EPA Form 7620-14

United States

Environmental Protection Agency OMB No. 2060-0445

 Allowance Transfer

This form is required to record a transfer of allowances under the Nox Budget Trading Program from one account to another in

the NOx Allowance Tracking System (NATS). Upon receipt of a completed allowance transfer form, EPA will move the

requested allowances from the transferor’s account to the transferee’s account. The Authorized Account Representative (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.

STEP 1

Enter account

information about the

transferor (in whose

account the allowances

currently reside

Transferor

 NATS Account Number

 AAR Name AAR ID Number

Address

 Phone Number

 Fax Number

STEP 2

Enter account

information about

the transferee (into 

whose account the

allowances are being

transferred).

Transferee:

NATS Account Number

 AAR Name AAR ID Number

Address

 Phone Number

 Fax Number

STEP 3

Complete Step 4. The

transferor AAR should

read the certification,

print name, and sign and

date.

I am authorized to make this submission on behalf of the owners and operators of the NOX Budget sources or NOX

Budget units for which the submission is made (or in the case of general accounts, the persons having an ownership

interest with respect to the NOX allowances held in the general account.) 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.

Transferor:

Name

Signature Date
EPA Form 7620-14

NATS Account Number (from page 1)

Allowance Transfer - Page 2

Start Number (12 digits) End Number (12 digits) Total

STEP 4

List the allowances to

be transferred by

serial 

number (see example).

You may specify single

allowances or a series

of allowances. In the

“Total” column, enter

the total number of

allowances to be

transferred. Enter

each separate series or

series with a different

use date on a separate

line.

EPA will not transfer

allowances unless the

allowances are in the

transferor's account 

at the time EPA

processes this request.

Further Details:

Enter the Start Number

and End Number in the

appropriate columns;

EPA recommends that

you select a start number

or end number that

represents the start or the

end of a pre-existing

series in the transferor's

account, so that series of

allowances are not

segregated unnecessarily,

as would occur if you

chose an intermediate

start or end number.Enter

the number of allowances

to be transferred in the

"Total" column. Verify

the accuracy of your

entries by using one of he

following simple

equations:

Start Number =

 End Number ! Total + 1 or

End Number = 

Start Number + Total ! 1 

2 0 0 3 - 0 5 2 5 1 9 9 3 2 0 0 3 - 0 5 2 5 2 0 0 0 7

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If you are transferring allowances for purposes of compliance with NOx Budget Trading Program requirements for a given

control period, this form must be postmarked no later than the Allowance Transfer Deadline (November 30th of the year in

which the control period falls).

U.S. Mail:

U.S. Environmental Protection Agency 

Nox Budget Trading Program (6204J) 

Attention: NOx Allowance Tracking System 1200

Pennsylvania Ave., N.W. 

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 7620-14

Paperwork Burden Estimate

The public reporting and recordkeeping burden for this collection of information is estimated to average 2 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 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 (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.