EPA Form 7620-4 (R Allowance Deduction Form

Clean Air Interstate Rule to Reduce Interstate Transport of Fine Particle Matter and Ozone (Renewal)

allow_ded2010

Clean Air Interstate Rule to Reduce Interstate Transport of Fine Particle Matter and Ozone Voluntary Industry Trading

OMB: 2060-0570

Document [pdf]

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Instructions for Allowance Deduction Form
(Optional)
The Acid Rain Program and CAIR Trading Programs (CAIR NOX Annual, CAIR SO2, and CAIR NOX Ozone
Season) regulations allow for the identification of allowances to be deducted for annual compliance. The form
must be submitted by November 30 for the CAIR Ozone Season Program, or March 1 of the year after the
compliance year for the Acid Rain/CAIR SO2 Program and CAIR NOX Annual Program.
You are encouraged to use the CAMD Business System (CBS) to submit allowance deductions online. To
register for CBS, go to https://camd.epa.gov/loginrequest/index.cfm.
If you need more space, photocopy page one. When you have completed the form, indicate the page order
and total number of pages (e.g., 1 of 4, 2 of 4, etc.) in the spaces provided in the upper right hand corner of
each page.
Either the designated representative (DR) or the alternate DR may sign this form.
If you need assistance, call the Clean Air Markets Hotline at 202-343-9620.
Step 1 Make sure you select the correct allowance program. Only check one box. If you want to deduct
allowances under more than one program, submit a separate form for each program.
Step 2 Enter the Compliance Year, the Allowance Tracking System (ATS) Account Number of the facility
(i.e., plant) from which allowances are to be deducted, and the Facility Name.
Step 3 List by serial number the allowances to be deducted. You may specify single allowances or a
series of allowances. In the total column, enter the total number of allowances to be deducted.
Verify the accuracy of your entries by computing one of the following simple equations:
Start Number = End Number - Total + 1
or
End Number = Start Number + Total - 1
NOTE: If the serial number range does not correspond with the figure for the total number of
allowances, then EPA will rely on the serial number range and not the total number.
You may copy the form to list additional allowances to be deducted. When you have completed the form,
for each ATS account number indicate the page order and total number of pages (e.g., 1 of 4, 2 of 4, etc.)
in the boxes in the upper right hand corner of each page.
The allowance year of the allowances to be deducted must be the same as, or a year prior to, the
compliance year listed in Step 1.
If you do not identify enough allowances by serial number, EPA will deduct any additional allowances
necessary on a first-in, first-out (FIFO) basis starting with those allowances with the earliest date of
recordation into the compliance account (generally, allowances originally allocated by EPA to the unit will
have the earliest date of recordation).
If you identify more than enough allowances, EPA will deduct the allowances in the order listed on the
form. EPA will not deduct more allowances than necessary for compliance.
Step 4 Read the Certifications, sign, and date.

EPA Form 7620-4 (Revised 12-2009)

Mailing Instructions

Mail this form to EPA at one of the following addresses:

for regular or certified mail:
U.S. EPA
Acid Rain Program (6204J)
Attention: Annual Reconciliation
1200 Pennsylvania Avenue, NW
Washington, DC 20460

for overnight mail:
U.S. EPA
Acid Rain Program (6204J)
Attention: Annual Reconciliation
1310 L Street, NW.,
Second Floor
Washington, DC 20005
Phone: 202-343-9150

For more information see the applicable rule:
Acid Rain: 40 CFR 73.35
CAIR NOX Annual: 40 CFR 96.154 or 97.154 or the applicable State rule
CAIR SO2: 40 CFR 96.254 or 97.254 or the applicable State rule
CAIR NOX Ozone Season: 40 CFR 96.354 or 97.354 or the applicable State rule
Paperwork Burden Estimate
The public reporting and recordkeeping burden for this collection of information is estimated to average 3
hours 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.

EPA Form 7620-4 (Revised 12-2009)

United States
Environmental Protection Agency

OMB Nos. 2060-0258 and 2060-0570
Approval expires 11/30/2012

Allowance Deduction Form
Choose one only:
Acid Rain/CAIR SO2 Allowances
CAIR NOX Ozone Season Allowances
CAIR NOX Allowances

STEP 1
Select the type of
allowances to be
deducted.
STEP 2
Enter
compliance year
and Facility
information

Compliance Year

Account Number

You may
specify single
allowances or a
series of
allowances. In
the total
column, enter
the total
number of
allowances to
be deducted.
Enter separate
series or series
with a different
use date on a
separate line.

Facility Name

Start Number

End Number

Start

End

Year
STEP 3
List the
allowances to
be deducted by
serial number in
order of
deduction.

(Page 1 of ___ in this submission)

Total

│

EPA Form 7620-4 (Revised 12-2009)

Account # (from page 1)

STEP 4
Complete Steps 5
and 6. Read the
certification, print
name, and sign
and date.

(Page 2 of

in this submission)

Certification
I am authorized to make this submission on behalf of the owners and operators of the
source or units for which the submission is made. I certify under penalty of law that I have
personally examined, and am familiar with, the statements and information submitted in
this document and all its attachments. Based on my inquiry of those individuals with
primary responsibility for obtaining the information, I certify that the statements and
information are to the best of my knowledge and belief true, accurate, and complete. I am
aware that there are significant penalties for submitting false statements and information or
omitting required statements and information, including the possibility of fine or
imprisonment.
Name
Signature

Submission
Information

Date

Mail to the following address:
By regular/certified mail:

Or overnight mail:

U.S. Environmental Protection Agency
Clean Air Markets Division (6204J)
Attn: Annual Reconciliation
1200 Pennsylvania Avenue, NW
Washington, D.C. 20460

U.S. Environmental Protection Agency
Clean Air Markets Division (6204J)
Attn: Annual Reconciliation
1310 L Street, NW
Second Floor, Office 202B
Washington, DC 20005
(202) 343-9168

EPA Form 7620-4 (Revised 12-2009)

File Type	application/pdf
File Title	Allowance Deduction Form
Subject	allowance deduction, EPA, form 7620-4, Acid Rain Program
Author	EPA
File Modified	2010-01-20
File Created	2010-01-20