5900-144 Methyl Bromide Importer Quarterly Report

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Overview

Instructions
Section 1
Section 2
Section 3
Summary
Reference List

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Sheet 1: Instructions

	U.S. Environmental Protection Agency
	Stratospheric Ozone Protection Program
	Methyl Bromide Importer Quarterly Report (Sec 82.13)
	Version 1.0
	Last Updated: December 2017
	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.
	The public reporting and recordkeeping burden for this collection of information is estimated to average 2 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 Avenue 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
	OMB Control Number: 2060-0482
	Expiration Date: 8/31/2018

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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

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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

Côte 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

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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, and QPS; however, it is expected that all material imported for second party transformation, second party destruction, and QPS 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

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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

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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
						Côte 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