Form 3520-20D RFG and Anti-Dumping Program Report Instructions

RFG and Anti-Dumping Program Report Instructions
OMB Control No. 2060-0277; Expires: (Renewal Pending)

Reformulated Gasoline and Anti-Dumping Quarterly Summary
Report Form ID: RFG0400
EPA Form 3520-20D e-Alternate

Issue Date: September, 10 2003
Revised: March 21, 2008

Submit this report quarterly with RFG batch submissions and annually with Anti-Dumping batch and
annual RFG and Anti-Dumping compliance submissions. Independent Laboratories note special
instructions in fields 11 – 22.
No.

Field Name

Units

Field Formats, Codes & Special Instructions

1.

Report Form ID

AAAAAAA; Character.
Enter RFG0400

2.

Report Type

A; Character. Specify if the data submitted in this report is
original or if it being resubmitted. Submit only one original
report; any corrections or updates should be marked as a
resubmission.
O = Original
R = Resubmission

3.

CBI

A; Character. Specify if the data contained within the report
is claimed as Confidential Business Information (CBI) under
40 CFR Part 2, subpart B:
Y = Confidential Business Information
N = Non-Confidential Business Information

4.

Report Date

MM/DD/YYYY; Character. Enter the date the original or
resubmitted report is created.

5.

Report Period

YYQ; Character. Enter the compliance period covered by
this report. For example, the first quarter of 1995 would be
entered as “951” while the fourth quarter would be “954”.

6.

Reporter ID

AAAA; Character. Enter the EPA-assigned four-character ID
of the submitter. This may be the company itself or a third
party, such as an independent lab.

7.

Company ID

AAAA; Character. Enter EPA-assigned four-character ID for
the reporting company...

8.

Facility ID

AAAAA; Character. Enter EPA-assigned five-character ID
for the facility.

9.

Starting Batch ID

AAAAAA; Character. Lowest Batch Number of the Reports
being submitted

10

Ending Batch ID

AAAAAA; Character. Highest Batch Number of the Reports
being submitted

11.

Number of Batch
Reports Being
Submitted

AAA; Character. Total number of batch reports submitted for
this quarter

12.

Annual Compliance
Designation
3520-30E/RFG0500

A; Character. Indicate if this report is included in the
submission. Independent Labs always answer “N”:
Y = Yes
N = No
(Report for RFG Only)

1 of 3

RFG and Anti-Dumping Program Report Instructions
OMB Control No. 2060-0277; Expires: (Renewal Pending)

Reformulated Gasoline and Anti-Dumping Quarterly Summary
Report Form ID: RFG0400
EPA Form 3520-20D e-Alternate

Issue Date: September, 10 2003
Revised: March 21, 2008

13.

RVP Averaging Report

A; Character. Indicate if this report is included in the
submission. Independent Labs always answer “N”:
Y = Yes
N = No
(Report for RFG Only)

14.

VOC Emissions
Performance Averaging
Report
3520-20M/RFG1300

A; Character. Indicate if this report is included in the
submission. Independent Labs always answer “N”:
Y = Yes
N = No
(Report for RFG Only)

15.

NOx Emissions
Performance Averaging
Report
3520-20L/RFG1200

A; Character. Indicate if this report is included in the
submission. Independent Labs always answer “N”:
Y = Yes
N = No
(Report for RFG Only)

16.

Toxics Emissions
Performance Averaging
Report
3520-20I/RFG0900

A; Character. Indicate if this report is included in the
submission. Independent Labs always answer “N”:
Y = Yes
N = No
(Report for RFG Only)

17.

Benzene Content
Averaging Report
3520-20J/RFG1000

A; Character. Indicate if this report is included in the
submission. Independent Labs always answer “N”:
Y = Yes
N = No
(Report for RFG Only)

18.

Oxygen Content
Averaging Report
3520-20Q/RFG1700

A; Character. Indicate if this report is included in the
submission. Independent Labs always answer “N”:
Y = Yes
N = No
(Report for RFG Only)

19.

Sulfur, T90 and Olefins
Content Averaging
Report

A; Character. Indicate if this report is included in the
submission. Independent Labs always answer “N”:
Y = Yes
N = No
(Report for RFG Only)

20

Credit Transfer
Summary Reports
3520-20P/RFG1600

A; Character. Indicate if this report is included in the
submission. Independent Labs always answer “N”:
Y = Yes
N = No
(Report for RFG Only)

21.

Averaging Areas
Report
3520-20N/RFG1400

A; Character. Indicate if this report is included in the
submission. Independent Labs always answer “N”:
Y = Yes
N = No
(Report for RFG Only)

2 of 3

RFG and Anti-Dumping Program Report Instructions
OMB Control No. 2060-0277; Expires: (Renewal Pending)

Reformulated Gasoline and Anti-Dumping Quarterly Summary
Report Form ID: RFG0400
EPA Form 3520-20D e-Alternate
22.

Anti-Dumping Program
Annual Report
3520-20H/RFG0800

Issue Date: September, 10 2003
Revised: March 21, 2008
A; Character. Indicate if this report is included in the
submission. Independent Labs always answer “N”:
Y = Yes
N = No

Electronic Submission Sample Record:
RFG0400,O,Y,02/28/2007,064,1234,1234,09876,000001,000100,100,N,Y,Y,Y,Y,Y,Y,Y,Y,Y,N
Paperwork Reduction Act Statement
The public reporting and recordkeeping burden for this collection of information is disclosed in the
estimates of the individual report form instructions. 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 (2822), 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 of 3