5900-539 HFC Conferral of Allowances Report

		OMB Control Number: 2060-0734
		Expiration Date: 12/31/2024
American Innovation and Manufacturing Act - HFC Conferral of Allowances Report
Worksheet Instructions:
Complete and submit an HFC Conferral of Allowances Report if your company (conferrer) plans to confer application-specific allowances to another company (conferee). All sections of the report must be completed prior to submission. Note that application-specific allowances for mission-critical military end uses are not eligible for conferral.
Version:
r0.2
Updated:
2/7/2022
External Links:
HFC Allocation Rule Reporting HelpDesk	AIM Act Paperwork Reduction Act Burden
Reporting Form Navigation:
Section 1 - Conferrer Identification
Section 2 - Conferee Identification
Section 3 - Allowance Conferral Data
EPA may request additional information or ask follow up questions to verify the accuracy of this submission and supporting documentation, including pursuant to CAA section 114 as authorized under the AIM Act.
Section 1 - Conferrer Identification
Instructions: Complete the following company information.
Company Name:
Company ID:
Reporting Year:
Section 2 - Conferee Identification
Instructions: Complete the following company information.
Conferee Company Name:
Conferee Company ID:
Section 3 - Allowance Conferral Data
Instructions: Provide the following information for each conferral of application-specific allowances. In addition, provide a certification from the conferrer and the conferee stating that the regulated substances being acquired, produced, or imported are solely for an application listed in § 84.5(c)(2) and will not be resold for use in a different application or used in any other manufacturing process. §84.31(h)(4)(vi)
Conferral of Application-Specific Allowances
1	2	3
Application §84.31(h)(4)(iii)	Quantity of Application-Specific Allowances being Conferred (MTEVe) §84.31(h)(4)(iv)	Quantity of Unexpended Application-Specific Allowances Held by the Conferrer (MTEVe) §84.31(h)(4)(v)
This collection of information is approved by OMB under the Paperwork Reduction Act, 44 U.S.C. 3501 et seq. (OMB Control No. 2060-0734). Responses to this collection of information are mandatory (40 CFR 84.31). 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 6 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 including through the use of automated collection techniques to the Director, Regulatory Support Division, 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.
EPA Form # 5900-539