1 

# Instructions for the A gent N otice of D elegation

Note: Designated Representatives can submit the Notice of Delegation online through the CAMD Business System (CBS)

at https://camd.epa.gov/cbs/index.cfm

. The Designated Representative must hav e a user ID and password. If the Designated Representative need s a user ID and password, he/she should call Karen VanSickle at (202) 343

- 9220 or Kirk Nabors at (202) 343

- 9171 or Paula Branch at (202) 343

- 9168.

Any reference in these instructions to the Representative or Designated Representative means the Acid Rain Designated Representative , the CAIR Designa t ed , and/or the Transport Rule Designated Representative , as applicable. Any reference to the Alternate Designated Representative means the Acid Rai n Alternate Designated Representative

, the CAIR Alternate Representative , and/or the Transport Rule Alternate Representative , as applicable.

A Designated R epresentative may delegate, to one or more natural persons, his or her authority to make an electro nic submission on his or her behalf, in a format prescribed by the Administrator. In order to delegate authority to make an electronic submission to the Administrator on his or her behalf, the Designated R epresentative must submit to the

Administrator a n otice of delegation. This notice shall be effective upon receipt by the Administrator and until receipt by the Administrator of a superseding notice of delegation. The superseding notice of delegation may replace any previously identified agent, add a ne w agent, or eliminate entirely any delegation of authority. Note that the agent delegation applies to all of the CAMD programs for which the Designated R epresentative has assumed responsibility.

Agents can be given the v arying levels of authority, and a person may be designated as more than one type of Agent. In
addition, a Re presentative may assign more than one person the same Agent type.

Please type or print.

STEP 1 Enter the information for the R epresentative delegating authority to an Agent to m ake electronic submissions on

his or her behalf

. Note that the agent delegation applies to all of the CAMD programs for which the

R epresentative has assumed responsibility.

STEP 2 Mark t he box if you wish to remove ALL the agents currently assigned to th e Re presentative listed in Step 1

.

STEP 3 Enter the information for the Agent to whom the R epresentative is delegating authority to make electronic

submissions on his or her behalf.

STEP 4 Check the Agent types that apply for the Agent listed in Step 3

.



### * Specifying Facilities and Units for ECMPS Agent Types: Please note that for all three Emissions Collection and Monitoring Plan System (ECMPS) Submit Data agent types (see below), you MUST include a list of facilities and units for which the agent t ype applies. You MUST generate this list from the CAMD Business System (CBS). CAMD is requiring the use of the CBS generated list to avoid facility ID and unit ID discrepancies. Anyone with a CBS user id and password can generate this list for a ny Repre sentative. To generate this list

, log in to CBS and click the Reports button on the upper left side of the home page. In Step 1, select People Reports. In Step 2, select Units by Representative. Click the Continue button. Find the Representative in th e list, highlight the name and click the Select button. Click the Print button to print the report. Once the report is printed, check the Facility Name/Unit id s as appropriate for the selected Agent type. If you wish to select all Facilities and Units, you can check the

" Select All Units " box at the top of the list . You can NOT check the boxes on

- lin e , you MUST check them manually after the report is printed

.2 Source Management

- An Agent who is given the authority to perform the following using the CAMD Business System (CBS) : add or edit facility, unit, owner, operator, representativ e information (Certificates of Representation) , or provide f acility c ontact information

.

Allowance Trading

- An Agent who has the authority to perform allowance transfe rs using CBS

.

General Account Management

- An Agent who is given the authority to perform the following using CBS : add

or edit account information for exist ing general accounts, re presentative and binding party information; or add a new general account.

Compliance

- An Agent who is given the authority to perform the following annual compliance related tasks using CBS : submit annual compliance certifications (if required); submit allowance deduction information and

submit common stack allowance deduction information.

Retrieve Monitoring Plan, QA and Emissions Data : An Agent who has the authority to retrieve monitoring plan, QA and emissions data from the EPA host system, and load it into their Emissions Collection and Monitoring Plan System (ECMPS) Cli ent Tool. Retrieve agents have access to all facilities and units for a representative, since they are only able to retrieve data from the EPA host system, but CANNOT submit to the EPA host system.

Submit Monitoring Plan Data: An Agent who has the autho rity to retrieve and submit monitoring plan data from the ECMPS Client Tool up to the EPA host system, for all units for which that responsibility has been assigned. Y ou MUST include a list of facilities and units for which th is agent type applies. See

i nstructions on Page 1 . *

Submit Monitoring Plan and QA Data: An Agent who has the authority to retrieve and submit monitoring plan and QA data from the ECMPS Client Tool up to the EPA host system, for all units for which that responsibility

has been assi gned. If you assign a person as a Submit Monitoring Plan and QA Data agent, you do not need to also assign the person as a Submit Monitoring Plan Data agent. Y ou MUST include a list of facilities and

units for which th is agent type applies. See instruct ions on Page 1 . *

Submit Monitoring Plan, QA and Emissions Data: An Agent who has the authority to retrieve and submit monitoring plan, QA and emissions data from the ECMPS Client Tool up to the EPA host system, for all units for which that responsibilit y has been assigned. If you assign a person as a Submit Monitoring Plan, QA, and Emissions Data agent, you do not need to also assign the person as a Submit Monitoring Plan Data or Submit Monitoring Plan and QA Data agent. You MUST include a list of faci lities and units for which th is agent type applies. See instructions on Page 1 . *

STEP 5 The R epresentative delegating authority to an Agent must read the certification statements, and sign and date the notice of delegation.

Submission Instructions



### Ema il signed form to:

Desantis.laurel@epa.gov

OR



### Fax form to: (if the fax is greater than 20 pages, please email the completed forms, if you are able)

(202) 343

- 2381

Attention: Laurel DeSantis

I f you have any questions, please contact Laurel DeSantis at (202) 343

- 9191 or desantis.laurel@epa.gov

.3 

### Paperwork Burden Estimate

The public reporting and record keeping burden for this collection of inform ation is estimated to average 1 hour per response annually. Burden means the total time, effort, or financial resources expended by persons to generate, maintain, retain, or disclose or provide information to or for a Federal agency. This includes the ti me needed to review instructions; develop, acquire, install, and utilize technology and systems for the purposes of collecting, validating, and verifying information, processing and maintaining information, and disclosing and providing information; adjust the existing ways to comply with any previously applicable instructions and requirements; train personnel to be able to respond to a collection of information; search data sources; complete and review the collection of information; and transmit or otherwis e disclose the information. 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.

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, Collection Strategies Division, U.S. Environmental Protection Agency (2 822T), 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

- 172 (Revised 8

- 2011) United States Environment al Protection Agency OMB Nos. 2060

- 0258

, 2060

- 0570 , and 2060

- 0667 Acid Rain, CAIR, and Transport Rule Programs Approval Expires 07/31/2014



# Agent Notice of Delegation

For more information, see instructions and refer to 40 CFR 72.26, 97.115, 97.215, 97.315, 97.41 8, 97.518, 97.618,

and 97.718.



## Read instructions.

STEP 1

Enter the information for the Designated Representative or Alternate Designated Representative delegating authority to an Agent to make

electronic submissions on

his or her behalf. Representative Name (First, Middle Initial, Last)

Representative Company Name

Representative Mailing Address

Representative Email Address

Representative Phone Number Representative Fax Number

STEP 2

Mark the box if appropriate

. 

# □ Remove ALL Agents for the Representative list ed in Step 1.

STEP 3

Enter the information for the Agent to whom the Designated Representative or Alternate Designated Representative is delegating authority to make electronic

submissions on his or her

b ehalf. Agent Name (First, Middle Initial, Last)

Agent Company Name

Agent Mailing Address

Agent Email Address

Agent Phone Number Agent Fax NumberAgent Notice of Delegation Page 2 of 4

EPA Form 5900

- 172 (Revised 8

- 2011) STEP 4 Check the CBS Agent Types that apply for the Agent listed in Step 3

. See instructions for description of Agent Types. Add CBS Agent Type(s) for Agent listed in Step 3:



# □ Source Management



# □ Allowance Trading



# □ General Account Management



# □ Compliance Remove CBS Agent Type(s) for Agent listed in Step 3:



# □ Source Management



# □ Allowance Trading



# □ General Account Management



# □ Compliance

STEP 4 (continued)

Check the ECMPS Agent Types that apply for the Agent listed in Step 3 . See instructions for description of Agent Types. Add ECMPS Agent Types(s) for Agent listed in Step 3 :



# □ Retrieve Monitoring Plan, QA and

Emissions Data



# □ Submit Monitoring Plan Data You must specify Facilities and

Units

– See instructions for details)



# □ Submit Monitoring Plan and QA Data (You must specify Facilities and

Units

– See instructions for details)



# □ Submit Monitoring Plan, QA and

Emissions Data (You must specify Facilities and

Units

– See instructions for details) Remove ECMPS Agent Type(s) for Agent listed in Step 3 :



# □ Retrieve Monitoring Plan, QA and

Emissions Data



# □ Submit Monitoring Plan Data (You must specify Facilities and

Units

– See Page 1 of the instructions for details)



# □ Submit Monitoring Plan and QA Data (You must specify Facilities and

Units

– See Page 1 of the instructions

f or details)



# □ Submit Monitoring Plan, QA and

Emissions Data (You must specify Facilities and

Units

– See Page 1 of the instructions for details)Agent Notice of Delegation Page 3 of 4

EPA Form 5900

- 172 (Revised 8

- 2011) STEP 5

The Designated Representative or Alternate Designated Representative

must read the certification statements, sign, and date

. Acid Rain Program (as applicable)

I agree that any electron ic submission to the Administrator that is by an agent identified in this notice of delegation, and of a type listed for such agent in this notice of delegation, and that is made when I am an Acid Rain designated representative or alternate Acid Rain desig nated representative, or when I am an Acid Rain authorized account representative or alternate Acid Rain authorized account representative, and before this notice of delegation is superseded by another notice of delegation, shall be deemed to be an

electro nic submission by me. Until this notice of delegation is superseded by another notice of delegation, I agree to maintain an e

- mail account, and to notify the Administrator immediately of any change to my e

- mail address unless all delegation of authority b y me is

terminated.

CAIR NO X Annual Program, CAIR SO 2 Program, CAIR NO X Ozone Season Program (as applicable)

I agree that any electronic submission to the Administrator that is by an agent identified in this notice of delegation, and of a type listed for such agent in this notice of delegation, and that is made when I am a CAIR designated representative or alternate CAIR designated representative, or when I am an CAIR authorized account representative or alternate CAIR authorized account representative, a nd before this notice of delegation is superseded by another notice of delegation, shall be deemed to be an electronic submission by me. Until this notice of delegation is superseded by another notice of delegation, I agree to maintain an e

- mail account, and to notify the Administrator immediately of any change to my e

- mail address unless all delegation of authori ty by me is

terminated.

Transport Rule NO

x Annual Program, Transport Rule SO 2 Programs, and Transport Rule

NO

x Ozone Season Program (as applicable)

I agree that any electronic submission to the Administrator that is made by an agent identified in this notice of delegation and of a type listed for such agent in this notice of delegation and that is made when I am a Transport Rule designated representative or alternate Transport Rule designated representative, as appropriate, and before this notice of delegation is superseded by another notice of delegation, shall be deemed to be an electronic submission by me. Unt il this notice of delegation is superseded by another notice of delegation, I agree to maintain an e

- mail account and to notify the Administrator immediately of any change in my e

- mail address unless all delegation of authority by me is

terminated.Agent Notice of Delegation Page 4 of 4

EPA Form 5900

- 172 (Revised 8

- 2011) 

### Representative Name

Representative Signature Date

Submission Instructions: Email signed form to:

Desantis.laurel@epa.gov

OR

Fax form to: (if the fax is greater than 20 pages, please e mail the completed forms, if you are able)

( 202 ) 343

- 2381

Attention: Laurel DeSantis

If you have any questions, please contact Laurel DeSantis at (202) 343

- 9191 or desantis.laurel@epa.gov

.