EPA Form 3520-29 OMB Control No. 2060-0545; approval expiration date: 7/31/2010 

U.S. Environmental Protection Agency 

Motor Vehicle and Engine Compliance Program 

Miscellaneous Payments Due Form 

Date: 

Manufacturer Name: 

Engine Family Name: 

Original Payment Date: Original Check#/Wire/ACH/Pay.gov Tracking Number: (optional) 

Original Amount Paid: $ (optional) 

Revised Engine Family Name: (optional) 

Company Representative: 

Name: Phone: 

Email Address: Fax: (optional) 

Reason for Payment: 

 Incorrect/Revised engine family 

 Underpayment 

 New calendar year fee schedule change 

 Component certification for evaporative emissions ($241) 

 Other 

 Comments: 

Fee Payment Details 

 Amount Paid: $ 

 Enter the check number, or the statement “EFT/Wire” or “EFT/ACH”: 

Submission of payments and forms: 

(1) Online: Forms may be found and submitted with or without payments online at www.Pay.gov. 

(2) Send checks and this form to:

Environmental Protection Agency

Motor Vehicle and Engine Compliance Program 

P.O. Box 979032 

St. Louis, MO 63197-9000 

(3) Transmit offline EFT/Wire payments to the New York Federal Reserve Bank. (See Instructions, page 2) 

(4) Transmit offline EFT/ACH payments to the Federal Reserve Bank of Cleveland. (See Instructions, page 2.) 

(5) Forms not submitted under (1) and (2) above can be sent as e-mail attachments to Fees@epa.gov. 

Forms and payments sent in ways other than the above may be delayed or ineffective. See the Instructions for sending checks and forms 

by private mail service (e.g., Federal Express). 

 

 

The public reporting and recordkeeping burden for this collection of information is estimated to average 36 minutes per response. 

Send comments on EPA’s need for this information, the accuracy of the provided burden estimate, 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 (2822T), 1200 Pennsylvania Ave., N.W., Washington, D.C. 20460. 

Include the OMB control number in any correspondence. Do not send the completed Form 3520-29 to this address. 
EPA Form 3520-29 OMB Control No. 2060-0545; approval expiration date: 7/31/2010 

Page 2 

Instructions: 

NOTE: This form may be found and submitted with or without associated payments online at www.Pay.gov. Copies of 

this form may also be downloaded at www.epa.gov/otaq/fees.htm. 

Manufacturer Name: 

List the corporate name as it appears on the application or the Certificate of Conformity. 

Engine Family Name: 

Enter the engine family or test group name as it appears on the application or Certificate of Conformity. If payment is 

being made on an engine family older than the current model year minus one, contact your certification representative. For 

payments involving more than one engine family, or involving both overpayments and underpayments (for example, final 

reduced fee calculation and adjustment under 40 CFR §1027.120(d)) you may 1) submit separate Miscellaneous Payments 

Due forms, 2) explain fully in the Comments box, or 3) provide a cover letter explaining each adjustment and payment to 

cover the information in this form, including the reason for each payment, whichever is best suited to provide the 

information necessary to process the payment. 

 

Original Payment Date: 

Enter the date of the original online payment or offline payment by check, wire or ACH. Use the best information 

available. 

Original Amount Paid: 

Indicate the amount you have already paid for this engine or test group. 

Original Check Number/ Wire/ACH/Pay.gov Tracking Number: 

Enter the original check number, or indicate "Wire" or "ACH" if the original offline payment was by those methods. Enter 

the Pay.gov Tracking ID number assigned for the original payment if it was online. 

Company Representative: 

Enter the authorized company representative information, including a contact name, email address, telephone number and 

fax number. The person named should be someone familiar with the payment who can be contacted for clarification of any 

issues. 

Revised Engine Family Name: 

Enter a revised engine family name if payment is owed because an engine family name has been changed or corrected to a 

category or model year requiring a higher fee than originally paid. If this box is selected, this form can operate to make the 

correction in engine family name; a separate Correction Form need not be filed. 

Reasons for Payment: 

Select from the following options: 

 -- Incorrect/Revised engine family: If an underpayment was made because the wrong engine family certification 

was originally applied for, and/or the original engine family is being revised to a different family with a different 

certification fee payment requirement, enter the amount of the shortfall in the Amount Paid box at the bottom of the form, 

and add any explanation in the Comments box. Indicate that the corresponding Fee Correction Form has been filed. 

Include the revised engine family name in the space provided above for Revised Engine Family Name. 

 -- Underpayment: If the original payment did not cover the full required amount, select this box, enter the amount 

of the shortfall in the Amount Paid box at the bottom of the form, and add any explanation in the Comments box. 

-- New calendar year fee schedule change: New certification fees are calculated for each calendar year. The fee 

that applies to an engine is determined by the calendar year in which a complete application is received. If a manufacturer 

owes EPA due to a fee schedule change, select this box, enter the amount of the shortfall in the amount paid box and add 

any explanation in the Comments box. If EPA owes the manufacturer due to a fee schedule change, use the Fees Correction 

Form (to apply the amount owed to another certification fee) or Fee Refund Form. 
EPA Form 3520-29 OMB Control No. 2060-0545; approval expiration date: 7/31/2010 

Page 3 

 -- Component certification for evaporative emissions ($241): Select this box if you are applying for 

certification of evaporative emission components under 40 CFR Part 1060. 

-- Other: Select this box for any other underpayments; enter the amount to be paid in the amount due box, and 

explain in the Comments box. 

Comments: 

Enter any comments that are necessary or useful to explain the payment. 

Fee Payment Details: 

Amount Paid: 

Enter the amount paid with this submission. 

Enter the check number, or the statement “EFT/Wire” or “EFT/ACH”: 

To pay by check,: Make the check payable to "U.S. Environmental Protection Agency". Write "MVECP fee" and the 

engine family or test group name on the check, or, if the check is for multiple test groups or engine families, write 

"MVECP fee for ___ engine families/test groups" (edit number as appropriate). Mail this form along with the check to: 

 Environmental Protection Agency 

 Motor Vehicle and Engine Compliance Program 

 P.O. Box 979032 

 St. Louis, MO 63197-9000 

If using a private shipping service such as Federal Express (or other service), send checks to: 

 U.S. Bank 

 Government Lockbox 979032 

 1005 Convention Plaza 

 SL-MO-C2-GL 

 St. Louis, MO 63101 

To pay by wire, Electronic Funds Transfer wire payments through the New York Federal Reserve Bank are the only wire 

transactions normally accepted for certification fee payments. EFT/wire transactions must be arranged with the 

manufacturer's bank. All banking fees are the responsibility of the manufacturer. Your bank will need the following 

information: 

 RDFI- Federal Reserve Bank 

 The EPA location code is 68010099. 

 The ABA number is 021030004. (This is the same as the “Swift code” for participating banks. For further 

 information, email Fees@epa.gov.) 

 (Note: The wire detail corresponding to ABA 021030004 is “TREAS NYC”; this is the same RDFI as the Federal 

 Reserve Bank.) 

The manufacturer must submit the following information in the EFT/wire message field (maximum 80 columns): 

 Description: "EPA MVECP FEE" 

 Manufacturer Name 

 Standard Engine Family or Test Group Name(s). If space is limited, list one name and the number of families. 

To pay by Automated Clearing House Electronic Funds Transfer (EFT/ACH): EFT payments can be made on-line at 

www.Pay.gov by anyone having a U.S. banking account. For off-line EFT, the manufacturer should contact its bank. At 

this time, EPA can only receive EFT/ACH payments from banks in the United States. All banking fees are the 

responsibility of the manufacturer. Your bank will need the following EPA routing and account information: 

 RDFI: Federal Reserve Bank 

 Routing Transit Number: 051036706 

 Receiving Account Number: 540006 

 Account Name: U.S. Environmental Protection Agency (EPA) 

 (Note: The 051036706 company name appears as “US EPA”) 
EPA Form 3520-29 OMB Control No. 2060-0545; approval expiration date: 7/31/2010 

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The manufacturer must submit the following information: 

 Description: "EPA MVECP FEE" 

 Manufacturer Name 

 Standard Engine Family or Test Group Name(s). If space is limited, list one name and the number of families.