5900-551 HFC Application-Specific Allowance Holder Biannual Repor

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Overview

Company Information
Next Year Allowances

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Sheet 1: Company Information

U.S. Environmental Protection Agency (EPA)

OMB Control Number: 2060-0734

Expiration Date: MM/DD/YYYY

American Innovation and Manufacturing (AIM) Act

Hydrofluorocarbon (HFC) Application-Specific Allowance Holder Biannual Report

Worksheet Instructions:

Complete and submit an HFC Application-Specific Allowance Holder Biannual Report if your company was allocated application-specific allowances (excluding recipients of application-specific allowances for mission-critical military end uses). Sections 1 and 2 must be completed prior to submission. Section 3 must be completed if your company received HFCs during the current reporting period from a company to which allowances were conferred. Section 4 must be completed if your company previously received additional allowances to build a stockpile of a specific regulated substance and retains an inventory of the stockpile. Sections 5-10 should only be completed when submitting data for the January 1 – June 30 reporting period. Section 6 is required if your company is requesting additional allowances due to one or more of the circumstances listed in 84.13(b)(1). Section 8 is required if your company contracts out the manufacturing of metered dose inhalers, or pays another person to perform the servicing of onboard aerospace fire suppression. Sections 9-10 are required if you are requesting application-specific allowance for the first time.

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 5 - Transition Plan

Section 9 - Historical Purchase and Inventory Data

Section 2 - Application-Specific Data

Section 6 - Unique Circumstances

Section 10 - Application Information

Section 3 - Allowance Conferral Data

Section 7 - Total Expected HFC Purchases for the Next Calendar Year

Section 4 - Stockpiling Unique Circumstance Data

Section 8 - Contracting 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 Period:

Did your company receive HFCs during the reporting period from a company to which allowances were conferred? (Yes/No)

Were allowances allocated to your company for the current reporting period for the unique circumstance of building up a stockpile of a specific regulated substance in the event of a production cessation? (Yes/No)

Does your company retain a stockpile of regulated substances as a result of allowances allocated for the unique circumstance of building up a stockpile in the event of a production cessation? (Yes/No)

Is your company requesting additional allowances due to one or more of the unique circumstances listed in §84.13(b)(1)? (Yes/No)

Does your company contract out the manufacturing of metered dose inhalers or pay another person to perform the servicing of onboard aerospace fire suppression? (Yes/No)

Is your company requesting application-specific allowances for the first time? (Yes/No)

Section 2 - Application-Specific Data

Instructions: Enter the quantity of each regulated substance that was acquired through conferring allowances, directly imported, or purchased without expending application-specific allowances (i.e., from the open market) during the previous six months. Additionally, provide the quantity held in inventory on the last day of the previous six-month period, excluding quantities of regulated substances stockpiled as a result of allowances allocated under §84.13(b)(1)(iv); the quantity sold, returned or otherwise conveyed to another entity during the previous six months; and the quantity destroyed or recycled during the previous six months. Provide a screenshot from your tracking system, invoices, or other records documenting the quantity of material acquired and held in inventory, if applicable.

HFC Application-Specific Data

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2

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5

6

7

8

HFC

Quantity Acquired through Conferring Allowances (kg) §84.31(h)(1)(i)

Quantity of HFCs Your Company Imported Expending Your Allowances (kg) §84.31(h)(1)(ii)

Quantity of HFCs Purchased for Application-Specific Use without Expending or Conferring Your Allowances (kg) §84.31(h)(1)(iii)

Quantity Held in Inventory by the Reporting Company or Held under Contract by Another Company for the Reporting Company’s Use (kg) §84.31(h)(1)(iv)

Quantity Sold, Returned, or Conveyed, Excluding Heels (kg) §84.31(h)(1)(xi)

Quantity Destroyed (kg) §84.31(h)(1)(v)

Quantity Recycled (kg) §84.31(h)(1)(v)

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2

3

4

Section 3 - Allowance Conferral Data

Instructions: Provide the names of the companies to which application-specific allowances were conferred during the reporting year as well as the quantity of regulated substances received from each company during the past six months.

HFC Allowance Conferral Data §84.31(h)(1)(vi)

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2

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4

5a

5b

6a

6b

7a

7b

8a

8b

Company to Which Allowances Were Conferred

Company Contact Name

Company Contact Email

Company Contact Phone

HFC (1) Received

Quantity of HFC (1) Received (kg)

HFC (2) Received

Quantity of HFC (2) Received (kg)

HFC (3) Received

Quantity of HFC (3) Received (kg)

HFC (4) Received

Quantity of HFC (4) Received (kg)

1

2

3

4

5

Section 4 - Stockpiling Unique Circumstance Data

Instructions: If allowances were allocated for a unique circumstance under § 84.13(b)(1)(iv), provide the quantity of each regulated substance purchased with the intent to build inventory during the previous six months. If your company retains an inventory of material that was stockpiled as a result of allowances allocated under § 84.13(b)(1)(iv), provide the quantity of each stockpiled regulated substance held in inventory at the end of the previous six-month period. Provide a copy of records documenting the reported quantity(ies).

HFC Stockpile Data

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2

3

HFC

Quantity of HFCs Purchased with the Intent to Build Inventory (kg) §84.31(h)(1)(x)

Quantity of Stockpiled HFCs Held in Inventory (kg) §84.31(h)(1)(iv)

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2

3

4

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 12 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 # 5900-551

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Sheet 2: Next Year Allowances

U.S. Environmental Protection Agency (EPA)

OMB Control Number: 2060-0734

Expiration Date: MM/DD/YYYY

American Innovation and Manufacturing (AIM) Act

Hydrofluorocarbon (HFC) Application-Specific Allowance Holder Biannual Report

Worksheet Instructions:

Complete and submit an HFC Application-Specific Allowance Holder Biannual Report if your company was allocated application-specific allowances (excluding recipients of application-specific allowances for mission-critical military end uses). Sections 1 and 2 must be completed prior to submission. Section 3 must be completed if allowances were conferred and/or material was received during the reporting period. Section 4 must be completed if your company previously received additional allowances to build a stockpile of a specific regulated substance and retains an inventory of the stockpile. Sections 5-10 should only be completed when submitting data for the January 1 – June 30 reporting period. Section 6 is required if your company is requesting additional allowances due to one or more of the circumstances listed in 84.13(b)(1). Section 8 is required if your company contracts out the manufacturing of metered dose inhalers, or pays another person to perform the servicing of onboard aerospace fire suppression. Sections 9-10 are required if you are requesting application-specific allowance for the first time.

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 5 - Transition Plan

Section 9 - Historical Purchase and Inventory Data

Section 2 - Application-Specific Data

Section 6 - Unique Circumstances

Section 10 - Application Information

Section 3 - Allowance Conferral Data

Section 7 - Total Expected HFC Purchases for the Next Calendar Year

Section 4 - Stockpiling Unique Circumstance Data

Section 8 - Contracting Information

Section 5 - Transition Plan

Instructions: Provide a description of plans to transition application-specific use of regulated substances to regulated substances with a lower exchange value or alternatives to regulated substances. §84.31(h)(1)(vii)

Section 6 - Unique Circumstances

Instructions: If the company is requesting allowances in addition to what the Agency will calculate based on data provided in Section 2 and Section 9, specify the unique circumstances under which you are requesting those additional allowances. §84.13(b)(1)

Demonstrated manufacturing capacity coming on line: (Yes/No)

The acquisition of another domestic manufacturer or its manufacturing facility or facilities: (Yes/No)

A global pandemic, other public health emergency, or other healthcare system needs related to increased patients diagnosed with medical conditions treated by metered dose inhalers (MDIs): (Yes/No)

Building up a stockpile of a specific regulated substance in the event of a production cessation: (Yes/No)

Instructions: Provide a projection of the quantity of additional regulated substances needed for application-specific uses due to the unique circumstance(s) specified above in the next calendar year.

Additional Quantity Needed for Application-Specific Use Due to Unique Circumstances §84.31(h)(1)(viii)

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2

3

HFC

Total (kg)

Total (MTEVe)

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2

3

4

Instructions: If building up a stockpile of a specific regulated substance in the event of a production cessation, specify the quantity you intend to purchase of each HFC, the year(s) of intended purchase,

and a description of the stockpile plan. §84.13(b)(1)(iv)

Instructions: Provide a detailed explanation to justify the additional need for each applicable unique circumstance. Additionally, provide relevant supporting documentation to justify the additional need. Supporting documentation includes information in a format that can be verified, such as copies of permits or other documentation to clarify when the new line or facility is opening, agency approvals for new products or product modifications, and more recent sales numbers to document growth in MDI sales resulting from a public health emergency or other healthcare system needs. §84.31(h)(1)(viii)

Have you provided documentation along with this report that supports this additional need due to your unique circumstance(s)? (Yes/No)

Section 7 - Total Expected HFC Purchases for the Next Calendar Year

Instructions: Based on your expected eligibility for allowances next year, provide an estimate of the total quantity of HFCs you expect to purchase in the following calendar year. Note that EPA will allocate to this level if we can verify you are eligible for that amount. §84.13(b)(2)

Total Expected HFC Purchases for the Next Calendar Year

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2

3

HFC

Expected Purchases (kg)

Expected Purchases (MTEVe)

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2

3

4

Total

Section 8 - Contracting Information

Instructions: If the company is contracting out the manufacturing of metered dose inhalers or paying another person (whether it is in cash, credit, goods, or services) to perform the servicing of onboard aerospace fire suppression, complete the following information for the contact doing the manufacturing or servicing.

Manufacturing/Servicing Representative §84.31(h)(1)(ix)

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7

Company Name

Contact Name

Contact Email

Contact Street Address

Contact City

Contact State

Contact Zip

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3

4

5

6

Provide clarification on whether the responses in this report apply to the company that is allocated application-specific allowances or the company receiving the contract for manufacturing and/or servicing using application-specific allowances. §84.31(h)(1)(ix)

Section 9 - Historical Purchase and Inventory Data

Instructions: For persons requesting application-specific allowances for the first time, provide the total quantity of all regulated substances acquired for application-specific use in the previous three years. Provide a copy of the sales records, invoices, or other records documenting that quantity. Make sure to specify the HFC weight per cylinder or unit if not included in the sales records or invoices. §84.31(h)(2)(ii)

Year

Reporting Period

July 1 - December 31

January 1 - June 30

July 1 - December 31

January 1 - June 30

July 1 - December 31

January 1 - June 30

HFC

Quantity Acquired (kg)

1

2

3

4

Provide the quantity of each regulated substance held in inventory for application-specific use as of June 30 of the prior year and June 30 in the current year. Provide a copy of inventory records documenting each quantity. §84.31(h)(2)(iv)

Year

HFC

Quantity Held in Inventory on June 30,

Quantity Held in Inventory on June 30,

(kg)

(kg)

1

2

3

4

Section 10 - Application Information

Instructions: If you are requesting application-specific allowances for the first time, please provide a description of the use of regulated substances and a detailed explanation of how the use is an application-specific use listed in §84.13(a). §84.31(h)(2)(i)

Application

Description