5900-547 HFC Importer Quarterly Report

Hydrofluorocarbon Allowance Allocation and Trading Program (Final Rule)

5900-547 hfc-importer-quarterly-report.xlsx

Hydrofluorocarbon Allowance Allocation and Trading Program

OMB: 2060-0734

Document [xlsx]
Download: xlsx | pdf

Overview

Quarterly Information
Shipments and Sales
Import Summary
Blend List


Sheet 1: Quarterly Information


U.S. Environmental Protection Agency (EPA)


OMB Control Number: 2060-0734
































Expiration Date: MM/DD/YYYY






























































American Innovation and Manufacturing (AIM) Act
































Hydroflurocarbon (HFC) Importer Quarterly Report
































Worksheet Instructions:




























Complete and submit an HFC Importer Quarterly Report if your company imports HFCs. Section 1 must be completed prior to submission. Section 2 must be completed if your company imported HFCs during the reporting quarter; if no HFCs were imported during the quarter, Section 2 may be left blank. Section 3 must be completed if imported material was shipped off-site during the quarter for second party transformation or second party destruction. Section 4 must be completed if orders were placed or material was imported for application-specific allowance holders. Section 5 is automatically populated based on data entered in Section 2.




























Version:




























r0.7
































Updated:




























7/2/2025
































External Links:




























HFC Allocation Rule Reporting HelpDesk AIM Act Paperwork Reduction Act Burden






























Reporting Form Navigation:




























Section 1 - Company Identification Section 4 - Application-Specific Allowance Holder Information





























Section 2 - Import Information Section 5 - Quarterly Import Summary






























Section 3 - Recipient Facility Information

































































EPA may request additional information or ask follow up questions to verify the accuracy of this submission and supporting documentation, including pursuant to Clean Air Act 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:


































































Were HFCs imported during the reporting period?































Were any imported HFCs shipped off-site during the reporting period to another facility for transformation or destruction?































Were any orders placed from application-specific allowance holders, were any application-specific allowances conferred, or were HFCs imported for application-specific end-uses?

































































Section 2 - Import Information
































Instructions: Enter data for each HFC import transaction that took place during the reporting period. If no HFCs were imported, the table may be left blank. If HFCs were imported for second party transformation or second party destruction, provide a copy of the transformation verifications showing that the purchaser or recipient of imported regulated substances intends to transform those substances or destruction verifications showing that the purchaser or recipient intends to destroy the regulated substances. Additionally provide records required under §84.25(b)(5) documenting proof that used material imported for destruction was destroyed. §84.31(c)(1)(viii)


Import Information


1 2 3a 3b 4 5 6 7 8 9a 9b 9c 9d 9e 9f 9g 9h 9i 9j 10 11 12 13 14 15 16a 16b 16c 16d 16e 16f


Transaction Number Date of Import
§84.31(c)(2)(v)
U.S. Customs Entry Number
§84.31(c)(2)(xiii)
U.S. Customs Entry Line Number Is the Imported Substance a Blend?
§84.31(c)(2)(i)
HTS Code
§84.31(c)(1)(iii)
Shipment Importer Number
§84.31(c)(2)(x)
HFC or HFC Blend Imported
§84.31(c)(2)(i)
Quantity of HFC or HFC Blend Imported
(kg)
§84.31(c)(2)(i)
Blend Information §84.31(c)(2)(i) Port of Entry
§84.31(c)(2)(vi)
Source Country
§84.31(c)(2)(vii)
Transaction Type
§84.31(c)(2)(ii)
Intended Use
§84.31(c)(2)(iii)
§84.31(c)(2)(iv)
Date of Non-Objection Notice Purchased at Government Auction?
§84.31(m)(i)
Quantity of HFC or HFC Blend Imported by Allowance Type Expended
(kg)
§84.31(c)(2)(iv)



HFC Imported (1) HFC Composition of Blend (1)
(%)
HFC Imported (2) HFC Composition of Blend (2)
(%)
HFC Imported (3) HFC Composition of Blend (3)
(%)
HFC Imported (4) HFC Composition of Blend (4)
(%)
HFC Imported (5) HFC Composition of Blend (5)
(%)






Application-Specific: Propellants in MDIs Application-Specific: Structural Composite Foam Application-Specific: Semiconductors Application-Specific: Onboard Aerospace Fire Suppression Application-Specific: Military Consumption





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1000



































































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, Information Engagement 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 # 5900-547
































Sheet 2: Shipments and Sales


U.S. Environmental Protection Agency (EPA)

OMB Control Number: 2060-0734











Expiration Date: MM/DD/YYYY





















American Innovation and Manufacturing (AIM) Act











Hydroflurocarbon (HFC) Importer Quarterly Report











Worksheet Instructions:








Complete and submit an HFC Importer Quarterly Report if your company imports HFCs. Section 1 must be completed prior to submission. Section 2 must be completed if your company imported HFCs during the reporting quarter; if no HFCs were imported during the quarter, Section 2 may be left blank. Section 3 must be completed if imported material was shipped off-site during the quarter for second party transformation or second party destruction. Section 4 must be completed if orders were placed or material was imported for application-specific allowance holders. Section 5 is automatically populated based on data entered in Section 2.








Version:








r0.7











Updated:








7/2/2025











External Links:








HFC Allocation Rule Reporting HelpDesk AIM Act Paperwork Reduction Act Burden










Reporting Form Navigation:








Section 1 - Company Identification Section 4 - Application-Specific Allowance Holder Information








Section 2 - Import Information Section 5 - Quarterly Import Summary










Section 3 - Recipient Facility Information
























Section 3 - Recipient Facility Information











Instructions: Provide the quantity of HFCs sold or transferred during the quarter to another facility for use in processes resulting in their transformation or destruction. For each second party recipient listed, provide a copy of the transformation verifications showing that the purchaser or recipient of imported regulated substances intends to transform those substances or destruction verifications showing that the purchaser or recipient intends to destroy the regulated substances. §84.31(c)(1)(viii)











Off-site Transformation or Destruction



1 2 3 4 5 6 7 8 9



HFC Recipient Facility Name
§84.31(c)(1)(vii)
Recipient Facility Street Address Recipient Facility City Recipient Facility State Recipient Facility Zip Quantity
(kg)
§84.31(c)(1)(vii)
Purpose Is Facility Owned/Operated by the Importer?










1











2











3











4











5











6











7











8











9











10











11











12











13











14











15











16











17











18











19











20

























Section 4 - Application-Specific Allowance Holder Information











Instructions: Identify the application-specific allowance holders from whom orders were placed, the type of HFC purchased, the quantity of each HFC imported during the quarter by expending application-specific allowances for each allowance holder, and the total number of application-specific allowances conferred by each allowance holder through the end of the quarter.



Application-Specific Allowance Holder Information

1 2 3a 3b 3c 3d 3e 3f 3g 3h 4 5

Application-Specific Allowance Holder From Whom Orders Were Placed
§84.31(c)(1)(iv)
Application-Specific Allowance Holder Company ID HFC Purchased (1) Quantity of HFC Imported (1) by Expending Application-Specific Allowances
(kg)
HFC Purchased (2) Quantity of HFC Imported (2) by Expending Application-Specific Allowances
(kg)
HFC Purchased (3) Quantity of HFC Imported (3) by Expending Application-Specific Allowances
(kg)
HFC Purchased (4) Quantity of HFC Imported (4) by Expending Application-Specific Allowances
(kg)
Quantity Conferred
(MTEVe)
§84.31(c)(1)(iv)
Conferral Certificate Number
84.31(c)(1)(v)



1











2











3











4











5











6











7











8











9











10











11











12











13











14











15











16











17











18











19











20












Sheet 3: Import Summary


U.S. Environmental Protection Agency (EPA)


OMB Control Number: 2060-0734












Expiration Date: MM/DD/YYYY






















American Innovation and Manufacturing (AIM) Act












Hydroflurocarbon (HFC) Importer Quarterly Report












Worksheet Instructions:








Complete and submit an HFC Importer Quarterly Report if your company imports HFCs. Section 1 must be completed prior to submission. Section 2 must be completed if your company imported HFCs during the reporting quarter; if no HFCs were imported during the quarter, Section 2 may be left blank. Section 3 must be completed if imported material was shipped off-site during the quarter for second party transformation or second party destruction. Section 4 must be completed if orders were placed or material was imported for application-specific allowance holders. Section 5 is automatically populated based on data entered in Section 2.








Version:








r0.7












Updated:








7/2/2025












External Links:








HFC Allocation Rule Reporting HelpDesk AIM Act Paperwork Reduction Act Burden










Reporting Form Navigation:








Section 1 - Company Identification Section 4 - Application-Specific Allowance Holder Information









Section 2 - Import Information Section 5 - Quarterly Import Summary










Section 3 - Recipient Facility Information

























Section 5 - Quarterly Import Summary












Instructions: The values in the tables below are calculated based on data entered in Section 2. If the totals appear to be incorrect, please return to Section 2 to review your data.












Quarterly Import Summary

1 2 3 4 5 6 7 8a 8b 8c 8d 8e 9

HFC Imported Gross Imports
(kg)
Transhipment
(kg)
In-House Transformation
(kg)
Second-Party Transformation
(kg)
In-House Destruction
(kg)
Second-Party Destruction
(kg)
Propellants in MDIs
(kg)
Structural Composite Foam
(kg)
Semiconductors
(kg)
Onboard Aerospace Fire Suppression
(kg)
Military
(kg)
Imported through Expenditure of Consumption Allowances
(kg)


1 HFC-23 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
2 HFC-32 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
3 HFC-41 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
4 HFC-43-10mee 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
5 HFC-125 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
6 HFC-134 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
7 HFC-134a 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
8 HFC-143 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
9 HFC-143a 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
10 HFC-152 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
11 HFC-152a 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
12 HFC-227ea 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
13 HFC-236cb 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
14 HFC-236ea 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
15 HFC-236fa 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
16 HFC-245ca 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
17 HFC-245fa 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
18 HFC-365mfc 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00















Allowances Expended Summary






Amount of Consumption Allowances Expended
(MTEVe)
Amount of Application-Specific Allowances Expended
(MTEVe)
Propellants in MDIs
(MTEVe)
Structural Composite Foam
(MTEVe)
Semiconductors
(MTEVe)
Onboard Aerospace Fire Suppression
(MTEVe)
Military
(MTEVe)




















1 0.0 0.0 0.0 0.0 0.0 0.0 0.0






Sheet 4: Blend List

HFC Blends HFC-23 HFC-32 HFC-125 HFC-134a HFC-143a HFC-152a HFC-227ea HFC-236fa
R-401A




0.13

R-401B




0.11

R-401C




0.15

R-402A

0.6




R-402B

0.38




R-404A

0.44 0.04 0.52


R-405A




0.07

R-407A
0.2 0.4 0.4



R-407B
0.1 0.7 0.2



R-407C
0.23 0.25 0.52



R-407D
0.15 0.15 0.7



R-407E
0.25 0.15 0.6



R-407F
0.3 0.3 0.4



R-407G
0.025 0.025 0.95



R-407H
0.325 0.15 0.525



R-407I
0.195 0.085 0.72



R-408A

0.07
0.46


R-410A
0.5 0.5




R-410B
0.45 0.55




R-411A




0.11

R-411B




0.03

R-413A


0.88



R-415A




0.18

R-415B




0.75

R-416A


0.59



R-417A

0.466 0.5



R-417B

0.79 0.183



R-417C

0.195 0.788



R-418A




0.025

R-419A

0.77 0.19



R-419B

0.485 0.48



R-420A


0.88



R-421A

0.58 0.42



R-421B

0.85 0.15



R-422A

0.851 0.115



R-422B

0.55 0.42



R-422C

0.82 0.15



R-422D

0.651 0.315



R-422E

0.58 0.393



R-423A


0.525

0.475
R-424A

0.505 0.47



R-425A
0.185
0.695

0.12
R-426A

0.051 0.93



R-427A
0.15 0.25 0.5 0.1


R-427C
0.25 0.25 0.4 0.1


R-428A

0.775
0.2


R-429A




0.1

R-430A




0.76

R-431A




0.29

R-434A

0.632 0.16 0.18


R-435A




0.2

R-437A

0.195 0.785



R-438A
0.085 0.45 0.442



R-439A
0.5 0.47




R-440A


0.016
0.978

R-442A
0.31 0.31 0.3
0.03 0.05
R-444A
0.12


0.05

R-444B
0.415


0.1

R-445A


0.09



R-446A
0.68





R-447A
0.68 0.035




R-447B
0.68 0.08




R-448A
0.26 0.26 0.21



R-448B
0.21 0.21 0.31



R-449A
0.243 0.247 0.257



R-449B
0.252 0.243 0.273



R-449C
0.2 0.2 0.29



R-450A


0.42



R-451A


0.102



R-451B


0.112



R-452A
0.11 0.59




R-452B
0.67 0.07




R-452C
0.125 0.61




R-453A
0.2 0.2 0.538

0.05
R-454A
0.35





R-454B
0.689





R-454C
0.215





R-455A
0.215





R-456A
0.06
0.45



R-457A
0.18


0.12

R-457B
0.35


0.1

R-458A
0.205 0.04 0.614

0.135 0.006
R-459A
0.68





R-459B
0.21





R-460A
0.12 0.52 0.14



R-460B
0.28 0.25 0.2



R-460C
0.025 0.025 0.46



R-461A

0.55 0.32 0.05
0.05
R-462A
0.09 0.42 0.44 0.02


R-463A
0.36 0.3 0.14



R-464A
0.27 0.27


0.06
R-465A
0.21





R-466A
0.49 0.115




R-467A
0.22 0.05 0.724



R-468A
0.215





R-469A
0.325 0.325




R-470A
0.17 0.19 0.07

0.03
R-470B
0.115 0.115 0.03

0.07
R-471A





0.043
R-472A
0.12
0.19



R-473A 0.1
0.1




R-500




0.262

R-503 0.401






R-504
0.482





R-507

0.5
0.5


R-507A

0.5
0.5


R-508A 0.39






R-508B 0.46






R-512A


0.05
0.95

R-513A


0.44



R-513B


0.415



R-515A





0.12
R-515B





0.089
R-516A


0.085
0.14

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