EPA Form 5900-172 Agent Notice of Delegation

Instructions for the Agent Notice of Delegation
Note: Designated Representatives can submit the Notice of Delegation online through the CAMD Business System (CBS)
at https://camd.epa.gov/cbs/index.cfm. The Designated Representative must have a user ID and password. If the
Designated Representative needs a user ID and password, he/she should call Karen VanSickle at (202) 343-9220 or Kirk
Nabors at (202) 343-9171 or Paula Branch at (202) 343-9168.
Any reference in these instructions to the Representative or Designated Representative means the Acid Rain Designated
Representative, the CAIR Designated, and/or the Transport Rule Designated Representative, as applicable. Any reference
to the Alternate Designated Representative means the Acid Rain Alternate Designated Representative, the CAIR Alternate
Representative, and/or the Transport Rule Alternate Representative, as applicable.
A Designated Representative may delegate, to one or more natural persons, his or her authority to make an electronic
submission on his or her behalf, in a format prescribed by the Administrator. In order to delegate authority to make an
electronic submission to the Administrator on his or her behalf, the Designated Representative must submit to the
Administrator a notice of delegation. This notice shall be effective upon receipt by the Administrator and until receipt by the
Administrator of a superseding notice of delegation. The superseding notice of delegation may replace any previously
identified agent, add a new agent, or eliminate entirely any delegation of authority. Note that the agent delegation applies
to all of the CAMD programs for which the Designated Representative has assumed responsibility.
Agents can be given the varying levels of authority, and a person may be designated as more than one type of Agent. In
addition, a Representative may assign more than one person the same Agent type.
Please type or print.
STEP 1

Enter the information for the Representative delegating authority to an Agent to make electronic submissions on
his or her behalf. Note that the agent delegation applies to all of the CAMD programs for which the
Representative has assumed responsibility.

STEP 2

Mark the box if you wish to remove ALL the agents currently assigned to the Representative listed in Step 1.

STEP 3

Enter the information for the Agent to whom the Representative is delegating authority to make electronic
submissions on his or her behalf.

STEP 4

Check the Agent types that apply for the Agent listed in Step 3.

* Specifying Facilities and Units for ECMPS Agent Types: Please note that for all three
Emissions Collection and Monitoring Plan System (ECMPS) Submit Data agent types (see
below), you MUST include a list of facilities and units for which the agent type applies. You
MUST generate this list from the CAMD Business System (CBS). CAMD is requiring the use of
the CBS generated list to avoid facility ID and unit ID discrepancies. Anyone with a CBS user
id and password can generate this list for any Representative. To generate this list, log in to
CBS and click the Reports button on the upper left side of the home page. In Step 1, select
People Reports. In Step 2, select Units by Representative. Click the Continue button. Find the
Representative in the list, highlight the name and click the Select button. Click the Print button
to print the report. Once the report is printed, check the Facility Name/Unit ids as appropriate
for the selected Agent type. If you wish to select all Facilities and Units, you can check the
"Select All Units" box at the top of the list. You can NOT check the boxes on-line, you MUST
check them manually after the report is printed.

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Source Management - An Agent who is given the authority to perform the following using the CAMD Business
System (CBS): add or edit facility, unit, owner, operator, representative information (Certificates of
Representation), or provide facility contact information.
Allowance Trading - An Agent who has the authority to perform allowance transfers using CBS.
General Account Management - An Agent who is given the authority to perform the following using CBS: add
or edit account information for existing general accounts, representative and binding party information; or add a
new general account.
Compliance - An Agent who is given the authority to perform the following annual compliance related tasks
using CBS: submit annual compliance certifications (if required); submit allowance deduction information and
submit common stack allowance deduction information.
Retrieve Monitoring Plan, QA and Emissions Data: An Agent who has the authority to retrieve monitoring
plan, QA and emissions data from the EPA host system, and load it into their Emissions Collection and
Monitoring Plan System (ECMPS) Client Tool. Retrieve agents have access to all facilities and units for a
representative, since they are only able to retrieve data from the EPA host system, but CANNOT submit to the
EPA host system.
Submit Monitoring Plan Data: An Agent who has the authority to retrieve and submit monitoring plan data
from the ECMPS Client Tool up to the EPA host system, for all units for which that responsibility has been
assigned. You MUST include a list of facilities and units for which this agent type applies. See
instructions on Page 1. *
Submit Monitoring Plan and QA Data: An Agent who has the authority to retrieve and submit monitoring plan
and QA data from the ECMPS Client Tool up to the EPA host system, for all units for which that responsibility
has been assigned. If you assign a person as a Submit Monitoring Plan and QA Data agent, you do not need to
also assign the person as a Submit Monitoring Plan Data agent. You MUST include a list of facilities and
units for which this agent type applies. See instructions on Page 1. *
Submit Monitoring Plan, QA and Emissions Data: An Agent who has the authority to retrieve and submit
monitoring plan, QA and emissions data from the ECMPS Client Tool up to the EPA host system, for all units for
which that responsibility has been assigned. If you assign a person as a Submit Monitoring Plan, QA, and
Emissions Data agent, you do not need to also assign the person as a Submit Monitoring Plan Data or Submit
Monitoring Plan and QA Data agent. You MUST include a list of facilities and units for which this agent
type applies. See instructions on Page 1. *
STEP 5

The Representative delegating authority to an Agent must read the certification statements, and sign and date
the notice of delegation.

Submission Instructions

Email signed form to:
Desantis.laurel@epa.gov
OR

Fax form to:

(if the fax is greater than 20 pages, please email the completed forms, if you are able)

(202) 343-2381
Attention: Laurel DeSantis
If you have any questions, please contact Laurel DeSantis at (202) 343-9191 or desantis.laurel@epa.gov.

2

Paperwork Burden Estimate
The public reporting and record keeping burden for this collection of information is estimated to average 1 hour per
response annually. Burden means the total time, effort, or financial resources expended by persons to generate, maintain,
retain, or disclose or provide information to or for a Federal agency. This includes the time needed to review instructions;
develop, acquire, install, and utilize technology and systems for the purposes of collecting, validating, and verifying
information, processing and maintaining information, and disclosing and providing information; adjust the existing ways to
comply with any previously applicable instructions and requirements; train personnel to be able to respond to a collection of
information; search data sources; complete and review the collection of information; and transmit or otherwise disclose the
information. 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.
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 form to
this address.

3

United States Environmental Protection Agency
Acid Rain, CAIR, and Transport Rule Programs

OMB Nos. 2060-0258, 2060-0570, and 2060-0667
Approval Expires 07/31/2014

Agent Notice of Delegation
For more information, see instructions and refer to 40 CFR 72.26, 97.115, 97.215, 97.315, 97.418, 97.518, 97.618,
and 97.718.

Read instructions.
STEP 1
Representative Name (First, Middle Initial, Last)
Enter the information for the
Designated Representative or
Alternate Designated
Representative Company Name
Representative delegating
authority to an Agent to make
electronic submissions on
Representative Mailing Address
his or her behalf.
Representative Email Address

Representative Phone Number

STEP 2
Mark the box if appropriate.

Representative Fax Number

□ Remove ALL Agents for the Representative listed in Step 1.

STEP 3
Enter the information for the Agent Name (First, Middle Initial, Last)
Agent to whom the
Designated Representative or
Alternate Designated
Agent Company Name
Representative is delegating
authority to make electronic
submissions on his or her
behalf.
Agent Mailing Address

Agent Email Address

Agent Phone Number

EPA Form 5900-172 (Revised 8-2011)

Agent Fax Number

Agent Notice of Delegation
Page 2 of 4

STEP 4
Add CBS Agent Type(s) for Agent listed in
Check the CBS Agent Types
that apply for the Agent listed Step 3:
in Step 3. See instructions
Source Management
for description of Agent
Types.
Allowance Trading

□
□
□General Account Management
□Compliance

Remove CBS Agent Type(s) for Agent listed
in Step 3:

□Source Management
□Allowance Trading
□General Account Management
□Compliance

STEP 4 (continued)
Check the ECMPS Agent
Types that apply for the
Agent listed in Step 3. See
instructions for description
of Agent Types.

Add ECMPS Agent Types(s) for Agent listed in
Step 3:

Remove ECMPS Agent Type(s) for Agent listed
in Step 3:

□Retrieve Monitoring Plan, QA and

□Retrieve Monitoring Plan, QA and

□Submit Monitoring Plan Data

□Submit Monitoring Plan Data

□Submit Monitoring Plan and QA Data

□Submit Monitoring Plan and QA Data

□Submit Monitoring Plan, QA and

□Submit Monitoring Plan, QA and

Emissions Data

You must specify Facilities and
Units – See instructions for details)

(You must specify Facilities and
Units – See instructions for details)

Emissions Data

(You must specify Facilities and
Units – See instructions for details)

EPA Form 5900-172 (Revised 8-2011)

Emissions Data

(You must specify Facilities and
Units – See Page 1 of the instructions
for details)

(You must specify Facilities and
Units – See Page 1 of the instructions
for details)

Emissions Data

(You must specify Facilities and
Units – See Page 1 of the instructions
for details)

Agent Notice of Delegation
Page 3 of 4

STEP 5
The Designated
Representative or Alternate
Designated Representative
must read the certification
statements, sign, and date.

Acid Rain Program (as applicable)
I agree that any electronic submission to the Administrator that is by an agent identified in
this notice of delegation, and of a type listed for such agent in this notice of delegation,
and that is made when I am an Acid Rain designated representative or alternate Acid Rain
designated representative, or when I am an Acid Rain authorized account representative
or alternate Acid Rain authorized account representative, and before this notice of
delegation is superseded by another notice of delegation, shall be deemed to be an
electronic submission by me. Until this notice of delegation is superseded by another
notice of delegation, I agree to maintain an e-mail account, and to notify the Administrator
immediately of any change to my e-mail address unless all delegation of authority by me is
terminated.
CAIR NOX Annual Program, CAIR SO2 Program, CAIR NOX Ozone Season Program (as
applicable)
I agree that any electronic submission to the Administrator that is by an agent identified in
this notice of delegation, and of a type listed for such agent in this notice of delegation,
and that is made when I am a CAIR designated representative or alternate CAIR
designated representative, or when I am an CAIR authorized account representative or
alternate CAIR authorized account representative, and before this notice of delegation is
superseded by another notice of delegation, shall be deemed to be an electronic
submission by me. Until this notice of delegation is superseded by another notice of
delegation, I agree to maintain an e-mail account, and to notify the Administrator
immediately of any change to my e-mail address unless all delegation of authority by me is
terminated.
Transport Rule NOx Annual Program, Transport Rule SO2 Programs, and Transport Rule
NOx Ozone Season Program (as applicable)
I agree that any electronic submission to the Administrator that is made by an agent
identified in this notice of delegation and of a type listed for such agent in this notice of
delegation and that is made when I am a Transport Rule designated representative or
alternate Transport Rule designated representative, as appropriate, and before this notice
of delegation is superseded by another notice of delegation, shall be deemed to be an
electronic submission by me. Until this notice of delegation is superseded by another
notice of delegation, I agree to maintain an e-mail account and to notify the Administrator
immediately of any change in my e-mail address unless all delegation of authority by me is
terminated.

EPA Form 5900-172 (Revised 8-2011)

Agent Notice of Delegation
Page 4 of 4

Representative Name

Representative Signature
Submission Instructions:

Date

Email signed form to:
Desantis.laurel@epa.gov
OR
Fax form to: (if the fax is greater than 20 pages, please email the completed
forms, if you are able)
(202) 343-2381
Attention: Laurel DeSantis
If you have any questions, please contact Laurel DeSantis at (202) 343-9191 or
desantis.laurel@epa.gov.

EPA Form 5900-172 (Revised 8-2011)