Form RFG2000 RFG & Anti-Dumping Annual Benzene Report (MSAT-2)

Annual Benzene Report – MSAT2
OMB Control No. 2060-0277 Expires: Renewal Pending

RFG & Anti-Dumping Annual Benzene Report (MSAT-2)
Report Form ID: RFG2000

Issue Date: 2/18/2008
Revised: 2/18/2008

A separate RFG & Anti-Dumping Annual Benzene Report must be submitted for each gasoline refinery
(facility) and aggregated for all import activity. This report is used to demonstrate compliance as well as
credit generation, trading and usage. MSAT-2 batch reporting requirements are met through the
submission of RFG & Anti-Dumping batch reports.
Reports using this form must be submitted annually by the last day in February.
Please check the RFG and Anti-Dumping Reporting Forms web site for updated instructions and report
form templates: http://www.epa.gov/otaq/regs/fuels/rfgforms.htm
For information on submitting this report using EPA’s Central Data Exchange (CDX) visit:
http://epa.gov/otaq/regs/fuels/cdxinfo.htm
No.

Field Name

Units

Field Formats, Codes, & Special Instructions

1.

Report Form ID

AAAAAAA; Character. Enter RFG2000 for this RFG &
Anti-Dumping Annual Benzene Report

2.

Report Type

A; Character. Submit only one Original report, submit any
corrections or updates as Resubmission(s):
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. This is the date the original or
resubmitted report is created.

5.

Report Year

YYYY; Character. Determined by the annual compliance
period.

6.

Company/Entity ID

AAAA; Character. The four Character EPA-assigned ID
for a company/entity (refiner, importer, etc.).

7.

Facility ID

AAAAA; Character. The five Character EPA-assigned ID
for a facility. Please include any preceding zeros.

8.

Total Volume

gallons

999999999; Number. Total volume of gasoline produced
at the refinery or imported during the averaging period.

9.

Annual Average
Benzene
Concentration

Volume
percent

9.99; Number. Average benzene concentration for the
averaging period as calculated in 40 CFR § 80.1238.

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Annual Benzene Report – MSAT2
OMB Control No. 2060-0277 Expires: Renewal Pending

RFG & Anti-Dumping Annual Benzene Report (MSAT-2)
Report Form ID: RFG2000

Issue Date: 2/18/2008
Revised: 2/18/2008

No.

Field Name

Units

Field Formats, Codes, & Special Instructions

10.

Maximum Average
Benzene
Concentration

Volume
percent

9.99; Number. Maximum average benzene concentration
for the averaging period per 40 CFR § 80.1240(b).

11.

Benzene Deficit
Carried Over

gallons
benzene

999999999999; Number. Any benzene deficit from the
previous reporting period per 40 CFR § 80.1230(b).

12.

Banked Credits
Carried Over

gallons
benzene

999999999999; Number. The number of banked
benzene credits from the previous reporting period.

13.

Early Benzene
Credits Generated

gallons
benzene

999999999999; Number. The number of early benzene
credits generated under 40 CFR §80.1275, if applicable.
If not applicable, enter “0”.

14.

Standard Benzene
Credits Generated

gallons
benzene

999999999999; Number. The number of standard
benzene credits generated under 40 CFR § 80.1290, if
applicable. If not applicable, enter “0”.

15.

Credits
Transferred To

gallons
benzene

999999999999; Number. The number of benzene credits
transferred to the refinery or importer, per 40 CFR §
80.1275, if applicable. If not applicable, enter “0”.

16.

Credits
Transferred To
Cost

$

999999999999; Number. The total cost of benzene
credits transferred to the refinery or importer, if applicable.
If not applicable, enter “0”.

17.

Credits
Transferred From

gallons
benzene

999999999999; Number. The number of standard
benzene credits generated under 40 CFR § 80.1290, if
applicable. If not applicable, enter “0”.

18.

Credits
Transferred From
Price

$

999999999999; Number. The total value of benzene
credits transferred from the refinery or importer, if
applicable. If not applicable, enter “0”.

19.

Credits Terminated
or Expired

gallons
benzene

999999999999; Number. The number of benzene credits
terminated or expired, if applicable. If not applicable,
enter “0”.

20.

Compliance
Benzene Value

gallons
benzene

999999999999; Number. The compliance benzene value
per §80.1240, if applicable. If not applicable, enter “0”.

21.

Banked Credits

gallons
benzene

999999999999; Number. The number of banked
benzene credits, if applicable. If not applicable, enter “0”.

Electronic Submission Sample Record:

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Annual Benzene Report – MSAT2
OMB Control No. 2060-0277 Expires: Renewal Pending

RFG & Anti-Dumping Annual Benzene Report (MSAT-2)
Report Form ID: RFG2000

Issue Date: 2/18/2008
Revised: 2/18/2008

Paperwork Reduction Act Statement
The public reporting and recordkeeping burden for this collection of information is estimated to average 20
minutes per response. 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.

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