Form EPA Form 7710-56 EPA Form 7710-56 Notice of Commencement of Manufacture or Import

Form Approved. O.M.B. No. 2070-0012

NOC2009P1

U.S. Environmental Protection Agency

EPA
Manufacturer/
Importer
(in U.S.)

(first)

Report Number

NOTICE OF COMMENCEMENT OF
MANUFACTURE OR IMPORT (40CFR§720.102)

Part I - SUBMITTER IDENTIFICATION

Document Control #:

Name of Authorized Official
(last)

Mailing Address (number and street)

Company Name

Technical
Contact
(first)
(in U.S.)

NON-CBI SUBMISSION

City

Name

State

CBI*

Zip

Telephone Number

(last)

Part II - Premanufacture Notice (PMN) "P" Case Number:
Part III - Check the appropriate box and provide the exact date of manufacture or importation:
First Commercial Manufacture**
Date:

First Commercial Importation***
Date:

**Date of commencement is the date of completion of non-exempt manufacture of the first amount (bath, drum, etc.)
***For importees, the date of commencement is the date that the new chemical substance clears U.S. customs.

Part IV - Manufacturing Plant Site(s) or Importing Site(s): (Importers, provide street address of destination)

Part V - Specific Chemical Identity: (For Consolidated submissions, each substance must have a separate NOC form with the specific
identity of each chemical substance.)

Part VI - Generic Chemical Name (if chemical identity is claimed CBI*):

Part VII - Substance Identity Confidentiality Status:
I wish to continue to claim the substance identity confidential and the substantiation to support this claim is attached. Failure to submit
the required substantiation in accordance with 40 CFR 720.85(b) will result in a waiver of your claim.
I previously claimed the substance identity as confidential and hereby relinquish that claim.
I did not claim the substance identity as confidential in my original PMN submission.

The public reporting and recordkeeping burden for this collection of information is estimated to average 0.8 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, Collection Strategies Division, U.S. Environmental Protection
Agency (2822T), 1200 Pennsylvania Ave., NW, Washington, D.C. 20460. Include the OMB control number in any correspondence. Do not send the
completed EPA Form 7710-56 to this address.
You must submit your completed notice no later than 30 calendar days after the first date of commercial manufacture/importation to the address
U.S. Environmental Protection Agency
shown below:
OPPT Document Control Office (7407M)
1200 Pennsylvania Ave., NW
Washington, D.C. 20460
ATTN: Notice of Commencement
Signature of authorized official
Note: CBI* - refers to the term "Confidential Business Information". Mark (X) in the box if the information is to be held Confidential.

EPA Form 7710-56 (6-09)

Date