
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Overview

Instructions
Section 1
Section 2
Section 3
Summary
Reference List


Sheet 1: Instructions





OMB Control Number: 2060-0170

Expiration Date: 4/16/2023

U.S. Environmental Protection Agency

Stratospheric Ozone Protection Program




Methyl Bromide Importer Quarterly Report (Sec 82.13)

Version 5.0

Last Updated: April 2020




Instructions

Complete this form by filling in the data fields that are highlighted in blue. Guidance on how to complete individual data fields are provided in comment bubbles. Use the arrows to navigate between the tabs. Once completed, use the 'prepare submission' button on the Summary tab to generate your CSV file.

Copying and Pasting Data: If data are pasted into this reporting form from another spreadsheet, the formatting of specific cells must be consistent with the requirements of the form in order to be

accepted into EPA’s ODS Tracking System. Refer to the Reference List to identify the valid naming scheme for specific data fields. Additionally, select "Paste As Values" when pasting data into the form.

Report Submission: This Excel file, the generated CSV file, and all supporting attachments should be submitted to EPA through the Central Data Exchange (CDX). Refer to EPA's website for additional information on form submission:

https://www.epa.gov/ods-phaseout/ods-recordkeeping-and-reporting




All information submitted to EPA will be treated as confidential in accordance with 40 CFR Part 2, Subpart B, and will only be disclosed by the means set forth in the subpart.

This collection of information is approved by OMB under the Paperwork Reduction Act, 44 U.S.C. 3501 et seq. (OMB Control No. 2060-0170). Responses to this collection of information are mandatory (40 CFR 82.13). 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 number and expiration date are displayed in the upper right corner of the form. 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 this formation, 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 #5900-144





Sheet 2: Section 1










U.S. Environmental Protection Agency






Methyl Bromide Importer Quarterly Report












Date Prepared:













Section 1: Report Identification Information






Complete all fields below. No fields may be left blank.





The company name must match the organization name under which this report is submitted to EPA through CDX. Company Name:

1



Submission Type:

1



Reporting Year:

1



Reporting Quarter:

1



Per Customs and Border Patrol, this number could be the: - Internal Revenue Service (IRS) Employer Identification Number (EIN): NN-NNNNNNN; - IRS EIN with suffix: NN-NNNNNNNXX; - Social Security Number (SSN): NNN-NN-NNNN; or - CBP assigned number: YYDDPP-NNNNN. Importer Number:

1












Original Submission






Re-Submittal






Sheet 3: Section 2



















U.S. Environmental Protection Agency












Methyl Bromide Importer Quarterly Report

























Company Name:










Reporting Period:

























Section 2: Import Transaction Data












In the table below, enter data for each methyl bromide import transaction that took place during the reporting period. If no methyl bromide was imported, the table may be left blank. For each transaction, all fields are required. As a reminder, if methyl bromide was imported for QPS applications, global lab, emergency uses, second party transformation, or second party destruction, a copy of the transformation verification, destruction verification, QPS certification, and/or essential use certification from each company for whom material was imported must be provided to EPA along with the submission of this report.





If copying and pasting data into the table, please refer to the Reference List and the accompanying instructions.







The transaction number is autopopulated. Transaction Number Enter the date for when the shipment entered the United States. Date of Import Select the country from which the shipment was imported. If copying and pasting data into the table, please refer to the Reference List for the valid list of countries. Source Country This field is autopopulated. Name of the Chemical Imported Enter the total quantity (kg) of methyl bromide imported. Total Quantity Imported Enter the 10-digit commodity code of the chemical imported as it appears on Customs documentation. Refer to the Reference List for a list of commonly used commodity codes. Commodity Code Enter the name of the port where the shipment entered the United States. Port of Entry into the United States Enter the Customs Entry Summary Number for the shipment. This number identifies the specific shipment. The Customs Entry Summary Number is generally three (3) letters followed by nine (9) digits. Customs Entry Summary Number Enter the Importer Number of the shipment. Your company's Importer Number as entered in Section 1 of this report will automatically populate for each transaction entered. Revise the number if the Importer Number of the shipment is different from your company's Importer Number. The number entered should have no dashes. Shipment Importer Number Select the transaction type of the material. The transaction type can be New or Heels. If copying and pasting data into the table, please refer to the Reference List for the valid list of transaction types. Transaction Type Select the intended use of the material. Note that the Transaction Type in Column L must be selected prior to completing this field. - If the material is New, the intended use can be In-House Transformation, 2nd Party Transformation, In-House Destruction, 2nd Party Destruction, Quarantine and Preshipment (QPS), Emergency Use, or Global Lab. - If the material is a Heel, the intended use can be Included in Future Shipment, Transformation, Destruction, or Non-Emissive Use. If copying and pasting data into the table, please refer to the Reference List for the valid list of intended uses. Intended Use




Autopopulated Date Selection Autopopulated kg Text Text Text Number Selection Selection




1 1/15/2018 Australia CH3Br 5,000.00 2903.39.1520 Miami, FL abc123456789 12345678900 New QPS


1st














































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































0


















x





x x






Afghanistan





New In-House Trans






Albania





Heels 2nd Party Trans






Algeria






In-House Dest






Andorra






2nd Party Dest






Angola






QPS






Antigua and Barbuda






Pre-Plant Critical Use






Argentina






Post-Harvest Critical Use






Armenia






Emergency Use






Australia






Global Lab






Austria






Future Shipment






Azerbaijan






Transformation






Bahamas






Destruction






Bahrain






Non-Emissive Use






Bangladesh














Barbados














Belarus














Belgium














Belize














Benin














Bermuda














Bhutan














Bolivia (Plurinational State of)














Bosnia and Herzegovina














Botswana














Brazil














Brunei Darussalam














British Virgin Islands














Bulgaria














Burkina Faso














Burundi














Cambodia














Cameroon














Canada














Cape Verde














Central African Republic














Chad














Chile














China














Colombia














Comoros














Congo














Cook Islands














Costa Rica














Cote d'Ivoire














Croatia














Cuba














Cyprus














Czech Republic














Democratic Republic of the Congo














Denmark














Djibouti














Dominica














Dominican Republic














Ecuador














Egypt














El Salvador














Equatorial Guinea














Eritrea














Estonia














Ethiopia














European Union














Fiji














Finland














France














Gabon














Gambia














Georgia














Germany














Ghana














Greece














Grenada














Guatemala














Guinea














Guinea-Bissau














Guyana














Haiti














Holy See














Honduras














Hong Kong














Hungary














Iceland














India














Indonesia














Iran (Islamic Republic of)














Iraq














Ireland














Israel














Italy














Jamaica














Japan














Jordan














Kazakhstan














Kenya














Kiribati














Kuwait














Kyrgyzstan














Lao People's Democratic Republic














Latvia














Lebanon














Lesotho














Liberia














Libya














Liechtenstein














Lithuania














Luxembourg














Madagascar














Malawi














Malaysia














Maldives














Mali














Malta














Marshall Islands














Mauritania














Mauritius














Mexico














Micronesia (Federated States of)














Monaco














Mongolia














Montenegro














Morocco














Mozambique














Myanmar














Namibia














Nauru














Nepal














Netherlands














New Zealand














Nicaragua














Niger














Nigeria














Niue














North Korea (Democratic People's Republic of Korea)














Norway














Oman














Pakistan














Palau














Panama














Papua New Guinea














Paraguay














Peru














Philippines














Poland














Portugal














Qatar














Republic of Moldova














Romania














Russian Federation














Rwanda














Saint Kitts and Nevis














Saint Lucia














Saint Vincent and the Grenadines














Samoa














San Marino














Sao Tome and Principe














Saudi Arabia














Senegal














Serbia














Seychelles














Sierra Leone














Singapore














Slovakia














Slovenia














Solomon Islands














Somalia (Federal Republic of)














South Africa














South Korea (Republic of Korea)














South Sudan














Spain














Sri Lanka














Sudan














Suriname














Swaziland














Sweden














Switzerland














Syrian Arab Republic














Tahiti














Taiwan














Tajikistan














Thailand














The Former Yugoslav Republic of Macedonia














Timor-Leste














Togo














Tonga














Trinidad and Tobago














Tunisia














Turkey














Turkmenistan














Tuvalu














Uganda














Ukraine














United Arab Emirates














United Kingdom of Great Britain and Northern Ireland














United Republic of Tanzania














#NAME?














Uruguay














Uzbekistan











Sheet 4: Section 3











U.S. Environmental Protection Agency





Methyl Bromide Importer Quarterly Report










Company Name:




Reporting Period:










Section 3: Shipment/Sales Data






Identify the recipient company(s) of the methyl bromide imported for second party transformation, second party destruction, QPS, global lab, and/or emergency uses, and the amount shipped to or purchased by each recipient company during the quarter.



Note: Due to a potential time lag between the date of import and the date of shipment, it is recognized that for a given quarter the information in Section 3 may not match the information reported in Section 2 for second party transformation, second party destruction, QPS, and global lab; however, it is expected that all material imported for second party transformation, second party destruction, QPS, and global lab will eventually be shipped to a second party and must be reported as such in the applicable quarterly report.



As a reminder, a copy of the transformation verification, destruction verification, QPS certification, and/or essential use certification from each second party for whom material was produced must be provided to EPA along with the submission of this report.



Enter the name of the company that received or purchased methyl bromide during the quarter for transformation, destruction, QPS, global lab, or emergency use. Recipient Company Name Enter the quantity (kg) of methyl bromide shipped to or purchased by the recipient company during the reporting period. Quantity Identify whether the material will be (1) transformed, (2) destroyed, (3) used for QPS, (4) distributed for global lab, or (5) emergency use. Purpose



Text kg Selection



Company A 500.00 Global Lab












































































x






Global Lab






QPS






Transformation






Destruction






Emergency Use


Sheet 5: Summary
















U.S. Environmental Protection Agency










Methyl Bromide Importer Quarterly Report




















Company Name:









Reporting Period:




















Import Totals











The values in the table below are calculated based on data entered in Section 2. If the totals appear to be incorrect, please return to Section 2 to review your data.


Chemical Name New Imports (kg) Total Heel Imports (kg)


In-House Transformation 2nd Party Transformation In-House Destruction 2nd Party Destruction QPS Emergency Use Global Lab Gross Imports


CH3Br 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00














Sheet 6: Reference List












U.S. Environmental Protection Agency








Methyl Bromide Importer Quarterly Report






Reference List
















Copying and Pasting Data: If data is pasted into this reporting form from another spreadsheet, the formatting of specific cells must be consistent with the requirements of the form in order to be accepted into EPA’s ODS tracking system. When copying and pasting data into the form, please ensure consistency with the formatting of the lists provided below.

Transaction Type List: The table below lists the valid transaction types that may be used when entering data into Section 2 of this form.
Country List: The table below lists the valid country names that may be used when entering data into Section 2 of this form.











Transaction Type


Source Country

New Heels


Afghanistan Greece Papua New Guinea






Albania Grenada Paraguay

Intended Use Lists: The tables below list the valid intended uses that may be used when entering data into Section 2 of this form.
Algeria Guatemala Peru


Andorra Guinea Philippines






Angola Guinea-Bissau Poland

Intended Uses - If Transaction Type = New
Antigua and Barbuda Guyana Portugal

Global Lab In-House Trans 2nd Party Trans QPS
Argentina Haiti Qatar

Emergency Use In-House Dest 2nd Party Dest

Armenia Holy See Republic of Moldova






Australia Honduras Romania

Intended Uses - If Transaction Type = Heels
Austria Hong Kong Russian Federation

Future Shipment Transformation Destruction Non-Emissive Use
Azerbaijan Hungary Rwanda






Bahamas Iceland Saint Kitts and Nevis

Commodity Code List: The table below lists commonly used methyl bromide commodity codes that may be used when entering data into Section 2 of this form. A complete list of commodity codes can be found in the Official Harmonized Tariff Schedule.

Bahrain India Saint Lucia



Bangladesh Indonesia Saint Vincent and the Grenadines



Barbados Iran (Islamic Republic of) Samoa



Belarus Iraq San Marino






Belgium Ireland Sao Tome and Principe

Methyl Bromide Commodity Codes/Description

Belize Israel Saudi Arabia

2903.39.1520 Methyl bromide

Benin Italy Senegal

3824.77.0000 Mixtures containing methyl bromide

Bermuda Jamaica Serbia






Bhutan Japan Seychelles






Bolivia (Plurinational State of) Jordan Sierra Leone






Bosnia and Herzegovina Kazakhstan Singapore






Botswana Kenya Slovakia






Brazil Kiribati Slovenia






Brunei Darussalam Kuwait Solomon Islands






British Virgin Islands Kyrgyzstan Somalia (Federal Republic of)






Bulgaria Lao People's Democratic Republic South Africa






Burkina Faso Latvia South Korea (Republic of Korea)






Burundi Lebanon South Sudan






Cambodia Lesotho Spain






Cameroon Liberia Sri Lanka






Canada Libya Sudan






Cape Verde Liechtenstein Suriname






Central African Republic Lithuania Swaziland






Chad Luxembourg Sweden






Chile Madagascar Switzerland






China Malawi Syrian Arab Republic






Colombia Malaysia Tahiti






Comoros Maldives Taiwan






Congo Mali Tajikistan






Cook Islands Malta Thailand






Costa Rica Marshall Islands The Former Yugoslav Republic of Macedonia






Cote d'Ivoire Mauritania






Croatia Mauritius Timor-Leste






Cuba Mexico Togo






Cyprus Micronesia (Federated States of) Tonga






Czech Republic Monaco Trinidad and Tobago






Democratic Republic of the Congo Mongolia Tunisia






Denmark Montenegro Turkey






Djibouti Morocco Turkmenistan






Dominica Mozambique Tuvalu






Dominican Republic Myanmar Uganda






Ecuador Namibia Ukraine






Egypt Nauru United Arab Emirates






El Salvador Nepal United Kingdom of Great Britain and Northern Ireland






Equatorial Guinea Netherlands






Eritrea New Zealand United Republic of Tanzania






Estonia Nicaragua Uruguay






Ethiopia Niger Uzbekistan






European Union Nigeria Vanuatu






Fiji Niue Venezuela (Bolivarian Republic of)






Finland North Korea (Democratic People's Republic of Korea) Viet Nam






France Yemen






Gabon Norway Zambia






Gambia Oman Zimbabwe






Georgia Pakistan







Germany Palau







Ghana Panama











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