U.S. Environmental Protection Agency (EPA) | OMB Control Number: 2060-0734 | ||||||
Expiration Date: MM/DD/YYYY | |||||||
American Innovation and Manufacturing (AIM) Act | |||||||
Hydrofluorocarbon (HFC) End-of-Year Inventory Annual Report | |||||||
Worksheet Instructions: | |||||||
Complete and submit an HFC End-of-Year Inventory Annual Report if your company imports, exports, reclaims, or recycles HFCs. Section 1 and Section 2 must be completed prior to submission. Section 3 must be completed if your company maintained an inventory of HFCs on December 31 of the reporting year. | |||||||
Version: | |||||||
r0.1 | |||||||
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 2 - HFC Activity 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 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: | |||||||
Section 2 - HFC Activity Information | |||||||
Instructions: Provide answers to all of the following questions before proceeding to Section 3. Your | |||||||
responses to these questions will determine which columns in Section 3 need to be completed. | |||||||
Were any HFCs held in inventory on December 31? | |||||||
Were HFCs reclaimed by your company during the reporting year? | |||||||
Were HFCs used as fire suppressants recycled by your company during the reporting year? | |||||||
Section 3 - End-of-Year Inventory | |||||||
Instructions: Provide the quantity of each HFC and HFC blend held in inventory on December 31. Data should reflect HFCs held in inventory across the company, including virgin, recovered, recycled, and | |||||||
reclaimed HFCs. Do not fill out blacked out columns. | |||||||
End-of-Year Inventory | |||||||
1 | 2 | 3 | 4 | 5 | 6 | 7 | |
HFC/HFC Blend | Quantity of Recovered Material (kg) §84.31(i)(3)/§84.31(j)(2) |
Quantity of Reclaimed Material (kg) §84.31(i)(3) |
Quantity of Recycled Fire Suppressants (kg) §84.31(j)(2) |
Quantity of Virgin Material (kg) §84.31(i)(3)/§84.31(j)(2) |
Quantity of Inventory (kg) §84.31(c)(1)(ix)/ §84.31(d)(1)(viii) |
Total (Do not enter data in this column) |
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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 10 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 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 # XXXX-XXX |
File Type | application/vnd.openxmlformats-officedocument.spreadsheetml.sheet |
File Modified | 0000-00-00 |
File Created | 0000-00-00 |