5900-550 HFC Fire Suppressant Recycler Quarterly Report

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Overview

Quarterly Information
End-of-Year Inventory

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Sheet 1: Quarterly Information

				OMB Control Number: 2060-0734
				Expiration Date: 12/31/2024
	American Innovation and Manufacturing Act - HFC Fire Suppressant Recycler Quarterly Report
	Worksheet Instructions:
	Complete and submit an HFC Fire Suppressant Recycler Quarterly report if your company recycles fire suppressants containing HFCs. Section 1 must be completed prior to submission. Section 2 must be completed if your company received for recycling or recycled HFCs during the reporting quarter; if no HFCs were received or recycled during the quarter, Section 2 may be left blank. Section 3 must be completed if your company is reporting quarter 4 activity.
	Version:
	r0.1
	Updated:
	1/4/2023
	External Links:
	HFC Allocation Rule Reporting HelpDesk	AIM Act Paperwork Reduction Act Burden
	Reporting Form Navigation:
	Section 1 - Company Identification
	Section 2 - Quarterly Recycling Information
	Section 3 - End-of-Year Inventory
	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 - Company Identification
	Instructions: Complete the following company information.
	Company Name:
	Company ID:
	Reporting Year:
	Reporting Quarter:
	Section 2 - Quarterly Recycling Information
	Instructions: Provide the following information for each HFC or HFC Blend used as a fire suppressant received for recycling during the quarter.
	HFC Fire Suppressant Recycling
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	HFC/HFC Blend	Quantity of Material Received for Recycling (kg) §84.31(j)(1)	Quantity of HFC/HFC Blend Recycled (kg) §84.31(j)(1)	Quantity of Waste Products (kg) §84.31(j)(1)
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	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 2 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 # 5900-550

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Sheet 2: End-of-Year Inventory

					OMB Control Number: 2060-0734
					Expiration Date: 12/31/2024
	American Innovation and Manufacturing Act - HFC Fire Suppressant Recycler Quarterly Report
	Worksheet Instructions:
	Complete and submit an HFC Fire Suppressant Recycler Quarterly report if your company recycles fire suppressants containing HFCs. Section 1 must be completed prior to submission. Section 2 must be completed if your company received for recycling or recycled HFCs during the reporting quarter; if no HFCs were received or recycled during the quarter, Section 2 may be left blank. Section 3 must be completed if your company is reporting quarter 4 activity.
	Version:
	r0.1
	Updated:
	1/4/2023
	External Links:
	HFC Allocation Rule Reporting HelpDesk	AIM Act Paperwork Reduction Act Burden
	Reporting Form Navigation:
	Section 1 - Company Identification
	Section 2 - Quarterly Recycling Information
	Section 3 - End-of-Year Inventory
	Section 3 - End-of-Year Inventory
	Instructions: Provide the following information for each HFC or HFC blend held in inventory as of December 31. Data should only be reported in the fourth quarter report.
	HFC End-of-Year Inventory
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	HFC/HFC Blend	Quantity Recovered (kg) §84.31(j)(2)	Quantity Recycled (kg) §84.31(j)(2)	Quantity of Virgin Material (kg) §84.31(j)(2)	Total Quantity of Inventory (kg) §84.31(j)(2)
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