EPA Form 5900-78 

 OMB No. 2060-0336, Approval Expires 04/30/2012 

Federal Operating Permit Program (40 CFR Part 71) 

INSTRUCTION MANUAL FOR PART 71 FORMS

Who Must Apply for an Operating Permit under Part 71 

This manual is designed to help part 71 sources apply for part 71 permits. Please refer to 40 

CFR 71.3 for detailed information on which sources are subject to these requirements. These 

forms can be used to apply for the initial operating permit, renewals, and permit revisions for 

Part 71 sources and, in certain cases, revisions or re-openings to part 70 permits. 

Where to File the Application Forms 

The completed applications or reporting forms should be mailed to the EPA regional office 

responsible for permitting in the area where you are located. When a State, tribe or other 

permitting agency has been delegated the part 71 program, your application should be mailed to 

that agency. Note that certain fee-related information is mailed to a separate location. 

When to File the Application Forms 

A part 71 source applying for the first time is generally required to submit an application within 

12 months of the effective date of the part 71 permitting program or within 12 months of the 

source commencing operation, whichever occurs later. If you already have a part 70 permit, 

you do not have to apply for a part 71 permit until the part 70 permit expires. If you are 

renewing a part 71 permit, the application must be submitted within the timeframe required in 

the existing permit. Certain part 71 forms are for reporting information during the permit term; 

the permit will specify when these reports should be submitted. 

Information Collection Burden Estimate

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

average 221 hours per respondent per year. 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. 

Contact Information for EPA Regional Offices 

The permitting authority for part 71is normally the EPA regional office, but program 

administration may be delegated to a tribal, State, or local agency. If you have any questions 

about the forms or who is administering the program, please contact the following EPA regions: 
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REGION I

Part 71 Permit Contact 

Air Management Division 

U.S. Environmental Protection Agency 

One Congress Street, Suite 1100 (CAP) 

Boston, Massachusetts, 02114-2023 

Phone: (617) 918-1653 

[Connecticut, Maine, Massachusetts, New 

Hampshire, Rhode Island, and Vermont]

REGION VI

Part 71 Permit Contact, 

Air, Pesticides and Toxics Division, MC 6PD-R 

U.S. Environmental Protection Agency 

1445 Ross Avenue, Suite 1200 

Dallas, Texas 75202-2733 

Phone: (214) 655-7250 

[Arkansas, Louisiana, New Mexico, Oklahoma, and 

Texas]

REGION II

Part 71 Permitting Contact 

Air Programs Branch 

U.S. Environmental Protection Agency 

290 Broadway 

New York, New York 10007-1866 

Phone: (212) 637-4023 

[New Jersey, New York, Puerto Rico & Virgin Is.]

REGION VII

Air, RCRA, and Toxics Division 

Air Permitting and Compliance Branch 

Mail Code: ARDAPCO 

726 Minnesota Ave. 

Kansas City, KS 66101 

Phone: (913) 551-7622 

 

[Iowa, Kansas, Missouri, and Nebraska]

REGION III

Part 71 Permit Contact 

Air Protection Division (3AP11) 

U.S. Environmental Protection Agency 

1650 Arch Street, 

Philadelphia, Pennsylvania 19103 

Phone: (215) 814-2196 

Delaware, District of Columbia, Maryland, 

Pennsylvania, Virginia, and West Virginia

REGION VIII

Part 71 Permit Contact 

U.S. Environmental Protection Agency, 

Air and Radiation Program, 8P-AR 

1595 Wynkoop Street 

Denver, Colorado 80202 

Phone: (303) 312-6312 

Colorado, Montana, North Dakota, South Dakota, 

Utah, and Wyoming. 

REGION IV

Chief, Air Permits Section, 

Air Planning Branch, APTMD, 

U.S. Environmental Protection Agency 

61 Forsyth Street S.W. 

Atlanta, Georgia 30303 

Phone: (404)-562-9019 

Alabama, Florida, Georgia, Kentucky, Mississippi, 

North Carolina, South Carolina, and Tennessee

REGION IX

Permits Office, Air Division, 

Mail Code: AIR-3 

U.S. Environmental Protection Agency 

75 Hawthorne Street 

San Francisco, California 94105 

Phone: (415) 972-3973 

Arizona, California, Hawaii, Nevada, Guam, and 

American Samoa, and the Northern Mariana Islands

REGION V

Air Programs Branch, Air and Radiation Division, 

U.S. Environmental Protection Agency 

77 West Jackson Boulevard (AR-18J) 

Chicago, Illinois 60604-3507 

Phone: (312) 886-0671 

Illinois, Indiana, Minnesota, Ohio, and Wisconsin

REGION X

Part 71 Permit Contact, 

Office of Air , Waste and Toxics (M/S AWT-107) 

U.S. Environmental Protection Agency 

1200 Sixth Avenue 

Seattle, Washington 98101 

Phone: (206) 553-4273 

Alaska, Idaho, Oregon, and Washington

Payment of Fees
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Part 71 sources are required to pay emissions-based fees when they initially apply and then 

subsequently on an annual basis. In addition, part 71 fees may be suspended where a part 71 

program is fully delegated. Also, note that late fee payment or partial payment is subject to 

penalties and interest. 

Information Made Available to the Public and Confidential Treatment of Information 

Information contained in the permit application will, upon request, be made available to the 

public for inspection and copying. If sources wish to request confidential treatment for business 

information, such information should be submitted separately to the permitting authority along 

with a claim of confidentiality as provided in 40 CFR part 2, subpart B. The Applicants may be 

required by any delegate agency to provide a copy of the permit application directly to the EPA 

Regional office. All business confidentiality claims will be processed by the permitting authority 

following the procedures found in 40 CFR part 2. 

Record Retention

Applicants must retain records, materials, worksheets, or other support material used in the 

preparation of any required forms for a period of at least 5 years from the date the information is 

submitted to EPA. 

Guide to Application Forms:

Initial Application Forms (Used to Initially Apply for a Permit or for a Renewal)

 EPA Form # Form Name 

 5900-78 Instruction Manual

 5900-79 GIS, General Information and Summary 

 5900-80 EUD-1, Emissions Unit Description for Fuel Combustion Sources 

 5900-81 EUD-2, Emissions Unit Description for VOC Emitting Sources 

 5900-82 EUD-3, Emissions Unit Description for Process Sources 

 5900-83 IE, Insignificant Emissions 

 5900-84 EMISS, Emissions Calculations 

 5900-85 PTE, Potential to Emit Summary 

 5900-03 FEE, Fee Calculation Worksheet 

 5900-06 FF, Fee Filing Form 

 5900-86 I-COMP, Initial Compliance Plan and Compliance Certification 

 5900-02 CTAC, Certification of Truth, Accuracy, and Completeness 
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Reporting Forms (Periodic Reports Required by Permits) 

 

 EPA Form # Form Name 

5900-01 SIXMON, Six-Month Monitoring Report

5900-02 CTAC, Certification of Truth, Accuracy, and Completeness*

5900-03 FEE, Fee Calculation Worksheet *

5900-06 FF, Fee Filing Form

5900-04 A-COMP, Annual Compliance Certification 

5900-05 PDR, Prompt Deviation Report

 

Updates and Corrections to Applications and Requests for Additional Information 

Sources must update their application after it is submitted up to the release of the draft permit to 

address any applicable requirements that become subject to them during this period. At any 

time after the application is administratively complete, the permitting authority may request 

additional information in writing, giving a reasonable time for response. It is also the 

responsibility of applicants who fail to submit relevant facts or submit incorrect information in an 

application to promptly submit supplementary facts or corrected information. 

Cross-Referencing of Information Already Provided Allowed 

If you have previously submitted information to EPA or to an approved State agency that is 

required to be submitted in these application forms, you may either repeat the information in the 

space provided or cross-reference the relevant materials or documents. Cross-referencing is 

allowed for materials that are currently applicable and available to the public and the permitting 

authority. If the materials do not meet this standard they must be submitted as an attachment to 

the form. All cross-referenced materials will be placed in the public docket on the permit action, 

unless they are published and/or readily available. 

Use of Attachments 

Attachments may be used by applicants to report any information asked for in a form. When 

you use an attachment, please cross-reference it on the form. 

Use of “Not Applicable” 

To indicate that each section has been considered, enter "NA" for "not applicable" or indicate 

that it is applicable but the information will be submitted at a later date and indicate the date it 

will be submitted (either in the space provided or on an attachment). 

Specific Instructions for Each Form (attached to each form).

For More Information (go to http://www.epa.gov/oar/oaqps/permits/part71.html)