9600-035 Mercury Electronic Reporting

Expires
2/28/2025

Late Submission Explanation
Submitting Official Information
Name of Authorized
Official

(first)

(middle)

(last)

Company Name

Position

Email Address

Phone Number

CBI:

D

CBI:

D

Mailing Address 1
Mailing Address 2
City

State

Postal
Code

(middle)

(last)

Country

Technical Contact
Name of Technical
Contact

(first)

Company Name

Position

Email Address

Phone Number

Mailing Address 1
Mailing Address 2
City

State

Postal
Code

Country

My company manufactures (other than imports) elemental mercury

D

My company reported amount of manufactured mercury in the most recent Chemical Data Reporting (CDR) reporting
cycle.
During the selected calendar year, my company manufactured (other than imported) a total of pounds of elemental mercury.

D

During the selected calendar year, my company stored between and pounds of elemental mercury on-site.
My company does not store elemental mercury on-site. D

D

During the selected calendar year, my company stored between and pounds of elemental mercury off-site.
My company does not store elemental mercury off-site. 0

D

During the selected calendar year, my company distributed pounds of elemental mercury into domestic commerce.
My company does not distribute elemental mercury. D

D

My company domestically distributed elemental mercury to the following industry : check all that apply

D

Additional Information:

D

My company imports elemental mercury to the United States

D

CBI

CBI

My company reported amount of imported mercury in the most recent Chemical Data Reporting (CDR) reporting cycle.
During the selected calendar year, my company imported a total of pounds of elemental mercury.

D

My company imported elemental mercury from the following country: check all that apply

D

During the selected calendar year, my company stored between and pounds of elemental mercury on-site.
My company does not store elemental mercury on-site. D

D

During the selected calendar year, my company stored between and pounds of elemental mercury off-site.
My company does not store elemental mercury off-site. 0

D

During the selected calendar year, my company distributed pounds of elemental mercury into domestic commerce.

D

Form 9600-035

Paperwork Reduction Act: This collection of information is approved by OMB under the Paperwork Reduction
Act, 44 U.S.C. 3501 et seq. (OMB Control No. 2070-0207). Responses to this collection of information are
mandatory for certain persons, as specified at 40 CFR 713.7. 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 23 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 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.

Claim: Technical Contact Information
Applicable Only to General CBI Claims

Yes

No

CBI

A person may assert a claim of confidentiality for the specific chemical identity of a chemical substance as described in § 711.15(b)(3) of this part only if the identity of
that chemical substance is treated as confidential in the Master Inventory File as of the time the report is submitted for that chemical substance. Generic chemical
identities and accession numbers may not be claimed as confidential. To assert a claim of confidentiality for the identity of a reportable chemical substance, you must
submit with the report detailed written answers to the questions from subsection (b) and to the following questions.
1. Please specifically explain what harm to the competitive position of your business would be likely to result from the release of the information
claimed as confidential. How would that harm be substantial? Why is the substantial harm to your competitive position likely (i.e., probable) to be
caused by release of the information rather than just possible? If you claimed multiple types of information to be confidential (e.g. site
information, exposure information, environmental release information, etc.), explain how disclosure of each type of information would be likely to
cause substantial harm to the competitive position of your business.
test
2. Has your business taken precautions to protect the confidentiality of the disclosed information? If yes, please explain and identify the specific
measures, including but not limited to internal controls, that your business has taken to protect the information claimed as confidential. If the
same or similar information was previously reported to EPA as non-confidential (such as in an earlier version of this submission), please explain
the circumstances of that prior submission and reasons for believing the information is nonetheless still confidential.
test
3A. Is any of the information claimed as confidential required to be publicly disclosed under any other Federal law? If yes, please explain.
test
3B. Does any of the information claimed as confidential otherwise appear in any public documents, including (but not limited to) safety data
sheets; advertising or promotional material; professional or trade publications; state, local, or Federal agency files; or any other media or
publications available to the general public? If yes, please explain why the information should be treated as confidential.
test
3C. Has a patent been published for the chemical identity you claim confidential? What chemical identity information is not revealed by the
patent? How is release of that specific information likely to cause substantial competitive harm? And failure to explain this harm may lead to
denial of your confidentiality claim.
test
4. Is the claim of confidentiality intended to last less than 10 years (see TSCA section 14(e)(1)(B))? If yes, please indicate the number of years
(between 1-10 years) or the specific date after which the claim is withdrawn.
test
5. Has EPA, another federal agency, or court made any confidentiality determination regarding information associated with this chemical
substance? If yes, please provide the circumstances associated with the prior determination, whether the information was found to be entitled to
confidential treatment, the entity that made the decision, and the date of the determination.
test

X

X

X

X

X

X

X