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
Correction Form

Date:

Manufacturer Name:

Engine Family Name:

Original Payment Date:

Original Amount Paid: $

Revised Engine Family Name:

Company Representative:

Name: Phone:

Email Address: Fax: (optional)

Reason for Correction:

Typographical error in original engine family or test group name.

Overpayment for original family name, please apply the overpayment to the revised engine family name. Write the overpayment amount in the comments box.

Other (explain in comments box):

Comments:

Submission:

(1) Forms may be filled out and submitted online at www.Pay.gov

. (2) Forms may be submitted as email attachments to Fees@epa.gov (3) Forms may be submitted by surface mail to:

Environmental Protection Agency- NVFEL

Fees Team Compliance and Innovative Strategies Division

2000 Traverwood Ann Arbor, Michigan 48105



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Instructions

The public reporting and recordkeeping burden for this collection of information is estimated to average 18 minutes per response. Send comments on EPA's need for this information, the accuracy of the provided burden estimate, and any suggested methods for minim izing respondent burden, including through the use of automated collectio n techniques, to the Director, Collection Strategies Divisio n, U.S. Environmental Protection Agency (2822T), 1200 Pennsylvania Ave., N. W., Washington, D.C. 20460. Include the OMB control number i n any correspondence. Do not send the comp leted Form 3520-29 to this address.EPA Form 3520-29 OMB Control No. 2060-0545; approval expiration date: 7/31/2010

This form is used to make typographical and other corrections to an engine family or test group name, to apply an overpayment o n one engine family to certification fee payment for a different engine family, and to make other changes to previously submitted fee filing forms. For corrections requiring additional payment, use the MV ECP Miscellaneous Payments Due Form, to both make the change and submit the payment. For corrections qualifying for a refund, th e refund can be treated as an overpayment using this form an d applied to another engine family, or a Refund Request Form can be used instead. All corrections are subject to EPA approval. A ll

forms can be found and submitted at www.Pay.gov or downloaded at www.epa.gov/otaq/fees.htm

.

Manufacturer Name: Please enter the name of the company or manufacturer.

Engine Family Name: Enter the original test group or engine family name. If you are using the form to apply overpayments (credit balance) on more t han one engine family to the "revised" engine family name below, list the additional engine families in the comment box.

Original Payment Date: Enter the date of the online credit card or ACH payment, or the date of the offline check, wire, or ACH payment for the origina l test group or engine family. Use the best information available.

Original Amount Paid: Indicate the amount you paid for this engine family or test group when the initia l fee payment was made, if applicable.

Revised Engine Family Name: Indicate the revised or new engine family name or test group name. If you are using the form to correct a typographical or othe r mistake in the name, enter the corrected name . If you are using the form to assign a name to a previous placeholder name, enter the assigned name. If you are using the form to apply an overpayment to a new engine family, put down the new engine family to whic h the overpayment should be applied. Use on e correction form for each new engine family to which overpayments are being assigned.

Company Representative: Enter the authorized company representative information, includi ng a contact name, email address, telephone number, and fax number. The contact should be a pe rson familiar with the correction who can be r eached for clarification of any issues. Foreign manufacturers may find that having a contact person in th e U.S. will expedite resolution of fee payment issues.

Reason for Correction:

Select the reason for correction:

-- Typographical error in original engine family or test group name.

-- Overpayment for original family name, please apply the amount to the revised engine family name. Select this option to transfer an overpayment on the origin al engine family or test group to the "revised" engine family or test group. Enter information about the original payment(s) in the Comments box. This will help EPA confirm the overpayment.

-- Other (explain in comments box) For any other corrections enter your explanation in the Comments box.

Comments: Enter any information necessary or help ful in explaining the correction.

Submission: (1) Forms may be filled out and submitted online at www.Pay.gov

. (2) Forms may be submitted as email attachments to Fees@epa.gov (3) Forms may be submitted by surface mail to:

Environmental Protection Agency- NVFEL

Fees Team Compliance and Innovative Strategies Division

2000 Traverwood Ann Arbor, Michigan 48105