Form 5900-172 Agent Notice of Delegation

United States Environmental Protection Agency

OMB Nos. 2060-0258 and 2060-0667

Acid Rain, CSAPR, and Texas SO2 Programs

Approval Expires 03/31/2022

Agent Notice of Delegation
For more information, see instructions and refer to 40 CFR 72.26, 97.418, 97.518, 97.618, 97.718, 97.818, 97.918 and 97.1018.

STEP 1
Enter the information for the
Designated Representative
orAlternate Designated
Representative delegating
authority to an Agent to
make electronic
submissions on his or her
behalf.

Representative Name (First, Middle Initial, Last)

Representative Company Name

Representative Full Mailing Address

Representative Email Address

Representative Phone Number

STEP 2
Mark the box, if appropriate.

□

Representative Fax Number

Remove ALL Agents for the Representative listed in Step 1.

STEP 3
Enter the information for the
Agent to whom the
Designated Representative or
Alternate Designated
Representative is delegating
authority to make electronic
submissions on his or her
behalf.

Agent Name (First, Middle Initial, Last)

Agent Company Name

Agent Full Mailing Address

Agent Email Address

Agent Phone Number

EPA Form 5900-172 (Revised 10-2020)

Agent Fax Number

Agent Notice of Delegation
Page 2 of 4

STEP 4
Check the CBS Agent Types
that apply for the Agent
listed in Step 3. See
instructions for description
of Agent Types.

Add CBS Agent Type(s) for Agent listed in
Step 3:

□
□
□
□

Source Management
Allowance Trading
General Account Management
Compliance

Remove CBS Agent Type(s) for Agent listed in
Step 3:

□
□
□
□

Source Management
Allowance Trading
General Account Management
Compliance

STEP 4 (continued)
Check the ECMPS Agent
Types that apply for the
Agent listed in Step 3. See
instructions for
description of Agent
Types.

Add ECMPS Agent Types(s) for Agent
listed in Step 3:

Remove ECMPS Agent Type(s) for Agent listed
in Step 3:

□

Retrieve Monitoring Plan, QA and
Emissions Data

□

Retrieve Monitoring Plan, QA and
Emissions Data

□

Submit Monitoring PlanData

□

Submit Monitoring Plan Data

Submit Monitoring Plan and QA Data

□

Submit Monitoring Plan, QA and
Emissions Data

□

□
□

EPA Form 5900-172 (Revised 10-2020)

(You must specify Plants and
Units – See instructions.)

(You must specify Plants and
Units – See instructions)

(You must specify Plants and
Units – See instructions.)

(You must specify Plants and
Units – See instructions.)

Submit Monitoring Plan and QA Data

(You must specify Plants and
Units – See instructions.)

Submit Monitoring Plan, QA and
Emissions Data

(You must specify Plants and
Units – See instructions.)

Agent Notice of Delegation
Page 3 of 4

STEP 5
The Designated Representative or Alternate Designated Representative must read the certification
statements, sign, and date.
Acid Rain Program
I agree that any electronic submission to the Administrator that is by an agent identified in this notice of
delegation and of a type listed for such agent in this notice of delegation and that is made when I am a
designated representative or alternate designated representative, as appropriate, and before this notice of
delegation is superseded by another notice of delegation under 40 CFR 72.26(d) shall be deemed to be an
electronic submission by me.
Until this notice of delegation is superseded by another notice of delegation under 40 CFR 72.26(d), I agree
to maintain an email account and to notify the Administrator immediately of any change in my email address
unless all delegation of authority by me under 40 CFR 72.26 is terminated.
CSAPR NOX Annual Trading Program
I agree that any electronic submission to the Administrator that is made by an agent identified in this notice
of delegation and of a type listed for such agent in this notice of delegation and that is made when I am a
designated representative or alternate designated representative, as appropriate, and before this notice
of delegation is superseded by another notice of delegation under 40 CFR 97.418(d) shall be deemed to
be an electronic submission by me.
Until this notice of delegation is superseded by another notice of delegation under 40 CFR 97.418(d), I
agree to maintain an email account and to notify the Administrator immediately of any change in my email
address unless all delegation of authority by me under 40 CFR 97.418 is terminated.
CSAPR NOX Ozone Season Group 1 Trading Program
I agree that any electronic submission to the Administrator that is made by an agent identified in this notice
of delegation and of a type listed for such agent in this notice of delegation and that is made when I am a
designated representative or alternate designated representative, as appropriate, and before this notice
of delegation is superseded by another notice of delegation under 40 CFR 97.518(d) shall be deemed to
be an electronic submission by me.
Until this notice of delegation is superseded by another notice of delegation under 40 CFR 97.518(d), I
agree to maintain an email account and to notify the Administrator immediately of any change in my email
address unless all delegation of authority by me under 40 CFR 97.518 is terminated.
CSAPR NOX Ozone Season Group 2 Trading Program
I agree that any electronic submission to the Administrator that is made by an agent identified in this notice
of delegation and of a type listed for such agent in this notice of delegation and that is made when I am a
designated representative or alternate designated representative, as appropriate, and before this notice
of delegation is superseded by another notice of delegation under 40 CFR 97.818(d) shall be deemed to
be an electronic submission by me.
Until this notice of delegation is superseded by another notice of delegation under 40 CFR 97.818(d), I
agree to maintain an email account and to notify the Administrator immediately of any change in my email
address unless all delegation of authority by me under 40 CFR 97.818 is terminated.

EPA Form 5900-172 (Revised 10-2020)

Agent Notice of Delegation
Page 4 of 4

CSAPR NOX Ozone Season Group 3 Trading Program
I agree that any electronic submission to the Administrator that is made by an agent identified in this
notice of delegation and of a type listed for such agent in this notice of delegation and that is made when I
am a designated representative or alternate designated representative, as appropriate, and before this
notice of delegation is superseded by another notice of delegation under 40 CFR 97.1018(d) shall be
deemed to be an electronic submission by me.
Until this notice of delegation is superseded by another notice of delegation under 40 CFR 97.1018(d), I
agree to maintain an email account and to notify the Administrator immediately of any change in my email
address unless all delegation of authority by me under 40 CFR 97.1018 is terminated.
CSAPR SO2 Group 1 Trading Program
I agree that any electronic submission to the Administrator that is made by an agent identified in this notice
of delegation and of a type listed for such agent in this notice of delegation and that is made when I am a
designated representative or alternate designated representative, as appropriate, and before this notice of
delegation is superseded by another notice of delegation under 40 CFR 97.618(d) shall be deemed to be
an electronic submission by me.
Until this notice of delegation is superseded by another notice of delegation under 40 CFR 97.618(d), I
agree to maintain an email account and to notify the Administrator immediately of any change in my email
address unless all delegation of authority by me under 40 CFR 97.618 is terminated.
CSAPR SO2 Group 2 Trading Program
I agree that any electronic submission to the Administrator that is made by an agent identified in this notice
of delegation and of a type listed for such agent in this notice of delegation and that is made when I am a
designated representative or alternate designated representative, as appropriate, and before this notice of
delegation is superseded by another notice of delegation under 40 CFR 97.718(d) shall be deemed to be
an electronic submission by me.
Until this notice of delegation is superseded by another notice of delegation under 40 CFR 97.718(d), I
agree to maintain an email account and to notify the Administrator immediately of any change in my email
address unless all delegation of authority by me under 40 CFR 97.718 is terminated.

EPA Form 5900-172 (Revised 10-2020)

Texas SO2 Trading Program
I agree that any electronic submission to the Administrator that is made by an agent identified in this notice
of delegation and of a type listed for such agent in this notice of delegation and that is made when I am a
designated representative or alternate designated representative, as appropriate, and before this notice of
delegation is superseded by another notice of delegation under 40 CFR 97.918(d) shall be deemed to be
an electronic submission by me.
Until this notice of delegation is superseded by another notice of delegation under 40 CFR 97.918(d), I
agree to maintain an email account and to notify the Administrator immediately of any change in my email
address unless all delegation of authority by me under 40 CFR 97.918 is terminated.

Print Representative Name

Date

EPA Form 5900-172 (Revised 10-2020)

Representative Signature

Instructions for the Agent Notice of Delegation
Note: Designated Representatives can submit the Notice of Delegation online through the CAMD Business
System (CBS) at https://camd.epa.gov/CBS/login/auth. The Designated Representative must have a user
ID and password. If the Designated Representative needs a user ID and password, he/she should send
an email to CAMDForms@epa.gov.
A Designated Representative may delegate, to one or more natural persons, his or her authority to make
an electronic submission on his or her behalf, in a format prescribed by the Administrator. In order to
delegate authority to make an electronic submission to the Administrator on his or her behalf, the
Designated Representative must submit to the Administrator a notice of delegation. This notice shall be
effective upon receipt by the Administrator and until receipt by the Administrator of a superseding notice of
delegation. The superseding notice of delegation may replace any previously identified agent, add a new
agent, or eliminate entirely any delegation of authority. Note that the agent delegation applies to all of the
CAMD programs for which the Designated Representative has assumed responsibility.
Agents can be given varying levels of authority, and a person may be designated as more than one type of
Agent. In addition, a Representative may assign more than one person the same Agent type.
Please type or print.
STEP 1 Enter the information for the Representative delegating authority to an Agent to make electronic
submissions on his or her behalf. Note that the agent delegation applies to all of the CAMD
programs for which the Representative has assumed responsibility.
STEP 2 Mark the box if you wish to remove ALL the agents currently assigned to the Representative listed
in Step 1.
STEP 3 Enter the information for the Agent to whom the Representative is delegating authority to make
electronic submissions on his or her behalf.
STEP 4 Check the CBS and/or ECMPS Agent types that apply for the Agent listed in Step 3.
CBS Agent Types:
Source Management - An Agent who has the authority to perform the following using the CAMD
Business System (CBS): add or edit facility, unit, owner, operator, representative information
(Certificates of Representation), or provide facility contact information.
Allowance Trading - An Agent who has the authority to perform allowance transfers using CBS.
General Account Management - An Agent who has the authority to perform the following using
CBS: add or edit account information for existing general accounts, representative and binding
party information; or add a new general account.
Compliance - An Agent who has the authority to perform the following annual compliance related
tasks using CBS: submit annual compliance certifications (if required); submit allowance
deduction information and submit common stack allowance deduction information.
ECMPS Agent Types:
Retrieve Monitoring Plan, QA, and Emissions Data - An Agent who has the authority to retrieve
monitoring plan, QA, and emissions data from the EPA host system, and load it into their
Emissions Collection and Monitoring Plan System (ECMPS) Client Tool. Retrieve agents have
access to all facilities and units for a representative, since they are only able to retrieve data from
the EPA host system but CANNOT submit to the EPA host system.

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Submit Monitoring Plan Data - An Agent who has the authority to retrieve and submit monitoring
plan data from the ECMPS Client Tool up to the EPA host system, for all units for which that
responsibility has been assigned. You MUST include a list of facilities and units for which
this agent type applies. See instructions below. *
Submit Monitoring Plan and QA Data - An Agent who has the authority to retrieve and submit
monitoring plan and QA data from the ECMPS Client Tool up to the EPA host system, for all units
for which that responsibility has been assigned. If you assign a person as a Submit Monitoring
Plan and QA Data agent, you do not need to also assign the person as a Submit Monitoring Plan
Data agent. You MUST include a list of facilities and units for which this agent type applies.
See instructions below. *
Submit Monitoring Plan, QA, and Emissions Data - An Agent who has the authority to retrieve
and submit monitoring plan, QA, and emissions data from the ECMPS Client Tool up to the EPA
host system, for all units for which that responsibility has been assigned. If you assign a person
as a Submit Monitoring Plan, QA, and Emissions Data agent, you do not need to also assign the
person as a Submit Monitoring Plan Data or Submit Monitoring Plan and QA Data agent. You
MUST include a list of facilities and units for which this agent type applies. See instructions
below. *
* Specifying Facilities and Units for ECMPS Agent Types: In order to ensure that submittal
authority is correctly delegated and to avoid facility ID and unit ID discrepancies, you MUST
include a list of Facilities and Units generated using the CAMD Business System (CBS). Anyone
with a CBS user ID and password can generate this list for any Representative. To generate this
list, log in to CBS and click the Reports button on the upper left side of the home page. In Step 1,
select People Reports. In Step 2, select Units by Representative. Click the Continue button. Find
the Representative in the list, highlight the name and click the Select button. Click the Print button
to print the report. Once the report is printed, check the Facility Name/Unit IDs on the printed list
as appropriate for the selected agent type. If you wish to select all Facilities and Units, you can
check the "Select All Units" box at the top of the printed list. You can NOT check the boxes online.
You must check them manually on the printed list.
STEP 5 The Representative delegating authority to an Agent must read the certification statements, and
sign and date the notice of delegation.
Submission Instructions
Email signed form to: CAMDForms@epa.gov.
If you have any questions, please send an email to CAMDForms@epa.gov.
Paperwork Burden Estimate
This collection of information is approved by OMB under the Paperwork Reduction Act, 44 U.S.C. 3501 et seq. (OMB
Control Nos. 2060-0258 and 2060-0667). Responses to this collection of information are voluntary (40 CFR 72.26,
73.33, 97.418, 97.420, 97.518, 97.520, 97.618, 97.620, 97.718, 97.720, 97.818, 97.820, 97.918, 97.920, 97.1018
and 97.1020). 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. The public reporting and recordkeeping burden
for this collection of information is estimated to be 1 hour per response annually. 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 to the Regulatory Support Division Director, U.S. Environmental Protection Agency (2821T), 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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