Pesticide Registration Fee Waiver Type A

INSTRUCTIONS TO REGISTRANTS FOR FILING 2020
PESTICIDE REGISTRATION MAINTENANCE FEES
The Federal Insecticide, Fungicide and Rodenticide Act (FIFRA) requires everyone who holds an
active or suspended pesticide registration to pay an annual fee to keep the registration in effect.
Please note that checks, bank drafts and money orders are no longer an acceptable form of
payment.
The fee is $4,000 for each registration up to the maximum fees which can be assessed to a single
registrant. For certain qualified small businesses, there is now a provision for a 25% discount of
the fee on the first product. A qualified small business must have 500 or fewer employees; during
the 3-year period prior to the most recent maintenance fee billing, have average annual global
gross revenue from all sources (includes pesticide and non-pesticide revenue) that did not
exceed $10 million; and hold not more than 5 Section 3 and Section 24(c) pesticide registrations
combined. See fee schedules on page 10 for details. The following documentation is required
for Agency staff to evaluate your eligibility for the 25% discount:



Documentation of payroll information such as a recent IRS Form 941 or a statement
certifying the total number of individuals employed by the applicant;
Documentation of the 3-year average annual global gross revenue for 2016, 2017 and
2018 from all sources which may include the first page of IRS Forms 1065, 1120, or
1120S, as applicable, or audited financial statements. Please note that financial
information must include any parent company or affiliates.
2020 MAINTENANCE FEES ARE DUE BY WEDNESDAY, JANUARY 15, 2020

Pay On-Line (See Page 8 for Instructions)
Registrations for which the fee is not paid will be canceled, by order and without a hearing. If you
do not pay the fee to keep a registration in effect, you will be permitted until January 15, 2021, to
dispose of existing stocks of the pesticide, except in special circumstances when less time may be
granted.
Paperwork Reduction Act Notice
Public reporting burden for the collection of information is estimated to average 0.9 hours per response, including
time for reviewing the instructions, searching existing data sources, gathering and maintaining the data needed, and
completing and reviewing the collection of information. Send comments regarding the burden estimate or any other
aspect of this collection of information, including suggestions for reducing the burden to:
Director, Collection Strategies Division (2822)
U.S. Environmental Protection Agency
1200 Pennsylvania Avenue NW
Washington, DC 20460
Or to:

Office of Information and Regulatory Affairs
Office of Management and Budget
Washington, DC 20503

Include the OMB Number (OMB 2070-0179) in any correspondence.

1

CONTENTS OF MAILING
Please ensure that you have received the following items which will be mailed in November 2019:

A transmittal letter from Richard P. Keigwin, Jr., the Director of the Office of Pesticide
Programs;

A computer printout listing all your active or suspended registrations under either section
3 or section 24(c), as shown in our records as being registered on or before October 1,
2019 and do not have a pending cancellation notice in the Federal Register; and

The Pesticide Registration Maintenance Fee Filing Form already labeled with your EPA
company number and company name and address of record for filing your response. Please
include an email address on the form as we hope to move to an electronic platform in the
next few years.
You will need all these items. If any of them are missing or have questions, please send an email
to Mick Yanchulis at yanchulis.michael@epa.gov or call (703) 347-0237.
GENERAL INSTRUCTIONS
You must choose which of your registrations to support by paying the maintenance fee, and which
to ask us to cancel. You report your decisions about individual registrations to us by annotating
the computer printout. You then summarize your decisions on the Pesticide Registration
Maintenance Fee Filing Form and return the annotated printout and a copy of the form. See
mailing instructions on page 8 of these instructions.
REGISTRATIONS SUBJECT TO THE MAINTENANCE FEE
The fee must be paid to keep in effect all primary registrations granted under FIFRA section 3,
and all registrations to meet special local needs granted under FIFRA section 24(c). Please note
that only products registered on or before October 1, 2019, are subject to the 2020 maintenance
fee. Products currently under a pending cancellation notice in the Federal Register have been
removed from product listings because a maintenance fee cancellation cannot supersede the
pending cancellation notice.
Section 3 registrations for which the maintenance fee is required are identified in the printout by a
two-element registration number in which your EPA Company Number is the first element.
Section 24(c) registrations for which the maintenance fee is required are identified in the printout
by a three-element number including the abbreviation of the state issuing the registration, the last
two digits of the year it was issued, and a four-digit serial number.
FEE WAIVER FOR MINOR AGRICULTURAL USE
The 1990 Farm Bill amended FIFRA to allow the Administrator to reduce or waive maintenance
fees for minor agricultural use registrations, when she determines that the fee would be likely to
cause significant impact on the availability of the pesticide for the use. If you believe that one or
more of your registrations may qualify for this reduction or waiver, please send an email to Mick
Yanchulis at yanchulis.michael@epa.gov or call (703) 347-0237 for special instructions.
2

FEE WAIVER FOR PUBLIC HEALTH PESTICIDES AS DEFINED BY THE FOOD
QUALITY PROTECTION ACT
The Food Quality Protection Act (FQPA) allows the Administrator to waive the maintenance fee
for public health pesticides if the Administrator determines, based on information supplied by the
registrant that the economic return to the registrant from sales of the pesticide does not support the
registration or reregistration of the pesticide.
To qualify as a public health pesticide, as defined by FQPA, the following conditions must be met:
1. The public health use of the pesticide product must be a minor use. FIFRA defines “minor
use” in Section 2(ll).
2. The pesticide must be registered for use and used predominantly in public health
programs.
3. The use of the pesticide in the public health program must be for vector control or for other
recognized public health protection purposes.
If you believe that one or more of your registrations meet all three of these criteria, please include
a written justification which identifies the product(s) and explains why the product(s) meet the
statutory definition of a public health pesticide and why the fee should be waived.
25% DISCOUNT ON THE FIRST PRODUCT FOR QUALIFIED SMALL BUSINESSES
For certain qualified small businesses, there is now a provision for a 25% discount of the fee on
the first product. A qualified small business must have 500 or fewer employees; during the 3-year
period prior to the most recent maintenance fee billing, have average annual global gross
revenue from all sources (includes pesticide and non-pesticide revenue) that did not exceed
$10 million; and hold not more than 5 Section 3 and Section 24(c) pesticide registrations combined.
The following items are required to allow Agency staff to evaluate your eligibility for the 25%
waiver:



Documentation of payroll information such as a recent IRS Form 941 or a statement
certifying the total number of individuals employed by the applicant;
Documentation of the 3-year average annual global gross revenue for the 3-year period
prior to this maintenance fee billing (2016, 2017 and 2018) from all sources which may
include the first page of IRS Forms 1065, 1120, or 1120S, as applicable, or audited
financial statements. Please note that financial information must include all data from the
company listed on the form and any affiliates.

3

REGISTRATIONS NOT SUBJECT TO THE MAINTENANCE FEE
The maintenance fee requirement does not apply to supplemental registrations of distributors
which are identified by a three-element registration number in which your EPA company number
is the third element. No supplemental registrations are included on your product listing.
FIRMS WITH MORE THAN ONE EPA COMPANY NUMBER
If your firm holds registrations under more than one EPA company number, you will receive a
separate mailing of each account. It may be to your advantage to combine your maintenance fee
filings for all subdivisions of your firm and discard the other filing forms you received. On this
single form for your combined return please be sure to (a) list in block B all the EPA company
numbers covered by the combined return, (b) report in block C only the combined totals for all
company numbers included in the return, and (c) append to the form you send to EPA the annotated
printouts for all the company numbers included in the return.
FEE PAYMENT FOR THIRD-PARTY REGISTRATIONS
If you wish to pay the maintenance fee for a registration held by another firm or third party, please
send an email to Mick Yanchulis at yanchulis.michael@epa.gov or call (703) 347-0237 for special
instructions.
EPA'S FEDERAL TAX IDENTIFICATION NUMBER
In case you need it for your internal records of fee payments, the Environmental Protection
Agency’s Federal Tax Identification Number is 52-085-2695.
ASSISTANCE
If you have questions about entries on the computer printout or about how to respond to the
maintenance fee requirement, you can get assistance by sending an email to Mick Yanchulis at
yanchulis.michael@epa.gov or calling (703) 347-0237.
STEP-BY STEP INSTRUCTIONS
1. Check the enclosed computer printout carefully against your own records and confirm
the accuracy of the information. The printout may include some errors, it may include some
entries for which you've already requested cancellation, or it may omit some registrations
you think are active. Please call any such errors or omissions to our attention when you file
your response. Handle any errors or omissions as described below. Contact Mick Yanchulis
(see above) if you're not sure.
4

a. Errors in Product Name: Correct misspellings or other errors in the product name
directly on the printout.
b. Previously Canceled Registrations: If the printout includes registrations you
think have already been canceled, circle the keyword "CAN" beside the registration
number, and we'll correct the entry in our records. Note that paying the fee will not
reactivate a registration which has already been canceled.
c. Pending Cancellations: If the printout includes registrations you have already
asked us to cancel, circle the keyword "CAN" beside the registration number.
d. Suspended Registrations: You must pay the fee to maintain a registration which
has been suspended. Circle the keyword "PAY" beside the registration number.
Payment of the fee for a suspended registration does not lift the suspension, but
non-payment will result in its cancellation.
e. Transferred Registrations: If the printout includes registrations for which EPA
has already approved in writing a transfer to another registrant, circle the keyword
"TRN" beside the registration number, and identify the registrant who received the
transfer in the blank to the right of the product name. Please mark this response
ONLY for transfers EPA has already approved. If you aren't sure whether a transfer
has been approved by EPA, contact Mick Yanchulis for help.
f. Registrations included in error: If the printout includes entries which are not your
registrations, circle the keyword "ERR" beside the registration number.
g. Omitted Registrations: If you think an active registration for which you wish to
pay the fee has been omitted from the printout, identify it by registration number
and product name (or by 24(c) number and description) on a separate sheet of paper,
and include that supplemental list with your response.
2. Decide which registrations to support, and which to cancel. When you've identified and
corrected any discrepancies between the printout and your own records, you must decide
which registrations to support by paying the maintenance fee, and which to cancel. This
choice is entirely up to you.
3. Report your decisions by annotating the printout. Make sure to circle one of the five
keywords beside the registration number for each entry. Circle "PAY" if you decide to
support the registration by paying the fee. Circle “WAIV” if you are requesting a minor
agricultural use or public health pesticide waiver. Circle "CAN" if you decide not to pay
the fee and want EPA to cancel the registration.
When you reach the bottom of each page of the printout, count the number of times you've
circled each keyword on that page, and write the counts for that page at the bottom of the
keyword columns. Continue through any additional pages of the printout. Please double
check to ensure that you have circled one keyword for every line on the printout.
5

4. Complete the Maintenance Fee Filing Form.
Section A. Registrant Identification
The EPA company number, registrant name, agent of record (if any) and address of record
will all appear on a special label on the form. Type or print legibly any corrections to this
information to the right of the label.
Section B. Company Numbers
Leave this area blank unless your firm holds registrations under more than one EPA
company number and you are filing a combined return for more than one account on a
single form. If this is the case enter here all EPA-assigned company numbers covered by
this return, and be sure to include all annotated printouts with your response to EPA in
Washington, D.C.
Section C. Maintenance Fee Determination
Line 1. Enter the total number of registrations on all attached printouts for which you
circled the keyword "PAY".
Line 2. Enter the total number of registrations on all attached printouts for which you
circled the keyword "TRN".
Line 3. Enter the total number of registrations on all attached printouts for which you
circled the keyword "CAN".
Line 4. Enter the total number of registrations on all attached printouts for which you
circled the keyword "ERR" or “WAIV”
Line 5. Enter the total number of registrations omitted from the printouts which you've
listed separately as additions, and which you will support by paying the fee.
Line 6. Enter the sum of lines 1 and 5. This is the total number of registrations you will
support by paying the fee.
Line 7. Enter the fee due. Determine which Fee Table to use.
TABLE A:
If you do not meet the qualifications for a Small Business or a Qualified Small
Business as described below, use Fee Table A on page 10 of these instructions.
TABLE B:
A Small Business registrant employed 500 or fewer people and during the 3-year
period prior to this maintenance fee billing (2016, 2017 and 2018), had average
annual global gross revenue from pesticide sales that did not exceed $60 million.
6

If you qualify, write “Small Business” in the space to the right of line 7 and provide
documentation of the number of employees (documentation may, in part, include
payroll information and a recent IRS Form 941, together with a statement certifying
the total number of individuals employed by the applicant) and the 3-year average
annual global gross revenue from pesticide sales (documentation may include the
first page of income tax returns filed with the Internal Revenue Service which
includes gross receipts or sales, such as IRS Forms 1065, 1120, or 1120S, as
applicable, the applicant’s most recent IRS 941, and audited financial statements).
A Small Business shall use Fee Table B on page 10 of these instructions.
TABLE C:
A Qualified Small Business registrant employed 500 or fewer people and during
the 3-year period prior to this maintenance fee billing (2016, 2017 and 2018), had
average annual global gross revenue from all sources (includes pesticide and
non-pesticide revenue) that did not exceed $10 million, and hold not more than
five (5) Section 3 and Section 24(c) pesticide registrations combined. If you qualify,
write “Qualified Small Business” in the space to the right of line 7 and provide
documentation of the number of employees (documentation may, in part, include
payroll information and a recent IRS Form 941, together with a statement certifying
the total number of individuals employed by the applicant) and the 3-year average
annual global gross revenue from all sources, pesticide and non-pesticide
(documentation may include the first page of income tax returns filed with the
Internal Revenue Service which includes gross receipts or sales, such as IRS Forms
1065, 1120, or 1120S, as applicable, the applicant’s most recent IRS 941, and
audited financial statements). A Qualified Small Business shall use Fee Table C
on page 10 of these instructions.
Using the appropriate Fee Table, either Table A, Table B or Table C, determine the fee
due by looking up the number you've entered on line 6--the number of registrations you
will support--in the appropriate Fee Table at the end of these instructions, and enter the
fee amount from the table in line 7. This is the amount due by January 15, 2020. If the
number on line 6 is zero, enter a zero on line 7 as well.
Line 8. Enter Pay.gov 8-digit Tracking ID or EFT for an electronic transfer with the
date of the transfer. Please note that checks, bank drafts and money orders are no
longer an acceptable form of payment.
Section D. Authorized Company Representative


Type or print the name, title, telephone number, and email address of the person signing
the filing form. Sign it and date it. Please include an email address on the form as we hope
to move to an electronic platform in the few years.

7

5. Pay the Fee
Checks, bank drafts and money orders are no longer an acceptable form of payment.
Pay Maintenance Fees On-Line
Maintenance fees may be paid on-line via credit card or electronic fund transfer. To make
a payment on-line, visit www.pay.gov. At the top of the page, click on “Find an Agency”
which will bring up a list of all Agencies in alphabetical order. Click on E and then look
for Environmental Protection Agency (EPA): Office of Pesticide Programs and click on it.
It should be the 8th item in the E category. You will then have 3 selections. The last one
should be Pesticide Registration Maintenance Fee, Form Number 8570-30. Click on
Continue beneath the form number and complete the form. The maximum amount that may
be charged to a credit card is $24,999. This limit is both a transaction and daily limit. There
is no limit on the amount that may be paid via electronic fund transfer (Bank Account –
ACH). Please note the following instructions if making a Pay.gov ACH payment:
Automatic debits to your business account may be blocked by the bank. This security
feature is called an ACH Debit Block, ACH Positive Pay, or ACH Fraud Prevention Filters.
ACH Debit Block works by having an allowed list of ACH Company IDs. The list enables
allowable automatic debits. If the ACH Company ID accompanying a request for an
automatic debit is not on the allowed list, the payment is rejected. It is returned with and
ACH Return Reason Code of R29 -- Corporate Customer Advises Not Authorized. You
must contact your bank to add the US Government agency you need to pay to your list.
The ACH company ID (or ALC + 2) for the pesticide maintenance fee account are:
ID
6801009902
6801009909

Name
EPAOPPTS
EPAOPPTS

Payments also may be made via the Credit Gateway ACH Payment and Fedwire
(international). These payments are direct payments from the customer bank to Federal
Reserve Bank. Templates can be found at the end of these instructions. Please contact Mick
Yanchulis by either sending an email to yanchulis.michael@epa.gov or calling (703) 3470237.
6. Mail your return. Attach all pages of the annotated printout and any supplemental listings
of omitted registrations, the original copy of the filing form and the receipt from your online payment and send to one of the two addresses below based method of shipment:
Via U.S. Mail including Express Mail
U.S. Environmental Protection Agency
Office of Pesticide Programs (7504P)
Document Processing Desk (MFEE)
1200 Pennsylvania Ave., NW
Washington, DC 20460-0001

Via Private courier (Fed Ex, UPS, etc.)
U.S. Environmental Protection Agency
Office of Pesticide Programs (7504P)
Document Processing Desk (MFEE)
Room S-4900
2777 South Crystal Drive
Arlington, VA 22202
8

FINAL CHECKLIST
Before mailing your response, make sure you:


Circle one of the four keywords on every numbered line in the printout.



List by registration number and product name any registrations omitted from the printout
that are active registrations for which you are paying the fee.



Sign and date the filing form and include in Section D the name, email address and
telephone number of someone who will be able to answer questions about your response.
Please include an email address on the form as we hope to move to an electronic platform
in the next few years.



Include a copy of the receipt from your on-line payment. Please note that checks, bank
drafts and money orders are no longer an acceptable form of payment for the pesticide
maintenance fee. Also, the daily and transaction limits for credit card payments via
Pay.gov is $24,999.



Make a copy of the filing form, product list and payment information. Please send the
original copy to EPA and retain the copy for your files.



If you are a Small Business or a Qualified Small Business, please include documentation
of the number of employees. Documentation may, in part, include payroll information and
a recent IRS Form 941, together with a statement certifying the total number of individuals
employed by the applicant and the 3-year average sales. This documentation may include
the first page of income tax returns filed with the Internal Revenue Service which includes
gross receipts or sales, such as IRS Forms 1065, 1120, or 1120S, as applicable for 2016,
2017 and 2018, the applicant’s most recent IRS 941, and audited financial statements.



Keep one copy of the filing form for your records.



Attach all pages of the annotated printout(s) to one copy of the filing form and mail it to
Washington, DC or send it by courier (Fed Ex, UPS, DHL, etc.) to Arlington, VA.
REMINDERS



Maintenance fee responses must be postmarked by Wednesday, January 15, 2020.



EPA Federal Tax Identification Number: 52-085-2695.



Email address for assistance: yanchulis.michael@epa.gov



Telephone number for assistance: (703) 347-0237

9

2020 Pesticide Registration Maintenance Fee Tables
Fee Table A
# Regs
1
2
3
4
5
6
7
8
9
10
11
12
13
14

Fee Payments Required to Maintain Registrations in 2020
Fee ($)
# Regs
Fee ($)
# Regs
Fee ($)
# Regs
$4,000
15
$60,000
29
$116,000
60
$8,000
16
$64,000
30
$120,000
61
$12,000
17
$68,000
31
$124,000
62
$16,000
18
$72,000
32
$128,000
63
33– 50
$129,400
64
$20,000
19
$76,000
$24,000
20
$80,000
51
$133,400
65
$28,000
21
$84,000
52
$137,400
66
$32,000
22
$90,000
53
$141,400
67
$36,000
23
$92,000
54
$145,400
68
$40,000
24
$96,000
55
$149,400
69
$44,000
25
$100,000
56
$153,400
70 +
$48,000
26
$104,000
57
$157,400
$52,000
27
$108,000
58
$161,400
$56,000
28
$112,000
59
$165,400

Fee ($)
$169,400
$173,400
$177,400
$181,400
$185,400
$189,400
$193,400
$197,400
$201,400
$205,400
$207,000

Fee Table B
Fee Payments Required to Maintain Registrations in 2020 for a Small Business
# Regs
Fee ($)
# Regs
Fee ($)
# Regs
Fee ($)
# Regs
1
$4,000
11
$44,000
51
$83,100
61
2
$8,000
12
$48,000
52
$87,100
62
3
$12,000
13
$52,000
53
$91,100
63
4
$16,000
14
$56,000
54
$95,100
64
5
$20,000
15
$60,000
55
$99,100
65 +
6
$24,000
16
$64,000
56
$103,100
7
$28,000
17
$68,000
57
$107,100
8
$32,000
18
$72,000
58
$111,100
9
$36,000
19
$76,000
59
$115,100
20 – 50
$79,100
60
$119,100
10
$40,000
Note: Use this table only if you qualify as a small business as defined in FIFRA Section 4(i)(5).
Documentation is required to use Fee Table B. See page 6 of these instructions.

Fee Table C
Fee Payments Required to Maintain Registrations in 2020 for a Qualified Small Business
# Regs
Fee ($)
1
$3,000
2
$7,000
3
$11,000
4
$15,000
5
$19,000
Note: Documentation of a company’s 3-year average annual global gross revenue
and payroll information is required to use Fee Table C.
See pages 3, 6 and 7 of these instructions.

10

Fee ($)
$123,100
$127,100
$131,100
$135,100
$136,800

UNITED STATES ENVIRONMENTAL PROTECTON AGENCY
ACH Credit Instructions
Please provide the following instructions to your Financial Institution for the remittance of Automated
Clearing House (ACH) credits to the United States Environmental Protection Agency.

NACHA
Record
Type
Code

NACHA
Field

5
5
5
6
6

3
6
9
2
3&4

6
6
6

5
6
8

NACHA
Data Element Name

Company Name
Standard Entry Class Code
Effective Entry Date
Transaction Code*
Receiving DFI Identification (ABA
routing #) @
DFI Account Number
Amount
Receiving Company Name

Required Information

(enter the name of the payer)
CCD
(enter intended settlement date)
22
051036706
868010099000
(enter payment amount)
US EPA–FIFRA Co##### – (Up to 22
characters and add EPA Company No. in
place of #####)

*ACH debits are not permitted to this ABA routing number. All debits received will be automatically returned.
@ Bank Name: Credit Gateway – ACH Receiver, 33 Livingston Avenue, St. Paul, MN 55107 - 1-877-815-1206

Questions regarding these instructions should be directed to Laura Collier at (202) 564-7593 or Mick Yanchulis at
(703) 347-0237.

11

UNITED STATES ENVIRONMENTAL PROTECTION AGENCY
International ACH Transaction (IAT) ACH Credit Instructions
Please provide the following instructions to your U.S. correspondent Financial Institution for the remittance
of International Automated Clearing House (ACH) credits to the United States Environmental Protection
Agency.

NACHA
Record
Type Code

NACHA
Field

5
5
5
6
6

3
6
9
2
3&4

6
6

7
8

Addenda
Record

NACHA
Field

1st
1st
1st
2nd
2nd
3rd
3rd
4th
4th

3
4
6
3
4
3
4
3
4

4th
5th
5th

6
3
4

5th
6th
6th
7th
7th
Addenda
for
Remittance
Information

6
3
4
3
4

NACHA
Data Element Name
Company Name
Standard Entry Class Code
Effective Entry Date
Transaction Code*
GO Identification/Receiving DFI
Identification (ABA routing #)
Amount
Foreign Receiver’s Account Number /
DFI Account Number

Transaction Code
Foreign Payment Amount
Receiving Company Name
Originator Name
Originator Street Address
Originator City & State/Province
Originator Country & Postal Code
Originating DFI Name
Originating DFI Identification Number
Qualifier
Originating DFI Branch Country Code
Receiving DFI Name
Receiving DFI Identification Number
Qualifier
Receiving DFI Branch Country Code
Receiver Identification Number
Receiver Street Address
Receiver City & State/Province
Receiver Country & Postal Code
Payment Related Information

Required Information
(enter the name of the payer)
IAT
(enter intended settlement date)
22
051036706
(enter payment amount)
868010099000

US EPA

US EPA–FIFRA Co##### – (Up to 22
characters and add EPA Company No.
in place of #####)

*ACH debits are not permitted to this ABA routing number. All debits received will be automatically returned.
@ Bank Name: Credit Gateway – ACH Receiver, 33 Livingston Avenue, St. Paul, MN 55107 - 1-877-815-1206
Questions regarding these instructions should be directed to Laura Collier at (202) 564-7593 or Mick Yanchulis at
(703) 347-0237.

12

UNITED STATES ENVIRONMENTAL PROTECTION AGENCY
FEDWIRE INSTRUCTIONS
(for International Payments)
Please provide the following instructions to your Financial Institution for the remittance of Fedwire payments
to the United States Environmental Protection Agency.
Fedwire
Fedwire Field Name
Required Information
Field Tag
{1510}
{2000}
{3400}
{3400}
{3600}
{4200}
{4200}
{5000}
{6000}
{6000}
{6000}
{6000}

Type/Subtype
Amount
Receiver ABA routing number *
Receiver ABA short name
Business Function Code
Beneficiary Identifier (account number)
Beneficiary Name
Originator
Originator to Beneficiary Information –
Line 1
Originator to Beneficiary Information –
Line 2
Originator to Beneficiary Information –
Line 3

1000
(enter payment amount)
021030004
TREAS NYC
CTR
(or CTP)
868010099000
US EPA
(enter the name of the originator of the payment)
FIFRA Maintenance Fee

Originator to Beneficiary Information –
Line 4

(enter information to identify the purpose of the
payment)

Company Number XXXX
(enter information to identify the purpose of the
payment)

* The financial institution address for Treasury’s routing number is 33 Liberty Street, New York, NY 10045.
Agency Contact:
Laura Collier, Accountant
US Environmental Protection Agency
Office of the Chief Financial Officer
Office of Financial Services
Accounting and Reporting Section
(202) 564-7593
collier.laura@epa.gov

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