Instructions for Allowance Deduction Form 

(Optional) 

The Acid Rain Program and CAIR Trading Programs (CAIR NOX Annual, CAIR SO2, and CAIR NOX Ozone 

Season) regulations allow for the identification of allowances to be deducted for annual compliance. The form 

must be submitted by November 30 for the CAIR Ozone Season Program, or March 1 of the year after the 

compliance year for the Acid Rain/CAIR SO2 Program and CAIR NOX Annual Program. 

You are encouraged to use the CAMD Business System (CBS) to submit allowance deductions online. To 

register for CBS, go to https://camd.epa.gov/loginrequest/index.cfm. 

If you need more space, photocopy page one. When you have completed the form, indicate the page order 

and total number of pages (e.g., 1 of 4, 2 of 4, etc.) in the spaces provided in the upper right hand corner of 

each page.

Either the designated representative (DR) or the alternate DR may sign this form. 

If you need assistance, call the Clean Air Markets Hotline at 202-343-9620.

Step 1 Make sure you select the correct allowance program. Only check one box. If you want to deduct

allowances under more than one program, submit a separate form for each program.

Step 2 Enter the Compliance Year, the Allowance Tracking System (ATS) Account Number of the facility 

(i.e., plant) from which allowances are to be deducted, and the Facility Name.

Step 3 List by serial number the allowances to be deducted. You may specify single allowances or a 

series of allowances. In the total column, enter the total number of allowances to be deducted.

Verify the accuracy of your entries by computing one of the following simple equations:

 Start Number = End Number - Total + 1

 or

 End Number = Start Number + Total - 1 

NOTE: If the serial number range does not correspond with the figure for the total number of 

allowances, then EPA will rely on the serial number range and not the total number. 

You may copy the form to list additional allowances to be deducted. When you have completed the form, 

for each ATS account number indicate the page order and total number of pages (e.g., 1 of 4, 2 of 4, etc.) 

in the boxes in the upper right hand corner of each page.

The allowance year of the allowances to be deducted must be the same as, or a year prior to, the 

compliance year listed in Step 1. 

If you do not identify enough allowances by serial number, EPA will deduct any additional allowances 

necessary on a first-in, first-out (FIFO) basis starting with those allowances with the earliest date of 

recordation into the compliance account (generally, allowances originally allocated by EPA to the unit will 

have the earliest date of recordation). 

If you identify more than enough allowances, EPA will deduct the allowances in the order listed on the 

form. EPA will not deduct more allowances than necessary for compliance.

Step 4 Read the Certifications, sign, and date. 

EPA Form 7620-4 (Revised 12-2009) 
Mailing Instructions Mail this form to EPA at one of the following addresses:

for regular or certified mail: for overnight mail:

U.S. EPA U.S. EPA

Acid Rain Program (6204J) Acid Rain Program (6204J)

Attention: Annual Reconciliation Attention: Annual Reconciliation 

1200 Pennsylvania Avenue, NW 1310 L Street, NW.,

Washington, DC 20460 Second Floor

 Washington, DC 20005

 Phone: 202-343-9150

For more information see the applicable rule:

Acid Rain: 40 CFR 73.35

CAIR NOX Annual: 40 CFR 96.154 or 97.154 or the applicable State rule

CAIR SO2: 40 CFR 96.254 or 97.254 or the applicable State rule

CAIR NOX Ozone Season: 40 CFR 96.354 or 97.354 or the applicable State rule

Paperwork Burden Estimate

The public reporting and recordkeeping burden for this collection of information is estimated to average 3 

hours 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 

time 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 otherwise 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 

(2822T), 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 7620-4 (Revised 12-2009) 
United States OMB Nos. 2060-0258 and 2060-0570

Environmental Protection Agency Approval expires 11/30/2012

Allowance Deduction Form (Page 1 of ___ in this submission)

STEP 1 

Select the type of 

allowances to be 

deducted. 

Choose one only:

Acid Rain/CAIR SO2 Allowances

CAIR NOX Ozone Season Allowances

CAIR NOX Allowances

 

STEP 2

Enter 

compliance year 

and Facility 

information Compliance Year Account Number Facility Name

STEP 3

List the 

allowances to 

be deducted by 

serial number in 

order of 

deduction. 

You may 

specify single 

allowances or a 

series of 

allowances. In

the total 

column, enter 

the total 

number of 

allowances to 

be deducted. 

Enter separate 

series or series 

with a different 

use date on a 

separate line.

Start Number End Number

Year Start End Total

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EPA Form 7620-4 (Revised 12-2009) 
EPA Form 7620-4 (Revised 12-2009) 

Account # (from page 1) (Page 2 of in this submission)

STEP 4

Complete Steps 5 

and 6. Read the 

certification, print 

name, and sign 

and date.

Certification

I am authorized to make this submission on behalf of the owners and operators of the 

source or units for which the submission is made. I certify under penalty of law that I have 

personally examined, and am familiar with, the statements and information submitted in 

this document and all its attachments. Based on my inquiry of those individuals with 

primary responsibility for obtaining the information, I certify that the statements and 

information are to the best of my knowledge and belief true, accurate, and complete. I am 

aware that there are significant penalties for submitting false statements and information or 

omitting required statements and information, including the possibility of fine or 

imprisonment.

 Name

 Signature Date

Submission 

Information

Mail to the following address:

By regular/certified mail:

U.S. Environmental Protection Agency

Clean Air Markets Division (6204J)

Attn: Annual Reconciliation

1200 Pennsylvania Avenue, NW 

Washington, D.C. 20460

Or overnight mail:

U.S. Environmental Protection Agency

Clean Air Markets Division (6204J)

Attn: Annual Reconciliation

1310 L Street, NW

Second Floor, Office 202B

Washington, DC 20005

(202) 343-9168