5900-657 Annual ODS Process Agent Annual Report Class II

Production, Import, Export, Recycling, Destruction, Transhipment, and Feedstock Use of Ozone-Depleting Substances (Proposed Rule)

5900-657_Annual ODS Process Agent Annual Report_Class II .xlsm

Reporting of the Production, Import, Export, Recycling, Destruction, Transhipment, and Feedstock Use of Ozone-Depleting Substances

OMB: 2060-0170

Document [xlsx]
Download: xlsx | pdf

Overview

Instructions
Section 1
Section 2
Section 3
Reference List
Lists


Sheet 1: Instructions





OMB Control Number: xxxx-xxxx

Expiration Date: xx/xx/xxxx

U.S. Environmental Protection Agency

Stratospheric Ozone Protection Program




Class II Process Agent Annual Report (Sec 82.24)

Version 1.0

Last Updated: September 2024




Instructions

Complete and submit a Class II ODS Process Agent Annual Report if your company uses regulated Class II ODS as process agents regularly. Please provide information for only one facility per reporting form.

Complete this form by filling in the data fields that are highlighted in blue. Guidance on how to complete individual data fields are provided in comment bubbles. Use the arrows to navigate between the tabs. Once completed, use the 'prepare submission' button in Section 3 to generate your CSV file.

Copying and Pasting Data: If data are pasted into this reporting form from another spreadsheet, the formatting of specific cells must be consistent with the requirements of the form in order to be

accepted into EPA’s ODS Tracking System. Refer to the Reference List to identify the valid naming scheme for specific data fields. Additionally, select "Paste As Values" when pasting data into the form.

Report Submission: This Excel file, the generated CSV file, and all supporting attachments should be submitted to EPA through the Central Data Exchange (CDX). Refer to EPA's website for additional information on form submission:

https://www.epa.gov/ods-phaseout/ods-recordkeeping-and-reporting




This collection of information is approved by OMB under the Paperwork Reduction Act, 44 U.S.C. 3501 et seq. (OMB Control No. XXXX-XXXX). Responses to this collection of information are mandatory (40 CFR 82.24). 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 number and expiration date are displayed in the upper right corner of the form. The public reporting and recordkeeping burden for this collection of information is estimated to be X hours per response. Send comments on the Agency’s need this formation, 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 #xxxx-xxx





Sheet 2: Section 1











U.S. Environmental Protection Agency


Class II Process Agent Annual Report




Date Prepared: 7/17/2025






Section 1: Report Identification Information







Complete all fields below for each facility in which the process agent was used. No fields may be left blank.






Company Name:


Submission Type:


Reporting Year:


Facility Name:


Facility Address:


Facility Start Up Date:


Plant Start Up Date(s):











Sheet 3: Section 2














U.S. Environmental Protection Agency







Class II Process Agent Annual Report














Facility Name:







Reporting Period:
















Section 2: Class II Substance Use Information
















Complete all fields below for each process agent use of a Class II controlled substance. No fields may be left blank.



If copying and pasting data into the table, please refer to the Reference List and the accompanying instructions.




Name Purpose Final Products Manufactured Obtained Amount Used (kg) Recycled for continued use in same process agent application in the same facility? If not recycled, substance was ultimately: Total Air Emissions (kg) Fugitive Air Emissions (kg) Stack Point Air Emissions (kg)

ODS Substance (1)











ODS Substance (2)











ODS Substance (3)























Name Amount Used Final Product Manufactured (1) Amount of Final Product (1) Produced Final Product Manufactured (2) Amount of Final Product (2) Produced Name of Byproduct (1) Amount of Byproduct (1) Produced Name of Byproduct (2) Amount of Byproduct (2) Produced

ODS Substance (1)











ODS Substance (2)












ODS Substance (3)




















Sheet 4: Section 3








U.S. Environmental Protection Agency


Class II Process Agent Annual Report




Facility Name:

Reporting Period:






Section 3: Substance Use Mitigation




Complete all fields below for each process agent use of a Class II controlled substance.


Description of technologies used or actions taken to minimized use or emissions of Class II controlled substances, including estimated emissions reductions:




x

x

HCFC-21

yes

HCFC-22

no

HCFC-31

0

HCFC-121

0

HCFC-122




HCFC-123




HCFC-123a




HCFC-123b




HCFC-124




HCFC-124a




HCFC-131




HCFC-132b




HCFC-133a




HCFC-141




HCFC-141a




HCFC-141b




HCFC-142




HCFC-142a




HCFC-142b




HCFC-151




HCFC-221




HCFC-222




HCFC-223




Sheet 5: Reference List













U.S. Environmental Protection Agency









Class II Process Agent Annual Report









Reference List




















Copying and Pasting Data: If data are pasted into this reporting form from another spreadsheet, the formatting of specific cells must be consistent with the requirements of the form in order to be accepted into EPA’s ODS tracking system. When copying and pasting data into the form, please ensure consistency with the formatting of the list below.

Chemical Name List: The table below lists the valid chemical names that may be used when entering data into Section 2 and Section 3 of this form.












Chemical Name

HCFC-21 HCFC-123 HCFC-131 HCFC-141b HCFC-221 HCFC-225cb HCFC-234 HCFC-244 HCFC-262

HCFC-22 HCFC-123a HCFC-132b HCFC-142 HCFC-222 HCFC-226 HCFC-235 HCFC-251 HCFC-271

HCFC-31 HCFC-123b HCFC-133a HCFC-142a HCFC-223 HCFC-231 HCFC-241 HCFC-252


HCFC-121 HCFC-124 HCFC-141 HCFC-142b HCFC-224 HCFC-232 HCFC-242 HCFC-253


HCFC-122 HCFC-124a HCFC-141a HCFC-151 HCFC-225ca HCFC-233 HCFC-243 HCFC-261
















































Sheet 6: Lists

Chemical Name Submission Type Reporting Year Current Year ODS obtained by ODS recycled? ODS disposal
HCFC-21 Original Submission 2024 2025 obtained as virgin yes transformed
HCFC-22 Re-Submittal 2025
obtained as used no reused or recylced for use in a different process agent application
HCFC-31
2026
produced by the entity
destroyed by approved destruction technologies
HCFC-121
2027
purchased from a US producer

HCFC-122
2028
imported

HCFC-123
2029
reclaimed by the entity from a different use

HCFC-123a
2030
reclaimed by another entity

HCFC-123b
2031



HCFC-124
2032



HCFC-124a
2033



HCFC-131
2034



HCFC-132b
2035



HCFC-133a





HCFC-141





HCFC-141a





HCFC-141b





HCFC-142





HCFC-142a





HCFC-142b





HCFC-151





HCFC-221





HCFC-222





HCFC-223





HCFC-224





HCFC-225ca





HCFC-225cb





HCFC-226





HCFC-231





HCFC-232





HCFC-233





HCFC-234





HCFC-235





HCFC-241





HCFC-242





HCFC-243





HCFC-244





HCFC-251





HCFC-252





HCFC-253





HCFC-261





HCFC-262





HCFC-271





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