OMB 2060-0629 

Approval expires 11/30/2012 

EPA Form 5900-211

Mandatory Reporting of Greenhouse Gases (40 CFR Part 98) 

Optional Facility Application Form For Approval of Alternative Methods for 

Determining N2O Process Emissions for Subparts E Adipic Acid Production and V 

Nitric Acid Production

OMB Control No. 2060-0629 

Approval expires 11/30/2012 

The incremental public reporting and recordkeeping burden for this collection of 

information is estimated to average 30 minutes per response (the burden already was 

included in ICR 200909-2060-007). This is an optional application form. 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.
OMB 2060-0629 

Approval expires 11/30/2012 

EPA Form 5900-211

Mandatory Reporting of Greenhouse Gases (40 CFR Part 98) 

Optional Facility Application Form For Approval of Alternative Methods for 

Determining N2O Process Emissions for Subparts E Adipic Acid Production and V 

Nitric Acid Production

General Information: If you are an owner or operator subject to Part 98 Subpart E 

(40 CFR 98.50) or Subpart V (40 CFR 98.220) and are applying to the EPA 

Administrator to use an alternate method to calculate your annual process-related N2O 

emissions from Adipic Acid or Nitric Acid production, you have the option to use this 

form for your application. For calendar year 2010, you must submit your application 

by February 12, 2010 (within 45 days following the effective date of the final rule, 

which is December 29, 2009). In subsequent years, you must submit your application 

by January 30th of the year for which you want to use in an alternative method (e.g., 

January 30, 2011). 

Effective immediately, any future Alternative Method requests must be submitted in hard 

copy to one of the following addresses:

For package delivery (Preferred): Carole Cook, c/o Director, Climate Change 

Division, U.S. Environmental Protection Agency, 1310 L Street, NW, 802e, 

Washington, DC 20005. 

Phone: 202-343-9263

For U.S. mail: Carole Cook, c/o Director, Climate Change Division, U.S. 

Environmental Protection Agency, 1200 Pennsylvania Avenue, NW, Mail Code: 

6207J, Washington, DC 20460

Upon receipt, the request will be recorded in the EPA tracking system, and the requester 

will be notified that EPA is evaluating the request. EPA will evaluate your request to 

confirm whether the proposed alternative is acceptable. The agency will then notify you 

to confirm approval or denial of the application. 

If you do not receive approval by August 2, 2010 of the year in which data are being 

collected (e.g., within 150 days of the end of the reporting year), you must determine the 

N2O emissions factor and calculate annual N2O emissions based on this factor for the 

current year using the procedures specified in the rule under 98.53(a)(1) or 98.223(a)(1). 
OMB 2060-0629 

Approval expires 11/30/2012 

EPA Form 5900-211

Mandatory Reporting of Greenhouse Gases (40 CFR Part 98) 

Optional Facility Application Form For Approval of Alternative Methods for 

Determining N2O Process Emissions for Subparts E Adipic Acid Production and V 

Nitric Acid Production

General Information 

Name of Person to Contact about the 

Application 

Contact Person Address (include street 

address, city, state and zip code) 

Contact Person Phone Number 

Contact Person E-mail Address 

Contact Person Date Signed 

Contact Person Date Submitted 

Facility and Emissions Unit Information 

Facility Name 

Facility Physical Address (include street 

address, city, state and zip code) 

Unit ID (list for each applicable unit) 

Type of Unit (e.g., nitric acid train or adipic 

acid production process) 

Total number of units at facility included in 

this application 
OMB 2060-0629 

Approval expires 11/30/2012 

EPA Form 5900-211

Mandatory Reporting of Greenhouse Gases (40 CFR Part 98) 

Optional Facility Application Form For Approval of Alternative Methods for 

Determining N2O Process Emissions for Subparts E Adipic Acid Production and V 

Nitric Acid Production

Description for Alternative Method 

Name of alternative method, if available (e.g., N2O CEMs) 

[Insert name here] 

Description of the Alternative Method 

Facilities should describe the following information: 

• the calculation method for determining annual N2O emissions; 

• associated data collection procedures (parameters, how the parameters will be determined, 

frequency of data collection); 

• initial and ongoing monitoring and QA/QC procedures; 

• missing data procedures that will be applied in the event that quality-assured parameters are 

unavailable (e.g. if a CEMS malfunctions during a unit operation); 

• any N2O emissions abatement technology that is being used on this unit or process; 

• any specific test methods or industry consensus standards that would be applied (ASTM, 

EPA, etc.) for data collection or monitoring; and 

• any data reporting elements, in addition to the elements required in the rules, that would be 

provided to EPA to verify the calculated emissions using the alternative method. 

For example, if you are proposing to use a N2O Continuous Emission Monitoring System (CEMS), you 

should include a description of the initial certification procedures of the monitor on a percent or ppm N2O 

basis including calibration drift tests and relative accuracy test audit (RATA) procedures, references to 

existing regulations and performance specifications, a description of the ongoing quality assurance 

procedures for both the N2O concentration monitor and the stack gas volumetric flow rate monitor. You 

should also describe how any N2O emissions abatement technology that is being used on this unit or 

process and how this technology will be reflected in the calculation of annual N2O emissions. In addition, 

the description should include procedures for estimating all missing data for all applicable parameters, 

such as N2O concentration, stack gas flow rate, etc. Finally, the description should include any additional 

data reporting elements, such as common stack configurations that might be relevant for EPA to verify 

emissions (reporting elements would include, common stack or duct identification number and 

identification numbers of units sharing the common stack or duct). 

[Insert description here or attach documents] 
OMB 2060-0629 

Approval expires 11/30/2012 

EPA Form 5900-211

Mandatory Reporting of Greenhouse Gases (40 CFR Part 98) 

Optional Facility Application Form For Approval of Alternative Methods for 

Determining N2O Process Emissions for Subparts E Adipic Acid Production and V 

Nitric Acid Production

Justification for the Alternative Method 

Reason for your application (e.g. describe reasons for application to use alternative method such 

as increased accuracy, improved representativeness, more cost effective, etc.) 

[Insert justification here] 

Supplemental Data (attached) Facilities may include any data that support the alternative method 

including Relative Accuracy Test Audit (RATA) described in the application, relevant statistical 

analyses, performance test data results, etc. 

[Indicate whether you are including attachments and include a list of files attached]