United States Environmental Protection Agency OMB No. 2060-0445 

# General Account Information
This form is required to establish a gene ral account in the NOx Allowance Tracking Syst em (NATS) and should be submitted to E PA by any person, company, or organization wishing to open such an account for the purpose of holding and transferring allowances und er the NOx BudgetTrading Program. To open a new general account, comple te all steps in this form, leaving the NATS account number an d the Authorized Account Representative (AAR) ID blank for EPA to assign (unless you are an AAR for another account in NATS, in which case you should write in your AAR ID number). Both the AAR and the alternate (if applicable) must sign and date the cert ification statement in Step 6. To revise inform ation associated with an existing genera l account, enter your NATS account number and AARID number and complete only those steps covering the information you wish to change. You must complete Step 6 to authorize the ch ange of information. Only the AAR or alternate AAR can authorize the change, and only one signature is needed. The AAR should notify all persons who have an ownership interest in the allowances held in an account every time he or she makes a NOx Budget Trading Program submittal. This submittal is: 

# ~ New (to open a new general account)



# ~ Revised (to revise information on an existing general account)

NATS Account Number AAR ID Number
Name of Account STEP 1 Enter requested information for the Authorized Account Representative. Name Firm (Optional)
Phone Number Fax Number
E-mail Address STEP 2 (Optional) Enter requested information for the Alternate Authorized Account Representative. Name Firm (Optional)
Phone Number Fax Number
E-mail Address STEP 3 Enter the mailing address for the account.

Address STEP 4 Enter the names of all parties (persons or companies) subject to the binding agreement authorizing your representation of the account. * Name
Name
Name *Identify all parties with an ownership interest in the allowan ces held in this account. All of these parties must be subject to a binding agreement authorizing the representation of the account by the AAR, and, if applicable, the alternate AAR, identified in Steps 1 and 2. If you (the AAR) are the only person with an ownership interest in the allo wances held in the account, list your name here.NATS Account Number (from page 1) General Account - Page 2

STEP 5 (Optional) Respond to the questions by marking all appropriate boxes (this information will be used for program evaluation purposes only). Is the Authorized Account Representative em ployed by an allowance brokerage firm?



# ~ No



# ~ Yes (if yes, please mark all boxes that apply)



# ~ This account will be used to tran sfer allowances between clients



# ~ This account will be used to hold allowances for investment purposes



# ~ This account will be used for other purposes (please specify) What types of business are represented by the owne r(s) of allowances in this account? (Mark all boxes that apply)



# ~ Utility



# ~ Non-Utility Generator of Electricity



# ~ Industrial Boiler



# ~ Fuel Supplier ______ Coal ______ Oil ______ Gas ______ Other



# ~ Pollution Control Equipment



# ~ Public Interest Group ______ Consumer ______ Other ______ Environmental



# ~ Other
STEP 6 Read the certification and sign and date. (Only one signature is needed if the form is being used to revise account information.) Leave the account number blank if you are opening a new account. I certify that I was selected as the 

## NO X authorized account representative or the 

## NO X alternate authorized account representative, as applicable, by an agreement that is binding on all persons who have an ownership interest with respect to allowances held in the general account. I certify that I have all the necessary authority to carry out my duties and responsibilities under the 

## NO X Budget Trading Program on behalf of such persons and that each such pers on shall be fully bound by my representations, actions, inactions, or submissions and by any order or decisi on issued to me by the Administrator or a court regarding the general account.

Signature (Authorized Account Representative) Date Signature (Alternate Authorized Account Representative, if any) Date Submission Information U.S. Mail : U.S. Environmental Protection Agency NOx Budget Trading Program (6204J) Attention: NOx Allowance Tracking System 1200 Pennsylvania Ave., NW Washington, D.C. 20460 Overnight Mail: U.S. Environmental Protection Agency NOx Budget Trading Program (6204J) Attention: NOx Allowance Tracking System 1310 L Street, N.W. Washington, D.C. 20005 If you have any questions, please call the CAMD Hotline at 202-343-9620

.EPA Form 7620-15 Paperwork Burden Estimate The public reporting and recordkeeping burden for this collection of information is estimated to average 30 hours per response. 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 th e time needed to review instructions; deve lop, acquire, install, and utilize technolo gy and systems for the purposes of collecting, validating, and verifying inform ation, processing and maintaini ng information, and disclosing a nd providing information; adjust the existing ways to co mply with any previously applicable inst ructions and requirements; train personnel t o be able to respond to a collection of information; sear ch data sources; complete and review the collection of information; and transmit or otherwise disclose the information. An agency may not conduct or spons or, and a person is not required to respond to, a collection of in formation 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 metho ds for minimizing respondent burden, including through the use of automated collection techniques to the Director, Collection Strategi es Division, U.S. Environmental Protection Agency (2822), 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.United States Environmental Protection Agency OMB No. 2060-0445