Fuel
Additive
Manufacturer
Notification
Instructions
GENERAL
INFORMATION
A
manufacturer
of
an
additive
for
use
in
motor
vehicle
gasoline
or
motor
vehicle
diesel
fuel
may
not
sell,
offer
for
sale,
or
introduce
into
commerce
such
additive
unless
it
has
been
registered
by
the
United
States
Environmental
Protection
Agency
(
EPA)
in
accordance
with
the
regulations
at
40
CFR
79.
These
regulations
and
a
list
of
registered
fuel
additives
are
available
at
www.
epa.
gov/
otaq/
additive.
htm.
Please
note
the
following
definitions:

"
Additive"
means
any
substance,
other
than
one
composed
solely
of
carbon
and/
or
hydrogen,
that
is
intentionally
added
to
a
fuel
(
including
any
substance
added
to
a
motor
vehicle
'
s
fuel
system)
and
that
is
not
intentionally
removed
prior
to
sale
or
use.

"
Additive
manufacturer"
means
any
person
who
produces,
manufactures,
or
imports
an
additive
for
use
as
an
additive
and/
or
sells
or
imports
for
sale
such
additive
under
the
person's
own
name.

"
Bulk
fuel
additive"
means
an
additive
which
is
added
to
fuel
before
introduction
into
the
fuel
tank
of
a
motor
vehicle.

"
Aftermarket
fuel
additive"
means
an
additive
which
is
added
directly
to
fuel
in
a
motor
vehicle.

"
Aerosol
additive"
means
an
additive
in
aerosol
form
generally
used
as
a
motor
vehicle
engine
starting
aid
or
carburetor
cleaner
and
not
recommended
to
be
placed
in
the
fuel
tank.

"
Relabeled
additive"
means
a
fuel
additive
which
is
registered
for
its
original
manufacturer
and
is
also
registered
and
sold,
unchanged
in
composition,
under
a
different
label
and/
or
by
a
different
entity.

The
registration
process
is
initiated
by
submitting
a
Fuel
Additive
Manufacturer
Notification,
EPA
Form
3520­
13,
to:

Specific
instructions
for
completing
the
form
follow.
For
additional
information
see
the
regulations
entitled
"
Registration
of
Fuels
and
Fuel
Additives"
at
40
CFR
79,
or
contact
the
office
above.

The
EPA
is
responsible
for
assessing
the
impact
on
public
health
and
welfare
from
exposure
to
automotive
emissions.
Knowledge
of
fuel
additive
composition,
as
reported
by
each
manufacturer,
is
an
important
aspect
of
this
program.

SPECIFIC
INSTRUCTIONS
Please
type
(
best
results
are
obtained
using
standard
fonts
such
as
Courier
or
Arial)
or
print
the
information
using
a
dark­
colored
ink.
If
using
a
photocopied
version
of
the
form,
please
ensure
the
copy
is
clean
and
has
been
copied
to
100%
of
the
original
page
size.
Via
U.
S.
Postal
Service
U.
S.
Environmental
Protection
Agency
Attn:
Fuel
Additive
Registration/
Suite
L
­
103
Mail
Code
­
6406J
1200
Pennsylvania
Avenue,
NW
Washington,
DC
20460­
0001
Telephone:
(
202)
564­
9754
Fax:
(
202)
565­
2153
email:
caldwell.
jim@
epa.
gov,
fernandes.
joseph@
epa.
gov
or
Via
Courier
U.
S.
Environmental
Protection
Agency
Attn:
Fuel
Additive
Registration/
Suite
L­
103
Mail
Code
­
6406J
501
Third
Street,
NW
Washington,
DC
20001
Item
1.
Additive
(
Commercial
Name):
Enter
the
commercial
name(
s)
of
the
additive
being
registered.
The
first
name
listed
will
be
considered
the
primary
name.

Item
2.
Company
Name:
Enter
the
company's
legal
name.

Item
2a.
Company
ID
:
Enter
the
EPA
assigned
four­
digit
ID.
Leave
blank
if
this
is
your
first
manufacturer
notification.

Item
3.
Address:
Enter
the
address
of
the
company
office
primarily
responsible
for
managing
compliance
with
EPA's
fuel
additive
regulations.

Item
4.
Method
of
Use:
Check
the
appropriate
box(
es).
Page
1
of
3
Fuel
Additive
Manufacturer
Notification
Instructions
(
6­
2003)
Item
5.
Recommended
Usage
and
Range
of
Concentration
:
Check
the
kind
of
fuel
in
which
the
use
of
the
fuel
additive
is
recommended,
indicate
the
recommended
lowest,
average,
and
highest
concentrations
of
the
fuel
additive
in
that
fuel.
Concentration
units
are
preferred
in
milligrams
of
additive
per
liter
of
fuel
(
mg/
l).
If
the
additive
is
an
oxygenate
(
alcohol
or
ether)
a
percent
volume
(%
vol.)
figure
should
be
used.
If
the
fuel
additive
is
in
a
consumer­
sized
package,
give
an
example,
such
as
fluid
ounces
per
gallon,
and
indicate
"
fl.
oz/
gal"
in
the
units
blank.
Certified
detergents
must
be
expressed
as
gallons
of
detergent
additive
package
per
thousand
gallons
of
gasoline
(
gal/
kgal).
Please
indicate
if
this
is
an
aerosol
and
enter
appropriate
value.

Item
6.
Recommended
Purpose­
In­
Use
:
Check
as
many
as
apply.

Item
7.
Chemical
Composition
:
The
chemical
composition
of
the
additive
must
be
provided.
It
is
defined
as
the
name
and
percentage
by
weight
of
each
compound
in
an
additive
and
the
name
and
percentage
by
weight
of
each
element
in
an
additive.
If
part
of
an
additive
package
is
a
purchased
component,
for
example,
a
proprietary
additive
from
another
manufacturer,
then
only
the
EPA
registered
name
and
weight
percent
are
required
for
that
portion
of
the
package.
If
the
chemical
composition
is
not
known,
full
disclosure
of
the
chemical
process
of
manufacture
must
be
provided.
Chemical
formulae
are
acceptable
in
lieu
of
the
names
of
compounds.
The
Chemical
Abstract
Service
number
is
also
useful
in
identifying
a
compound
or
component,
but
its
use
is
not
mandatory.
The
methods
of
analysis
for
determining
the
presence
of
each
compound/
component
and
element
in
the
additive
must
also
be
provided.

Item
8.
Chemical
Structure:
If
a
compound
name
or
formula
provided
in
Item
7
does
not
adequately
specify
its
chemical
structure,
then
such
structure,
if
known,
must
be
provided.
Chemical
structure
is
defined
as
the
molecular
structure
of
the
compound.
Nominal
identification
is
adequate
if
mixed
isomers
are
present.

Item
9.
Impurities:
Provide
information
on
impurities.
An
impurity
is
defined
as
any
chemical
element
present
in
an
additive
that
is
not
included
in
the
chemical
formula
or
identified
in
the
breakdown
by
an
element
in
the
chemical
composition
of
the
additive.

Item
10.
Detection:
Provide
a
description
(
or
identification,
in
the
case
of
a
generally
accepted
method)
of
a
suitable
analytical
technique
(
if
known)
that
can
be
used
to
detect
the
presence
and/
or
concentration
of
the
additive
in
the
fuel.

Item
11.
Mechanisms
of
Action
:
Self­
explanatory.

Item
12.
Relabeled:
Check
the
appropriate
box.
Indicate
the
full
commercial
identifying
name
and
additive
manufacturer's
full
name.

Item
13.
Annual
Volume:
Self­
explanatory
Item
14.
Market
Distribution:
Self­
explanatory
Item
15.
Conventional
source:
Check
the
appropriate
box.

Item
16.
Small
Business
Provision:
A
baseline
gasoline
additive
is
an
additive
which,
when
added
to
gasoline,
results
in
a
baseline
gasoline.

A
baseline
gasoline:

(
1)
contains
no
elements
other
than
carbon,
hydrogen,
oxygen,
nitrogen,
and/
or
sulfur,
(
2)
contains
less
than
1.5
percent
oxygen
by
weight,
(
3)
possesses
the
physical
and
chemical
characteristics
of
unleaded
gasoline,
as
specified
by
American
Society
for
Testing
and
Materials
(
ASTM)
standard
D
4814
­
93a,
in
at
least
one
Seasonal
and
Geographical
Volatility
Class,
and
(
4)
is
derived
only
from
conventional
petroleum,
heavy
oil
deposits,
coal,
tar
sands,
and/
or
oil
sands.

A
nonbaseline
gasoline
additive
is
an
additive
which,
when
added
to
gasoline,
results
in
a
nonbaseline
gasoline.

A
nonbaseline
gasoline
meets
the
requirements
for
baseline
gasoline,
with
the
following
exceptions:

(
1)
contains
1.5
percent
or
greater
oxygen
by
weight,
and/
or
(
2)
is
derived
from
sources
other
than
conventional
petroleum,
heavy
oil
deposits,
coal,
tar
sands,
and/
or
oil
sands.

An
atypical
gasoline
additive
is
an
additive
which,
when
added
to
gasoline,
results
in
an
atypical
gasoline.

An
atypical
gasoline
does
not
meet
the
requirements
for
a
baseline
gasoline
or
a
nonbaseline
gasoline.
For
example,
it
could
contain
an
additive
which
has
an
element
other
than
carbon,
hydrogen,
oxygen,
nitrogen,
and
sulfur.

A
baseline
diesel
fuel
additive
is
an
additive
which,
when
added
to
diesel
fuel,
results
in
a
baseline
diesel
fuel.

A
baseline
diesel
fuel:

(
1)
contains
no
elements
other
than
carbon,
hydrogen,
oxygen,
nitrogen,
and/
or
sulfur,
(
2)
contains
0.05
percent
or
less
sulfur
by
weight,
(
3)
contains
less
than
1.0
percent
oxygen
by
weight,
(
4)
possesses
the
characteristics
of
diesel
fuel
as
specified
by
ASTM
D
975­
93,
and
(
5)
is
derived
only
from
conventional
petroleum,
heavy
oil
deposits,
coal,
tar
sands,
and/
or
oil
sands.
Page
2
of
3
Fuel
Additive
Manufacturer
Notification
Instructions
(
6­
2003)
A
nonbaseline
diesel
fuel
additive
is
an
additive
which,
when
added
to
diesel
fuel,
results
in
a
nonbaseline
diesel
fuel.

A
nonbaseline
diesel
fuel
meets
the
requirements
for
baseline
diesel
fuel,
with
the
following
exceptions:

(
1)
contains
1.0
percent
or
more
oxygen
by
weight,
and/
or
(
2)
is
derived
from
sources
other
than
conventional
petroleum,
heavy
oil
deposits,
coal,
tar
sands,
and/
or
oil
sands.

An
atypical
diesel
fuel
additive
is
an
additive
which,
when
added
to
diesel
fuel,
results
in
an
atypical
diesel
fuel.

An
atypical
diesel
fuel
contains
0.05
percent
or
less
sulfur
by
weight
and
does
not
meet
the
requirements
for
a
baseline
diesel
fuel
or
a
nonbaseline
diesel
fuel.
For
example,
it
could
contain
an
additive
which
has
an
element
other
than
carbon,
hydrogen,
oxygen,
nitrogen,
and
sulfur.

Item
17.
Aerosol:
Self­
explanatory
Item
18.
Grouping
:
Self­
explanatory
Item
19.
Confidentiality:
Please
check
Yes
or
No
for
each
item
indicating
it's
confidentiality.

Item
20.
Attachments:
Check
the
appropriate
box.
List
the
description
for
each
item
attached
for
notifications.

Item
21.
Certification
:
The
notification
form
must
be
signed
and
dated
by
the
fuel
additive
manufacturer
or
its
authorized
agent.
The
printed
name
of
the
signer
and
the
signer's
telephone
number
should
be
given.
If
the
form
is
signed
by
an
authorized
agent,
the
company
must
provide
a
letter
authorizing
such
agent.

The
public
reporting
burden
for
this
Environmental
Protection
Agency
(
EPA)
collection
of
information
is
estimated
to
average
4
hours
per
response.
This
includes
time
for
reviewing
instructions
and
regulations,
searching
company
records,
gathering
the
needed
data,
and
completing,
reviewing,
copying,
and
transmitting
the
collection
of
information.

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.
The
OMB
control
numbers
for
EPA's
regulations
are
listed
in
40
CFR
Part
9
and
48
CFR
Chapter
15.

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,
OPPE
Regulatory
Information
Division,
U.
S.
Environmental
Protection
Agency
(
2137)
401
M
St.,
S.
W.,
Washington,
DC
20460;
and
to
the
Office
of
Information
and
Regulatory
Affairs,
Office
of
Management
of
Budget,
725
17th
Street,
NW,
Washington,
DC
20503,
Attention,
Desk
Officer
for
EPA.
Include
the
EPA
ICR
number
and
OMB
control
number
in
any
correspondence.

NOTE:
This
office
is
operated
by
a
contractor,
MACI
(
Arlington,
VA)
for
the
EPA,
under
contract
number
68­
W­
01­
050.
Information
submitted
with
this
form
will
be
provided
to
MACI
for
processing
into
a
database
at
the
registration
office.
Page
3
of
3
Fuel
Additive
Manufacturer
Notification
Instructions
(
6­
2003)
