Mercury Electronic Reporting User
Guide - Primary Agent/Consultant
Environmental Protection Agency
Office of Pollution Prevention and Toxics
Contract # GS00Q09BGD0022
Task Order # 47QFCA-18-F-0009
Project Title: EPACDX 00007
Version 0.01
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Table of Contents
Table of Contents	i
List of Exhibits	iii
Revision Log	v
1	Introduction	1
2	System Requirements	2
2.1	Supported Browsers	2
2.2	Screen Resolution	2
3	Primary Agent/Consultant Functions	3
3.1	Log into Mercury Electronic Reporting Application	4
3.2	Mercury Electronic Reporting Home Screen Navigation	5
3.3	Submission History	6
3.4	Create Passphrase	8
3.5	Enter Passphrase	9
3.6	Action Bar	10
3.7	Search Substance Registry Services (SRS)	12
4	Create Mercury Electronic Reporting Form	14
4.1	Create Mercury Electronic Reporting Form	14
4.2	Introductory Questions	14
4.3	Question 1	17
4.4	Question 2	19
4.5	Question 3	21
4.6	Question 4	25
4.7	Question 5	29
4.8	Question 6	32
4.9	Question 7	36
4.10	Question 8	39
4.11	Question 9	43
4.12	Question 10	47
4.13	Summary	51
5	Preview	54
6	Validate	56
7	CBI Substantiation	57
7.1 Instructions for Substantiating Confidential Business Information (CBI) Claims Screen57
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7.2 Attach Documents for CBI Substantiation	58
8	Submit to EPA via CDX	60
8.1	TSCA CBI Certification	60
8.2	MER Certification	60
8.3	Mercury Electronic Reporting Validation	61
8.4	Mercury Electronic Reporting PDF Generation	62
8.5	CROMERR Certification	63
8.6	eSignature Widget	64
8.7	Submission Finished	64
9	Download Copy of Record	65
10	EPA Communications	66
11	Create An Amendment	67
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List of Exhibits
Exhibit 3-1 Mercury Electronic Reporting User Roles Matrix	4
Exhibit 3-2 Chemical Information Submission System Screen	5
Exhibit 3-3 Mercury Electronic Reporting Home Screen	6
Exhibit 3-4 Mercury Electronic Reporting Submission History Table	8
Exhibit 3-5 Create Passphrase Screen	9
Exhibit 3-6 Enter Passphrase Screen	10
Exhibit 3-7 Action Bar - Save	11
Exhibit 3-8 Action Bar - Preview	11
Exhibit 3-9 Action Bar - Validate	11
Exhibit 3-10 Action Bar-Submit	12
Exhibit 3-11 CDX Links	12
Exhibit 4-1 Introductory Questions Screen (Scroll 1)	16
Exhibit 4-2 Introductory Questions Screen (Scroll 2)	17
Exhibit 4-3 Question 1 Screen	19
Exhibit 4-4 Question 2 Screen	21
Exhibit 4-5 Question 3 Screen (Scroll 1)	24
Exhibit 4-6 Question 3 Screen (Scroll 2)	25
Exhibit 4-7 Question 4 Screen (Scroll 1)	28
Exhibit 4-8 Question 4 Screen (Scroll 2)	29
Exhibit 4-9 Question 5 Screen (Scroll 1)	31
Exhibit 4-10 Question 5 Screen (Scroll 2)	32
Exhibit 4-11 Question 6 Screen (Scroll 1)	35
Exhibit 4-12 Question 6 Screen (Scroll 2)	36
Exhibit 4-13 Question 7 Screen (Scroll 1)	38
Exhibit 4-14 Question 7 Screen (Scroll 2)	39
Exhibit 4-15 Question 8 Screen (Scroll 1)	42
Exhibit 4-16 Question 8 Screen (Scroll 2)	43
Exhibit 4-17 Question 9 Screen (Scroll 1)	46
Exhibit 4-18 Question 9 Screen (Scroll 2)	47
Exhibit 4-19 Question 10 Screen (Scroll 1)	50
Exhibit 4-20 Question 10 Screen (Scroll 2)	51
Exhibit 4-21 Summary Screen	53
Exhibit 5-1 Preview	54
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Exhibit 5-2 Preview Mercury Electronic Reporting Form PDF	55
Exhibit 6-1 Mercury Electronic Reporting Validation Window	56
Exhibit 8-1 TSCA CBI Certification Screen	60
Exhibit 8-2 MER Certification Screen	61
Exhibit 8-3 Mercury Reporting Validation Screen	62
Exhibit 8-4 PDF Generation Screen	63
Exhibit 8-5 CROMERR Certification Window	63
Exhibit 8-6 eSignature Widget	64
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Revision Log
Date
Version
No.
Description
Author
Reviewer
Review
Date
07/25/18
0.01
Delivery of Initial Draft of OPPT CIS
Mercury Electronic Reporting User
Guide - Primary Agent/Consultant
C. Yeh
S. Cheng
07/25/18
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1 Introduction
This document presents the user guide for the Office of Pollution Prevention and Toxics (OPPT)
Mercury Electronic Reporting application submission process. This document is the user guide
for the Primary Agent/Consultant user of the Mercury Electronic Reporting application.
The Mercury Electronic reporting application is the electronic, web-based tool provided by
Environmental Protection Agency (EPA) for the submission of mercury data. As a Primary
Agent/Consultant, you can create or modify any Mercury Electronic Reporting form. You can
also delete Mercury Electronic Reporting forms, create revised forms, and download the Copy of
Record (CoR). You may not submit original forms, but can submit amendments.
For questions concerning the Toxic Substances Control Act (TSCA) Mercury Electronic
Reporting software requirements, please contact the Central Data Exchange (CDX) Help Desk at
helpdesk@epacdx.net or call 1-888-890-1995 between the hours of 8 am - 6 pm Eastern
Standard Time (EST).
Paperwork Reduction Act Notice
This collection of information is approved by OMB under the Paperwork Reduction Act, 44
U.S.C. 3501 et seq. (OMB Control No. 2070-0207; EPA ICR No. 2567). The annual public
reporting and recordkeeping burden for this collection of information is estimated to average 32
hours per response. Burden is defined in 5 CFR 1320.3(b). Responses to this collection of
information are mandatory (40 CFR 713). 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. You may send comments regarding the EPA'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. Please include the OMB Control No. in any
correspondence. Send only comments to this address. Mercury Inventory data must be submitted
electronically through the Mercury Electronic Reporting application.
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2 System Requirements
To use the Mercury Electronic Reporting (MER) application to submit an MER form the
following are required:
•	An e-mail account
•	JavaScript enabled web browser
•	Internet access
•	Adobe Acrobat Reader 5.0 or higher
•	CDX username and password
2.1	Supported Browsers
•	Vendor supported versions of Internet Explorer (IE) or Edge
-	Go to the following link to download:
https://support.microsoft.com/en-us/help/17621/internet-explorer-downloads
•	Vendor supported versions of Mozilla Firefox
-	Go to the following link to download:
https://www.mozilla.org/en-US/firefox/new/
•	Vendor supported versions of Safari
-	Go to the following link to download:
http s: // support. appl e. com/downl pads/
•	Vendor supported versions of Google Chrome
-	Go to the following link to download:
http://www.google.com/chrome
2.2	Screen Resolution
Screen resolution should be set to 1024 x 768 or greater.
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3 Primary Agent/Consultant Functions
This section describes how to:
•	Access the application
•	Navigate the Mercury Electronic Reporting 'Home' screen
•	Start and complete the Mercury Electronic Reporting form
•	Download a Copy of Record
•	Create an amendment
The Primary Agent/Consultant is not responsible for the submission of original forms. The
Primary Agent/Consultant is an individual who serves as a consultant to a specific company.
However, this individual is not responsible for and does not have the authority to submit data
since the agent/consultant does not technically work for the submitting company.
As a Primary Agent/Consultant, you can create forms within the Mercury Electronic Reporting
application. You may not assign Support users to a form. A Primary Agent/Consultant can
submit amendments, unlock submissions, and delete forms.
You can save the form at any point during the data entry process. The save functionality will
allow you to return to that same form at any point in the future. You can print the form at any
point; however, the 'Not For Submission' watermark will be placed on the form anytime the
form is printed prior to actual submission.
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Exhibit 3-1 shows a table of the user role capabilities within the Mercury Electronic Reporting
application:
Exhibit 3-1 Mercury Electronic Reporting User Roles Matrix
Legend
~
/
/
y
s
\
\
0*
X=Can Perform Function

j/af


US
non-US
us
non-US
us
non-US
MER form
Create all oriqinal forms
X
X
X
X


Submit oriqinal forms
X





Submit amendments (by editing the form)
X
X
X
X


Unlock all forms
X
X
X
X


Edit unlocked forms
X
X
X
X
X
X
Delete forms
X
X
X
X


Assign Supports
X
X




Receive EPA Communications
X
X
X
X


3.1 Log into Mercury Electronic Reporting Application
After you create an account in CDX, click the 'Primary Agent/Consultant' link for the Chemical
Safety and Pesticide Programs (CSPP) data flow to navigate to the 'Chemical Information
Submission System' screen.
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Exhibit 3-2 shows a screen capture of the 'Chemical Information Submission System' screen
Exhibit 3-2 Chemical Information Submission System Screen

Logged in as: Jane Doe, Primary Agent/Consultant
Log Out
CHEMICAL INFORMATION SUBMISSION SYSTEM
| Mercury Electronic Reporting - MER
~
CDX-OPPT-MER : Mercury Electronic Reporting application
Navigation: To access the Mercury Electronic Reporting 'Home' screen, select 'Mercury
Electronic Reporting - MER' from the submission type drop-down menu and click the 'OK'
button.
3.2 Mercury Electronic Reporting Home Screen Navigation
You can access the Mercury Electronic Reporting 'Home' screen by selecting 'Mercury
Electronic Reporting - MER' from the submission type drop-down menu on the 'Chemical
Information Submission System' screen and clicking the 'OK' button.
The Mercury Electronic Reporting 'Home' screen is the first screen within the Mercury
Electronic Reporting application. It displays the 'Create New Form,' 'Useful Resources,' and
'SubmissionHistory' sections.
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There is a ten (10) minute logout timer for this application; the application will automatically log
you out after ten minutes of inactivity and navigate you back to the CDX login screen.
•	Create New Form: Click the 'Create New Form' button to navigate to the 'Create
Passphrase' page to create the form selected from the 'Form Type' drop-down menu.
•	Useful Resources: Click the links within the 'Useful Resources' section.
•	Submission History: Modify or delete a MER form using the 'Submission History' table.
For additional details about the 'Submission History' table, please refer to Section 3.3.
Exhibit 3-3 shows a screen capture of the Mercury Electronic Reporting 'Home' screen:
Exhibit 3-3 Mercury Electronic Reporting Home Screen
K&
A Jane Doe, TEST ORGANIZATION LLC (Primary Agent/Consultant)
Mercury Electronic Reporting
Create New Form
Create a MER Form
Please select a form type and click 'Create New Form" button
Mercury Electronic Reporting v
Useful Resources
| Submission History |
You have no submission so far.
1 H Save
OPreview ~Validate ©Submit
Raise a Bug CDX Links - CDX Helpdesk: (888) 890-1995 1
3.3
Submission History

Only one Mercury Electronic Reporting form is created per form alias, which helps differentiate
between forms. Each column within the 'Submission History' table can be sorted by clicking the
individual column headers.
Start New Form: To create a new Mercury Electronic Reporting form, select 'Mercury
Electronic Reporting' from the 'Form Type' drop-down menu and click the 'Create New Form'
button. You are required to create a passphrase that will be associated with that particular form.
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Make sure to create a passphrase that you will remember, as it cannot be retrieved or reset. Refer
to Section 3.4 for further instructions on creating a passphrase.
Edit an 'In Progress' Form: To modify an existing Mercury Electronic Reporting form, click
the 'Form Alias' link for a form with a status of 'In Progress.' You are required to enter the
passphrase associated with that particular form to access and edit the form. It is possible for more
than one user to modify a form simultaneously; the user that edits and saves changes within a
form first will have his/her modifications saved.
Amend a submitted form: To edit an already submitted Mercury Electronic Reporting form
(i.e., to create an amendment), you must first unlock the particular submission by clicking the
'Lock' icon (©) under the 'Action' column. You will be required to enter the passphrase
associated with that particular submission to gain access and continue amending the submission.
All further changes that are made will be submitted as an amendment. Refer to Section 11 for
further instructions on creating an amendment.
The 'Submission History' table displays the following fields and columns of information:
•	Show Entries: Select a number from the 'Show entries' drop-down menu to specify the
number of entries that display on the current page.
•	Search: Enter search criteria to filter the forms included within the 'Submission History'
table.
•	Form Alias: Displays the form alias of a Mercury Electronic Reporting form. Click the form
alias link to navigate to the 'Enter Passphrase' page and complete/edit a form.
•	Form Type: Displays the form type of the specific form. This column displays 'Mercury
Electronic Reporting.'
•	Case Number: Displays the case number of a completed submission (MER-YYYY-XXXX).
The ' YYYY' represents the reporting year in which the form was submitted, and the
'XXXX' represents the order in which the form was received.
•	Submission Date: Displays the date that a form was successfully submitted to EPA via
CDX. This date populates only after the form has been submitted.
•	Status: Displays the statuses of an MER form (either 'In Progress,' 'Submitted,' or
'Completed').
•	Copy of Record: Click the 'Copy of Record' icon (A) to navigate to the 'Enter Passphrase'
screen to continue to the 'Copy of Record' screen. The 'Copy of Record' icon displays only
after the form has been completed.
•	Action: Click the 'Delete' icon ( -i) to delete an in-progress form. Click the 'Lock' icon (©)
to unlock a form for an amendment. The form remains unlocked and will display the
'Unlocked' icon (nT) until the form is resubmitted by the AO.
•	Export Options: Click the 'XML,' 'CSV,' 'PDF,' or 'Excel' link to download the
'Submission History' table as an .xml, .csv, .pdf, or .xlsx file, respectively.
•	Previous: Click the 'Previous' button to navigate to the previous set of submissions currently
displayed (if applicable).
•	Next: Click the 'Next' button to navigate to the subsequent set of submissions (if applicable).
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Exhibit 3-4 shows a screen capture of the Mercury Electronic Reporting 'Submission History'
table:
Exhibit 3-4 Mercury Electronic Reporting Submission History Table
X Jane Doe, TEST ORGANIZATION LLC (Primary Agent/ConsultanC
Mercury Electronic Reporting
Create New Form
Submission History
Create a MER Form
Please select a form type and click "Create New Form" button
Mercury Electronic Reporting s
Useful Resources
Show 10 v entries



Submis

Copy
Of

Form
Form
Case
sion

Reco
Actio
Alias U
Type
Number
Date
Status 11
rd
n it
MER-
20180710-
Mercury
Electronic


In Progress

X
13:05:05
Reporting





Export Options: XML CSV PDF Excel
M Save G Preview ~Validate B Submit	Raise a Bug CDX Links* CDX Helpdesk: (888) 890-1995
Navigation: Select a form type from the 'Form Type' drop-down menu and click the 'Create
New Form' button to navigate to the 'Create Passphrase' screen.
3.4 Create Passphrase
To start a new Mercury Electronic Reporting form, select a form type from the 'Form Type'
drop-down menu, and click the 'Create New Form' button on the Mercury Electronic Reporting
'Home' screen to navigate to the 'Create Passphrase' screen, which allows you to create a
passphrase and associate that passphrase with your newly created form.
The application uses the passphrase as an encryption key to protect the contents of the form. You
are responsible for remembering the passphrase and distributing it to the appropriate individuals.
If you lose or forget your passphrase, you will not be able to access your Mercury Electronic
Reporting (MER) Form to print, submit, or make changes. You will need to complete a new
Mercury Electronic Reporting (MER) Form and create a new passphrase for the form. For
security reasons, the system administrator will not have access to your passphrase and will not be
able to retrieve it or reset it.
• New Passphrase: Enter a passphrase that is between 8 to 20 characters. For maximum
security, your passphrase should contain a combination of letters and numbers. Your
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passphrase should not contain special characters (for example, +, ?, and *). As a Primary
user, you are responsible for remembering your passphrase and distributing it to only
authorized individuals. The passphrase is used as an encryption key to protect the contents of
the form data.
• Confirm Passphrase: Enter the same passphrase that was entered into the 'New Passphrase'
field. The same passphrase may be associated with multiple forms. The user can choose to
have the same passphrase for all forms.
Exhibit 3-5 shows a screen capture of the 'Create Passphrase' screen:
Exhibit 3-5 Create Passphrase Screen

A Jane Doe, TEST ORGANIZATION LLC (Primary Agent/Consultant)
Mercury Electronic Reporting ~
Create Passphrase
New Passphrase
Confirm Passphrase
^ You are responsible for remembering your
passphrase!
If you lose or forget your passphrase, you will not be able to
access your Mercury Electronic Reporting (MER) Form to print,
submit, or make changes. You will need to complete a new
Mercury Electronic Reporting (MER) Form and create a new
passphrase for the form. For security reasons, the system
administrator will not have access to your passphrase and will not
be able to retrieve it or reset it.
Raise a Bug CDX Links * CDX Helpdesk: (888) 890-1995
Navigation: Create a passphrase and click the 'Continue' button to navigate to the 'Introductory
Questions' screen in a Mercury Electronic Reporting form.
3.5 Enter Passphrase
To edit a form, click the 'Form Alias' link for a Mercury Electronic Reporting form with a status
of 'In Progress.' The 'Enter Passphrase' screen requires you to enter the passphrase that is
associated with the form.
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•	Form Alias: Displays the form alias that is used to identify the form.
•	Enter Passphrase: Enter the same passphrase that was used to create the form. For security
reasons, the system administrator does not have access to the passphrase and cannot retrieve
it or reset it to a new one. If a user has forgotten the passphrase, a new form will need to be
created with a new passphrase.
Exhibit 3-6 shows a screen capture of the 'Enter Passphrase' screen
Exhibit 3-6 Enter Passphrase Screen

± Jane Doe, TEST ORGANIZATION LLC (Primary Agent/Consultant)
Mercury Electronic Reporting ~ MER-20180614-10:15:54
Enter Passphrase
Form Alias
MER-20180614-10:15:54
Enter Passphrase
A You are responsible for remembering your
passphrase!
If you lose or forget your passphrase, you will not be able to
access your Mercury Electronic Reporting (MER) Form to print,
submit, or make changes. You will need to complete a new
Mercury Electronic Reporting (MER) Form and create a new
passphrase for the form. For security reasons, the system
administrator will not have access to your passphrase and will not
be able to retrieve it or reset it.
Cancel
Continue
Raise a Bug CDX Links - CDX Helpdesk: (888) 890-1995
Navigation: Enter the passphrase that you originally created and associated with the form and
click the 'Continue' button to navigate to the 'Introductory Questions' screen.
3.6 Action Bar
The action bar is located at the top and bottom of the form on each screen. You can perform the
following functions using the top action bar:
•	Home: Click the 'Home' link to navigate to the Mercury Electronic Reporting 'Home'
screen.
•	User ID: Click the user ID link in the top right-hand corner to log out of the application.
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The following exhibits, Exhibit 3-7, Exhibit 3-8, Exhibit 3-9, and Exhibit 3-10 show screen
captures for the bottom action bar:
• Save: Click the 'Save' link at any stage of completing a Mercury Electronic Reporting form
to save the form. To generate and access links to other pages of the form within the
navigation header, you must click the ' Save' link within the action bar. After you click the
' Save' link, you will receive a message indicating that all data entered in the form has been
saved successfully. The save function does not validate any entered data. Click the 'Previous'
and 'Next' buttons on a form to save the data entered within a form. Click the 'X' button in
the upper right-hand corner of the form in your browser to close the form without saving.
Exhibit 3-7 Action Bar - Save



H Save
Q
Preview ~^lidate Ct Submtt



• Preview: Click the 'Preview' link to preview the form. After you click the 'Preview' link,
you will be given the option to view a regular version of the PDF(s) or a sanitized version of
the PDF(s). Choosing either option will generate a watermarked PDF displaying the data
identified within the form in a separate window. Refer to Section 5 for more information on
previewing a form.
Exhibit 3-8 Action Bar - Preview


H Save O
Preview ~Nteltdate Ct Submit


• Validate: Click the 'Validate' link at any stage of completing a Mercury Electronic
Reporting form. A 'Mercury Electronic Reporting Validation' window generates when you
click the 'Validate' link if you disable the pop-up blocker within your internet browser. The
'Mercury Electronic Reporting Validation' window displays a report of all warning
messages. Refer to Section 6 for more information on validating a form.
Exhibit 3-9 Action Bar - Validate



H Save

Preview ~N&lidate Q Submit



• Submit: Click the 'Submit' link to submit a Mercury Electronic Reporting form after
completing all sections of a Mercury Electronic Reporting form. After you click the 'Submit'
link a pop-up message displays to confirm the submission process. The form validates during
the submission process and displays any applicable warning or error messages. Refer to
Section 6 for further instructions on validation errors. You can continue with the submission
process only after clearing all validation errors. Upon successful submission of the form, the
application generates and sends an email indicating the successful submission of the form to
the submitter's email address. Refer to Section 8 for more information on submitting a
Mercury Electronic Reporting form. Please note that Primary Agents/Consultants cannot
submit original Mercury Electronic Reporting forms, thus this link will not appear for
original forms unless a submission is being amended.
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Exhibit 3-10 Action Bar - Submit



H Save
Q
Preview ~Validate ©Submit



• CDX Links: Click any of the 'CDX Links,' located at the bottom of each screen within the
'CDX Links' drop-down menu, at any stage of completing a Mercury Electronic Reporting
form.
o Click the 'CDX Homepage' link to navigate to the 'CDX' homepage.
o Click the 'MyCDX Homepage' link to navigate to the 'MyCDX' page.
o Click the 'EPA Homepage' link to navigate to the EPA Homepage.
o Click the 'Terms and Conditions' link to navigate to the CDX Terms and
Conditions screen.
o Click the 'Privacy Notice' link to navigate to the CDX Privacy and Security
Notice screen.
Exhibit 3-11 shows a screen capture of the action bar 'CDX Links':
Exhibit 3-11 CDX Links

CDX Homepage
MyCDX Homepage
EPA Homepage
Terms and Conditions
Privacy Notice

Raise a Bug
CDX Links -
CDX Helpdesk: (888) 890-1995
3.7 Search Substance Registry Services (SRS)
The 'Search SRS' button displays on various screens within a Mercury Electronic Reporting
form to identify chemicals that may be stored in SRS.
Search SRS: Click the 'Search SRS' button to generate the 'Search Substance Registry
Services' pop-up window. You can search for the reported chemical(s) by either the 'Chemical
Abstracts Service Registry Number (CASRN)' or 'CA Index Name or Other Synonym.' The
application also offers the option of entering user-specified chemical information by clicking the
'Add Chemical' button. Click the 'Add Chemical' button to generate the 'Chemical Not Found
In Substance Registry Services' pop-up window and enter chemical information by filling in the
'Chemical Name' and 'CASRN' (this is required) field under the manual entry field set.
The system allows you to enter each chemical by clicking the 'OK' button located at the bottom
of the 'Search SRS' window. Once you enter all known chemical information and click the 'OK'
button, the chemical information saves and populates into the chemical description table. The
'Actions' column of the chemical table allows you to delete chemicals that have been added.
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An error message generates if a user attempts to add a duplicate chemical on the same page.
•	CASRN: Enter the chemical abstracts service registry number of the chemical; this field
accommodates dashes. Either the 'CASRN' or 'CA Index Name or Other Synonym' field is
required when searching SRS.
•	CA Index Name or Other Synonym: Enter the chemical abstract '(CA) Index Name or
Other Synonym' of the chemical. This field displays the following options: 'Matches
Exactly,' 'Contains,' and 'Begins With.' Either the 'CASRN' or 'CA Index Name or Other
Synonym' field is required when searching SRS.
•	Search SRS: Click the 'Search SRS' button to initiate the database search for the 'CASRN'
or 'CA Index Name or Other Synonym' for the desired chemical.
•	Add Chemical: Click the 'Add Chemical' button to generate the 'Chemical Not Found In
Substance Registry Services' pop-up window.
The 'Search Substance Registry Services' window is under development.
Navigation: Click the 'Search SRS' button on the 'Search Substance Registry Services' window
to initiate the database search for the 'CASRN' or 'CA Index Name or Other Synonym.' After
SRS returns results, select the radio button associated to a chemical, click the 'OK' button on the
'Search SRS' window, and the application populates the chemical information into the screen
from which the SRS search was initiated.
If the chemical is not found in the 'Search Substance Registry Services' window, click the 'Add
Chemical' button to generate the 'Chemical Not Found In Substance Registry Services' pop-up
window.
•	Chemical Name: Enter the chemical name.
•	CASRN: Enter the CASRN; this is a required field.
•	Cancel: Click the 'Cancel' button to navigate back to the 'Search Substance Registry
Services' pop-up window.
•	OK: Click the 'OK' button to enter the manually entered chemical information into the fields
on the screen from which the SRS search was initiated.
The 'Chemical Not Found in Substance Registry Services' window is under development.
Navigation: Click the 'OK' button to save the specified chemical information and navigate back
to the screen from which the SRS search was initiated where the chemical information will be
populated. Click the 'Cancel' button to navigate back to the 'Search SRS' pop-up window. Click
the 'X' located in the upper right-hand corner to close the pop-up window and navigate back to
the screen from which the SRS search was initiated.
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4 Create Mercury Electronic Reporting Form
Anyone who manufactures (including imports) mercury or mercury-added products, or
intentionally uses mercury in a manufacturing process must report the amount of mercury used in
the specified activities during a given reporting year. These activities include manufacture,
import, distribution in commerce, storage, and export.
The definition of mercury includes elemental mercury and a mercury compound. Elemental
mercury is limited to elemental mercury and mercury compounds are inclusive of all substances
where elemental mercury or a mercury compound is reacted with another chemical substance.
4.1	Create Mercury Electronic Reporting Form
To create a new Mercury Electronic Reporting (MER) form, navigate to the Mercury Electronic
Reporting 'Home' screen and select 'Mercury Electronic Reporting' from the 'Form Type' drop-
down menu. Refer to Section 3.2 for additional details regarding the Mercury Electronic
Reporting 'Home' screen.
Refer to Section 3.4 for additional details regarding the create passphrase process.
4.2	Introductory Questions
You can navigate to the 'Introductory Questions' screen by clicking the 'Create New Form'
button and creating a new passphrase, or by accessing an MER form that is in progress and
entering the passphrase associated with the selected form.
The 'Introductory Questions' screen provides checkboxes to determine which information will
need to be entered within a form. You will also have the option to assign a 'Submission Alias' to
identify the form. A unique form alias is helpful when a user or company has multiple forms
and/or when you must differentiate between forms to the help desk. Upon navigating to the
'Introductory Questions' screen, the system auto-generates a default alias comprised of a form
type, date stamp, and time stamp in the following format: .
The application contains the following functionality and will generate additional screens:
The 'Elemental Mercury' section provides checkboxes to indicate that elemental mercury is
manufactured, imported, and/or processed. The 'Mercury Compounds' section provides
checkboxes to indicate that mercury compounds are manufactured, imported, and/or processed.
The 'Both' section allows a user to select checkboxes from both sections. Selecting the
checkboxes generates the relevant questions within a form; at least one checkbox must be
checked.
•	Submission Alias: Enter the submission alias. Upon navigating to the screen, the application
displays an auto-generated editable submission alias in the following format: MER-
YYYYMMDD-HH:MM:SS Time Zone>. This is a required field.
•	Elemental Mercury: Select the 'Elemental Mercury' radio button to enable the relevant
questions and indicate that elemental mercury information will be provided. If selected, at
least one checkbox must be checked.
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•	Ql: My company manufactures (other than imports) elemental mercury: Check the
checkbox to indicate that the reporting company manufactures elemental mercury. If
selected, the 'Question 1' screen displays within the form.
•	Q2: My company imports elemental mercury: Check the checkbox to indicate that the
reporting company imports elemental mercury. If selected, the 'Question 2' screen displays
within the form.
•	Q3: My company manufactures (other than imports) elemental mercury-added
products: Check the checkbox to indicate the reporting company manufactures elemental
mercury-added products. If selected, the 'Question 3' screen displays within the form.
•	Q4: My company imports elemental mercury-added products: Check the checkbox to
indicate that the reporting company imports elemental mercury-added products. If selected,
the 'Question 4' screen displays within the form.
•	Q5: My company uses elemental mercury in a manufacturing process (other than
manufacturing mercury compounds and/or manufacturing elemental mercury-added
products): Check the checkbox to indicate that the reporting company uses elemental
mercury in a manufacturing process. If selected, the 'Question 5' screen displays within the
form.
•	Mercury Compounds: Select the 'Mercury Compounds' radio button to enable the relevant
questions and indicate that mercury compounds information will be provided. If selected, at
least one checkbox must be checked.
•	Q6: My company manufactures (other than imports) mercury compounds: Check the
checkbox to indicate that the reporting company manufactures mercury compounds. If
selected, the 'Question 6' screen displays within the form.
•	Q7: My company imports mercury compounds: Check the checkbox to indicate that the
reporting company imports mercury compounds. If selected, the 'Question 7' screen displays
within the form.
•	Q8: My company manufactures (other than imports) mercury compound-added
products: Check the checkbox to indicate that the reporting company manufactures mercury
compound-added products. If selected, the 'Question 8' screen displays within the form.
•	Q9: My company imports mercury compound-added products: Check the checkbox to
indicate that the reporting company imports mercury compound-added products. If selected,
the 'Question 9' screen displays within the form.
•	Q10: My company uses mercury compounds in a manufacturing process (other than
manufacturing mercury compound-added products): Check the checkbox to indicate that
the reporting company uses mercury compounds in a manufacturing process. If selected, the
'Question 10' screen displays within the form.
•	Both: Select the 'Both' radio button to enable the 'Elemental Mercury' and 'Mercury
Compounds' section and the associated questions.
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Exhibit 4-1 shows a screen capture of the 'Introductory Questions' screen (Scroll 1):
Exhibit 4-1 Introductory Questions Screen (Scroll 1)
JL Jane Doe, TEST ORGANIZATION LLC (Primary Agent/ConsultanC
Mercury Electronic Reporting ~ MER-20180614-10:15:54
Summary	Submitting Official Information
Introductory Questions
Introductory Questions
- Submission Alias
MER-20180614-10:15:54
The Mercury Electronic Reporting (MER) rule, under the Toxic Substances Control Act (TSCA), requires any person who manufactures (including imports) mercury or
mercury-added products, or otherwise intentionally uses mercury in a manufacturing process to report quantitative and qualitative data to the Environmental Protection
Agency. The law defines mercury as meaning elemental mercury and a mercury compound. In accordance with section 8(b) of TSCA, information collected under this
reporting application will be used in support of a triennial publication of the supply, uses, and trade of mercury in the United States.
Read the TSCA MER requirements in the Code of Federal Regulations (40 CFR Part ###).
Check all applicable statements
Elemental Mercury
0 Q1: My company manufactures (other than imports) elemental mercury
0 Q2: My company imports elemental mercury
0 Q3: My company manufactures (other than imports) elemental mercury-added products
0 Q4: My company imports elemental mercury-added products
0 Q5: My company uses elemental mercury in a manufacturing process (other than manufacturing mercury compounds and/or manufacturing elemental mercury-added products)
O Mercury Compounds
0 Q6: My company manufactures (other than imports) mercury compounds
0 Q7: My company imports mercury compounds
0Q8: My company manufactures (other than imports) mercury compound-added products
0 Q9: My company imports mercury compound-added products
0 Q10: My company uses mercury compounds in a manufacturing process (other than manufacturing mercury compound-added products)
® Both
HSave O Preview ~Validate
Raise a Bug CDX Links - CDX Helpdesk: (888) 890-199f
Mercury Electronic Reporting User Guide
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Exhibit 4-2 shows a screen capture of the 'Introductory Questions' screen (Scroll 2):
Exhibit 4-2 Introductory Questions Screen (Scroll 2)
* ^ 3uctory Questions
* Submission Alias
MER-20180614-10:15:54
JL Jane Doe, TEST ORGANIZATION LLC (Primary Agent/ConsultanC
The Mercury Electronic Reporting (MER) rule, under the Toxic Substances Control Act (TSCA), requires any person who manufactures (including imports) mercury or
mercury-added products, or otherwise intentionally uses mercury in a manufacturing process to report quantitative and qualitative data to the Environmental Protection
Agency. The law defines mercury as meaning elemental mercury and a mercury compound. In accordance with section 8(b) of TSCA, information collected under this
reporting application will be used in support of a triennial publication of the supply, uses, and trade of mercury in the United States.
Read the TSCA MER requirements in the Code of Federal Regulations (40 CFR Part ###).
Check all applicable statements
C Elemental Mercury
0 Q1: My company manufactures (other than imports) elemental mercury
0 Q2: My company imports elemental mercury
0 Q3: My company manufactures (other than imports) elemental mercury-added products
0 Q4: My company imports elemental mercury-added products
0 Q5: My company uses elemental mercury in a manufacturing process (other than manufacturing mercury compounds and/or manufacturing elemental mercury-added products)
O Mercury Compounds
0 Q6: My company manufactures (other than imports) mercury' compounds
0 Q7: My company imports mercury compounds
0 Q8: My company manufactures (other than imports) mercury compound-added products
0 Q9: My company imports mercury compound-added products
0 Q10: My company uses mercury compounds in a manufacturing process (other than manufacturing mercury compound-added products)
® Both
Continue
HSave O Preview ~Validate
CDX Links
CDX Helpdesk: (888) 890-199£
Navigation: Click the 'Continue' button to navigate to the question screen that was selected.
Question screens generate only upon clicking the 'Continue' button.
4.3 Question 1
You can access the 'Question V screen by checking the Ql' checkbox and clicking the
'Continue' button from the 'Introductory Questions' screen. You can also access this screen by
clicking the 'Question 1' link within the navigation header.
The 'Question 1' screen provides fields to capture information regarding the manufacture of
elemental mercury.
•	My company reported amount of manufactured mercury in the most recent CDR
reporting cycle: Check the checkbox to indicate that the reporting company reported an
amount of mercury in the most recent CDR reporting cycle.
•	CBI: Check the 'CBI' checkbox to claim manufactured mercury in the last CDR reporting
cycle as confidential.
•	During the calendar year XXXX, my company manufactured (other than imported) a
total of	pounds of elemental mercury: Enter the number of pounds of
elemental mercury that has been manufactured during the specified calendar year. The
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entered value must be greater than or equal to one, but less than or equal to 1,000,000,000.
This is a required field if displayed. This statement does not display if the 'My company
reported amount of manufactured mercury in the most recent CDR reporting cycle' statement
is checked.
•	CBI: Check the 'CBI' checkbox to claim the number of pounds of manufactured elemental
mercury as confidential.
•	During the calendar year XXXX, my company stored between	and
	pounds of elemental mercury on-site: Enter a range of elemental mercury that
has been stored on-site during the specified calendar year. A minimum and maximum range
value is required if the fields are enabled. The entered values must be greater than or equal to
zero, but less than or equal to 1,000,000,000. The minimum and maximum range input fields
are required if enabled.
•	CBI: Check the 'CBI' checkbox to claim the amount of manufactured elemental mercury
stored on-site as confidential.
•	Check here if not applicable: Check the checkbox to indicate that elemental mercury is not
stored on-site and disable the input fields for the associated question.
•	During the calendar year XXXX, my company stored between	and
	pounds of elemental mercury off-site: Enter a range of elemental mercury that
has been stored off-site during the specified calendar year. A minimum and maximum range
value is required if the fields are enabled. The entered values must be greater than or equal to
zero, but less than or equal to 1,000,000,000. The minimum and maximum range input fields
are required if enabled.
•	CBI: Check the 'CBI' checkbox to claim the amount of manufactured elemental mercury
stored off-site as confidential.
•	Check here if not applicable: Check the checkbox to indicate that manufactured elemental
mercury is not stored off-site and disable the input fields for the associated question.
•	During the calendar year XXXX, my company distributed	pounds of
elemental mercury into domestic commerce: Enter the amount of elemental mercury that
has been distributed into domestic commerce. The entered value must be greater than or
equal to zero, but less than or equal to 1,000,000,000. This is a required field.
•	CBI: Check the 'CBI' checkbox to claim the amount of elemental mercury distributed into
domestic commerce as confidential.
•	Industries of Distribution: Select the industry(ies) to which elemental mercury has been
distributed by selecting the applicable North American Industry Classification System
(NAICS) code(s). Use the keyword search on the NAICS website
(https://www.census.gov/eos/www/naics/index.htmn to search for the desired industry. This
is a required field.
•	CBI: Check the 'CBI' checkbox to claim the industry(ies) of distribution to which elemental
mercury has been distributed as confidential.
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Exhibit 4-3 shows a screen capture of the 'Question 1' screen:
Exhibit 4-3 Question 1 Screen
A. Jane Doe, TEST ORGANIZATION LLC (Primary Agent/Consultant)
Mercury Electronic Reporting ~ MER-20180614-10:15:54
Introductory Questions 1
1 Question 2
Question 3
Question 4
Question 5
Question 6 Question 7
Submitting Official Information
Question 8
Question 9
Question 10
Summary
Q1. My company manufactures (other than imports) elemental mercury
~ My company reported amount of manufactured mercury in the most recent CDR reporting cycle.
During the calendar year 2018, my company manufactured (other than imported) a total of
[
pounds of elemental mercury.
During the calendar year 2018, my company stored between |
|	| pounds of elemental mercury on-site.
Check here if not applicable. ~
During the calendar year 2018, my company stored between |
I	| pounds of elemental mercury off-site.
Check here if not applicable. ~
During the calendar year 2018, my company distributed [
mercury into domestic commerce.
Industries of Distribution:
None selected ~
|]and
pounds of elemental
~	CBI
~	CBI
~	CBI
~ CBI
~	CBI
~	CBI
Previous ¦ Continue
RHH
m
m
Navigation: Click the 'Continue' button to navigate to the subsequent question screen that was
checked or the 'Summary' screen if no other questions were checked.
4.4 Question 2
You can access the 'Question 2' screen by checking the 'Q2' checkbox and clicking the
'Continue' button from the 'Question 1' screen or the 'Introductory Questions' screen. You can
also access this screen by clicking the 'Question 2' link within the navigation header.
The 'Question 2' screen provides fields to capture information regarding importing elemental
mercury.
•	My company reported amount of imported mercury in the most recent CDR reporting
cycle: Check the checkbox to indicate that the reporting company reported an amount of
imported mercury in the most recent CDR reporting cycle.
•	CBI: Check the 'CBI' checkbox to claim the mercury imported in the most recent CDR
reporting cycle as confidential.
•	During the calendar year XXXX, my company imported a total of	pounds
of elemental mercury: Enter the amount of elemental mercury that was imported during the
specified calendar year. The entered value must be greater than or equal to one, but less than
or equal to 1,000,000,000. This is a required field if displayed. This field does not display if
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the 'My company reported amount of imported mercury in the most recent CDR reporting
cycle' statement is checked.
•	CBI: Check the 'CBI' checkbox to claim the amount of imported elemental mercury as
confidential.
•	Country of Origin: Select the country(ies) of origin from which elemental mercury was
imported. At least one country of origin is required if the 'My company reported amount of
imported mercury in the most recent CDR reporting cycle' statement is checked.
•	CBI: Check the 'CBI' checkbox to claim the country(ies) of origin as confidential.
•	During the calendar year XXXX, my company stored between	and
	pounds of elemental mercury on-site: Enter a range of imported elemental
mercury that has been stored on-site during the specified calendar year. The entered values
must be greater than or equal to zero, but less than or equal to 1,000,000,000. The minimum
and maximum range input fields are required if enabled.
•	CBI: Check the 'CBI' checkbox to claim the amount of imported elemental mercury stored
on-site by the reporting company as confidential.
•	Check here if not applicable: Check the checkbox to indicate that imported elemental
mercury is not stored on-site and disable the input fields for the associated question.
•	During the calendar year XXXX, my company stored between	and
	pounds of elemental mercury off-site: Enter a range of imported elemental
mercury that has been stored off-site during the specified calendar year. The entered values
must be greater than or equal to zero, but less than or equal to 1,000,000,000. The minimum
and maximum range input fields are required if enabled.
•	CBI: Check the 'CBI' checkbox to claim the amount of imported elemental mercury stored
off-site as confidential.
•	Check here if not applicable: Check the checkbox to indicate that imported elemental
mercury is not stored off-site and disable the input fields for the associated question.
•	During the calendar year XXXX, my company distributed	pounds of
elemental mercury into domestic commerce: Enter the amount of imported elemental
mercury that has been distributed into domestic commerce. The entered value must be greater
than or equal to zero, but less than or equal to 1,000,000,000. This is a required field.
•	CBI: Check the 'CBI' checkbox to claim the amount of imported elemental mercury
distributed into domestic commerce as confidential.
•	Industries of Distribution: Select the industry(ies) to which elemental mercury has been
distributed by selecting the applicable North American Industry Classification System
(NAICS) code(s). Use the keyword search on the NAICS website
(https://www.census.gov/eos/www/naics/index.html) to search for the desired industry. This
is a required field.
•	CBI: Check the 'CBI' checkbox to claim the industry(ies) of distribution as confidential.
Mercury Electronic Reporting User Guide
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Exhibit 4-4 shows a screen capture of the 'Question 2' screen:
Exhibit 4-4 Question 2 Screen
A Jane Doe, TEST ORGANIZATION LLC (Primary Agent/Consultant)
Mercury Electronic Reporting ~ MER-20180614-10:15:54
Introductory Questions Question 1
1 Question 2
1 Question 3
Question 4
Question 5
Question 6 Question 7
Submitting Official Information
Question 8
Question 9
Question 10
Summary
Q2. My company imports elemental mercury
~ My company reported amount of imported mercury in the most recent CDR reporting cycle.
During the calendar year 2018, my company imported a total of |
mercury.
Country of Origin
None selected ~
During the calendar year 2018, my company stored between |
|	I pounds of elemental mercury on-site.
Check here if not applicable. ~
During the calendar year 2018, my company stored between |
|	| pounds of elemental mercury off-site.
Check here if not applicable. ~
During the calendar year 2018, my company distributed [
mercury into domestic commerce.
Industries of Distribution:
~	CBI
] pounds of elemental ~ CBI
~	CBI
|]and
[]and
J pounds of elemental
~ CBI
~ CBI
~	CBI
~	CBI
None selected '
Previous I Continue

mm.
m
Navigation: Click the 'Continue' button to navigate to the subsequent screen that was checked
on the 'Introductory Questions' screen or the 'Summary' screen.
4.5 Question 3
You can access the 'Question 3' screen by checking the 'Q3' checkbox and clicking the
'Continue' button from the 'Question 2' screen or the 'Introductory Questions' screen. You can
also access this screen by clicking the 'Question 3' link within the navigation header.
The 'Question 3' screen provides fields to capture information regarding manufacturing (other
than imports) elemental mercury-added products.
•	My company reported national sales data to the most recent IMERC reporting cycle:
Check the checkbox to indicate that the reporting company reported national sales data to the
most recent IMERC reporting cycle.
•	CBI: Check the 'CBI' checkbox to indicate that the national sales data of manufactured
elemental mercury-added products reported to the most recent IMERC reporting cycle is
claimed as confidential.
•	During the calendar year XXXX, my company used a total of	pounds of
elemental mercury in manufacturing elemental mercury-added products: Enter the
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amount of elemental mercury that was used in manufacturing elemental mercury-added
products during the specified calendar year. The entered value must be greater than or equal
to one, but less than or equal to 1,000,000,000. This is a required field.
•	CBI: Check the 'CBI' checkbox to claim the amount of elemental mercury used in
manufacturing elemental mercury-added products as confidential.
•	During the calendar year XXXX, my company manufactured (other than imported) the
following elemental mercury added products: Select the category(ies) and associated
subcategory(ies) to which the reporting company manufactured elemental mercury-added
products. At least one category must be checked.
-	The 'Batteries' category includes the following subcategories: 'Button cell (silver),'
'Button cell (zinc-air),' 'Button cell (alkaline),' 'Stacked button cell batteries,' 'Manganese
oxide,' 'Silver oxide,' 'Mercuric oxide (non-button cell),' 'Button cell (mercuric oxide),'
'Button cell (zinc carbon),' and 'Other (specify).' At least one subcategory value is
required if displayed.
•	CBI: Check the 'CBI' checkbox to claim the 'batteries' category and associated
subcategory(ies) as confidential.
-	The 'Dental amalgam' category does not include any subcategories.
•	CBI: Check the 'CBI' checkbox to claim the 'dental amalgam' category as confidential.
-	The 'Formulated products (includes uses in cosmetics, pesticides, and laboratory
chemicals)' category includes the following subcategories: 'Skin-lightening creams,'
'Lotions,' 'Soaps and sanitizers,' 'Bath oils and salts,' 'Preservatives (e.g. for use in
vaccines for preservation),' 'Pharmaceuticals (including prescription and over-the-counter
products),' 'Cleaning products (not registered as pesticides under the Federal Insecticide,
Fungicide, and Rodenticide Act),' 'Pesticides,' 'Paints,' 'Dyes,' 'Reagents (e.g., catalysts,
buffers, fixatives),' and 'Other (specify).' At least one subcategory value is required if
displayed.
•	CBI: Check the 'CBI' checkbox to claim the 'formulated products' category and
associated subcategory(ies) as confidential.
-	The 'Lighting, lamps, bulbs' category includes the following subcategories: 'Linear
fluorescent,' 'Compact fluorescent,' 'U-tube and circular fluorescent,' 'Cold cathode
fluorescent,' 'External electrode fluorescent,' 'Mercury vapor,' 'Metal halide,' 'High
pressure sodium,' 'Mercury short arc,' 'Neon,' and 'Other (specify).' At least one
subcategory value is required if displayed.
•	CBI: Check the 'CBI' checkbox to claim the 'Lighting, lamps, and bulbs' category and
associated subcategory(ies) as confidential.
-	The 'Measuring instruments' category includes the following subcategories: 'Barometer,'
'Feverthermometer,' 'Flowmeter,' 'Hydrometer,' 'Hygrometer/psychrometer,'
'Manometer,' 'Non-fever thermometer,' 'Pyrometer,' 'Sphygmomanometer,' and 'Other
(specify).' At least one subcategory value is required if displayed.
•	CBI: Check the 'CBI' checkbox to claim the measuring instruments category and
associated subcategory(ies) as confidential.
-	The 'Pump seals' category does not include any subcategories.
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•	CBI: Check the 'CBI' checkbox to claim the 'pump seals' category as confidential.
-	The 'Switches, relays, sensors, valves' category includes the following subcategories: 'Tilt
switch,' 'Vibration switch,' 'Float switch,' 'Pressure switch,' 'Temperature switch,'
'Displacement relay,' 'Wetted reed relay,' 'Contact relay,' 'Flame sensor,' 'Thermostat,'
and 'Other (specify).' At least one subcategory value is required if displayed.
•	CBI: Check the 'CBI' checkbox to claim the 'switches, relays, sensors, and valves'
category and associated subcategory(ies) as confidential.
-	The 'Miscellaneous/novelty mercury-added products' category includes the following
subcategories: 'Wheel weights,' 'Wheel rotation balancers/stabilizers,' 'Firearm recoil
suppressors,' 'Carburetor synchronizers,' 'Joint support/shock absorption bands,' and
'Other (specify).' At least one subcategory value is required if displayed.
•	CBI: Check the 'CBI' checkbox to claim the 'miscellaneous/novelty mercury-added
products' category and associated subcategory(ies) as confidential.
•	During the calendar year XXXX, my company distributed	pounds of
elemental mercury in products into domestic commerce: Enter the amount of elemental
mercury in products that has been distributed into domestic commerce. The entered value
must be greater than or equal to zero, but less than or equal to 1,000,000,000. This question
does not display if the 'My company reported national sales data to the most recent IMERC
reporting cycle' statement is checked. This is a required field if displayed.
•	CBI: Check the 'CBI' checkbox to claim the amount of elemental mercury in products that
has been distributed into domestic commerce as confidential.
•	Industries of Distribution: Select the industry(ies) of distribution to which elemental
mercury in products have been distributed by selecting the applicable North American
Industry Classification System (NAICS) code(s). Use the keyword search on the NAICS
website (https://www.census.gov/eos/www/naics/index.htmn to search for the desired
industry. This is a required field.
•	CBI: Check the 'CBI' checkbox to claim the industry(ies) to which elemental mercury in
products is distributed as confidential.
•	During the calendar year XXXX, my company exported	pounds of
elemental mercury in mercury-added products: Enter the amount of elemental mercury in
mercury-added products that the reporting company has exported. The entered value must be
greater than or equal to zero, but less than or equal to 1,000,000,000. This is a required field.
•	CBI: Check the 'CBI' checkbox to claim the amount of elemental mercury in mercury-added
products that has been exported as confidential.
•	Destination Country: Select the destination country(ies) to which the reporting company
exports elemental mercury in mercury-added products. At least one country must be selected.
•	CBI: Check the 'CBI' checkbox to claim the destination country(ies) to which elemental
mercury in mercury-added products is exported as confidential.
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Exhibit 4-5 shows a screen capture of the 'Question 3' screen (Scroll 1):
Exhibit 4-5 Question 3 Screen (Scroll 1)
A Jane Doe, TEST ORGANIZATION LLC (Primary Agent/ConsultanJ
Mercury Electronic Reporting ~ MER-20180614-10:15:54
Introductory Questions Question 1
Question 2
Question 3
1 Question 4
Question 5
Question 6 Question 7
Submitting Official Information
Question 8
Question 9
Question 10
Summary
Q3. My company manufactures (other than imports) elemental mercury-added products
~ My company reported national sales data to the most recent IMERC reporting cycle.	~ CBI
During the calendar year 2018, my company used a total of]	| pounds of elemental	~ CBI
mercury in manufacturing elemental mercury-added products.
During the calendar year 2018, my company manufactured (other than imported) the following elemental mercury added products:
Category	Subcategory
0 Batteries
Button cell, alkaline »
~ CBI
~	Dental amalgam
~	Formulated products (includes
uses in cosmetics, pesticides, and
laboratory chemicals)
~	Lighting, lamps, bulbs
~	Measuring instruments
~	Pump seals
~	Switches, relays, sensors,
valves
~ Miscellaneous/novelty
mercury-added products
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Exhibit 4-6 shows a screen capture of the 'Question 3' screen (Scroll 2):
Exhibit 4-6 Question 3 Screen (Scroll 2)
X Jane Doe, TEST ORGANIZATION LLC (Primary Agent/ConsultanC
Category
Subcategory

0 Batteries
Button cell, alkaline ~
~ CBI
~ Dental amalgam
~ Formulated products (includes


uses in cosmetics, pesticides, and


laboratory chemicals)


~ Lighting, lamps, bulbs
~ Measuring instruments
~ Pump seals
~ Switches, relays, sensors,


valves


~ Miscellaneous/novelty


mercury-added products


During the calendar year 2018, my company distributed |_
mercury in products into domestic commerce.
Industries of Distribution:
None selected »
During the calendar year 2018, my company exported Q
mercury in mercury-added products.
Destination Country
J pounds of elemental
pounds of elemental
~	CBI
~	CBI
~	CBI
~	CBI
None selected
Previous
Continue
Next SteD: Qu

Navigation: Click the 'Continue' button to navigate to the subsequent question screen that was
checked on the 'Introductory Questions' screen or the 'Summary' screen.
4.6 Question 4
You can access the 'Question 4' screen by checking the 'Q4' checkbox and clicking the
'Continue' button from the 'Question 3' screen or the 'Introductory Questions' screen. You can
also access this screen by clicking the 'Question 4' link within the navigation header.
The 'Question 4' screen provides fields to capture information regarding importing elemental
mercury-added products.
•	My company reported national sales data to the most recent IMERC reporting cycle:
Check the checkbox to indicate that the reporting company has reported national sales data to
the most recent IMERC reporting cycle.
•	CBI: Check the 'CBI' checkbox to claim the national sales data reported to the most recent
IMERC reporting cycle as confidential.
•	During the calendar year XXXX, my company imported a total of	pounds
of elemental mercury in mercury-added products: Enter the amount of elemental mercury
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in mercury-added products that the reporting company has imported. The entered value must
be greater than or equal to one, but less than or equal to 1,000,000,000. This is a required
field.
•	CBI: Check the 'CBI' checkbox to claim the amount of imported elemental mercury in
mercury-added products as confidential.
•	During the calendar year XXXX, my company imported the following elemental
mercury added products: Select the category(ies) and subcategory(ies) of imported
elemental mercury-added products. At least one category must be checked.
-	The 'Batteries' category includes the following subcategories: 'Button cell (silver),'
'Button cell (zinc-air),' 'Button cell (alkaline),' 'Stacked button cell batteries,' 'Manganese
oxide,' 'Silver oxide,' 'Mercuric oxide (non-button cell),' 'Button cell (mercuric oxide),'
'Button cell (zinc carbon),' and 'Other (specify).' At least one subcategory value is
required if displayed.
•	CBI: Check the 'CBI' checkbox to claim the 'batteries' category and associated
subcategory(ies) as confidential.
-	The 'Dental amalgam' category does not include any subcategories.
•	CBI: Check the 'CBI' checkbox to claim the 'dental amalgam' category as confidential.
-	The 'Formulated products (includes uses in cosmetics, pesticides, and laboratory
chemicals)' category includes the following subcategories: 'Skin-lightening creams,'
'Lotions,' 'Soaps and sanitizers,' 'Bath oils and salts,' 'Preservatives (e.g. for use in
vaccines for preservation),' 'Pharmaceuticals (including prescription and over-the-counter
products),' 'Cleaning products (not registered as pesticides under the Federal Insecticide,
Fungicide, and Rodenticide Act),' 'Pesticides,' 'Paints,' 'Dyes,' 'Reagents (e.g., catalysts,
buffers, fixatives),' and 'Other (specify).' At least one subcategory value is required if
displayed.
•	CBI: Check the 'CBI' checkbox to claim the 'Formulated products (includes uses in
cosmetics, pesticides, and laboratory chemicals)' category and associated
subcategory(ies) as confidential.
-	The 'Lighting, lamps, bulbs' category includes the following subcategories: 'Linear
fluorescent,' 'Compact fluorescent,' 'U-tube and circular fluorescent,' 'Cold cathode
fluorescent,' 'External electrode fluorescent,' 'Mercury vapor,' 'Metal halide,' 'High
pressure sodium,' 'Mercury short arc,' 'Neon,' and 'Other (specify).' At least one
subcategory value is required if displayed.
•	CBI: Check the 'CBI' checkbox to claim the 'Lighting, lamps, and bulbs' category and
associated subcategory(ies) as confidential.
-	The 'Measuring instruments' category includes the following subcategories: 'Barometer,'
'Feverthermometer,' 'Flowmeter,' 'Hydrometer,' 'Hygrometer/psychrometer,'
'Manometer,' 'Non-fever thermometer,' 'Pyrometer,' 'Sphygmomanometer,' and'Other
(specify).' At least one subcategory value is required if displayed.
•	CBI: Check the 'CBI' checkbox to claim the 'measuring instruments' and associated
subcategory(ies) as confidential.
-	The 'Pump seals' category does not include any subcategories.
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•	CBI: Check the 'CBI' checkbox to claim the 'pump seals' category as confidential.
-	The 'Switches, relays, sensors, valves' category includes the following subcategories: 'Tilt
switch,' 'Vibration switch,' 'Float switch,' 'Pressure switch,' 'Temperature switch,'
'Displacement relay,' 'Wetted reed relay,' 'Contact relay,' 'Flame sensor,' 'Thermostat,'
and 'Other (specify).' At least one subcategory value is required if displayed.
•	CBI: Check the 'CBI' checkbox to claim the 'switches, relays, sensors, and valves'
category and associated subcategory(ies) as confidential.
-	The 'Miscellaneous/novelty mercury-added products' category includes the following
subcategories: 'Wheel weights,' 'Wheel rotation balancers/stabilizers,' 'Firearm recoil
suppressors,' 'Carburetor synchronizers,' 'Joint support/shock absorption bands,' and
'Other (specify).' At least one subcategory value is required if displayed.
•	CBI: Check the 'CBI' checkbox to claim the 'miscellaneous/novelty mercury-added
products' category and associated subcategory(ies) as confidential.
•	Country of Origin: Select the country(ies) of origin from which the reporting company
imports elemental mercury-added products. At least one value must be selected.
•	CBI: Check the 'CBI' checkbox to claim the country(ies) of origin as confidential.
•	During the calendar year XXXX, my company distributed	pounds of
elemental mercury in products into domestic commerce: Enter the amount of elemental
mercury that has been distributed in products into domestic commerce. The entered value
must be greater than or equal to zero, but less than or equal to 1,000,000,000. This question
does not display if the 'My company reported national sales data to the most recent IMERC
reporting cycle' statement is checked. This is a required field if displayed.
•	CBI: Check the 'CBI' checkbox to claim the amount of elemental mercury distributed in
products into domestic commerce as confidential.
•	Industries of Distribution: Select the industries to which elemental mercury in products has
been distributed into domestic commerce by selecting the applicable North American
Industry Classification System (NAICS) code(s). Use the keyword search on the NAICS
website (https://www.census.gov/eos/www/naics/index.htmn to search for the desired
industry.
•	CBI: Check the 'CBI' checkbox to claim the industries of distribution as confidential.
•	During the calendar year XXXX, my company exported	pounds of
elemental mercury in mercury-added products: Enter the amount of elemental mercury in
mercury-added products that has been exported. The entered value must be greater than or
equal to zero, but less than or equal to 1,000,000,000. This is a required field.
•	CBI: Check the 'CBI' checkbox to claim the amount of elemental mercury exported in
mercury-added products as confidential.
•	Destination Country: Select the country(ies) to which the reporting company exports
elemental mercury in mercury-added products. This is a required field.
•	CBI: Check the 'CBI' checkbox to claim the destination country(ies) as confidential.
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Exhibit 4-7 shows a screen capture of the 'Question 4' screen (Scroll 1):
Exhibit 4-7 Question 4 Screen (Scroll 1)
± Jane Doe, TEST ORGANIZATION LLC (Primary Agent/ConsultanG
Mercury Electronic Reporting ~ MER-20180614-10:15:54
Introductory Questions Question 1 Question 2 Question 3
Question 6 Question 7 Question 8 Question 9
Submitting Official Information
Question 10
| Question 5
Summary
Q4. My company imports elemental mercury-added products
~ My company reported national sales data to the most recent IMERC reporting cycle	~ CBI
During the calendar year 2018, my company imported a total of I	[ pounds of elemental ~ CBI
mercury in mercury-added products.
During the calendar year 2018, my company imported the following elemental mercury added products:
Category	Subcategory
~ Batteries
0 Dental amalgam
~ CBI
~ Formulated products (includes

uses in cosmetics, pesticides, and

laboratory chemicals)

~ Lighting, lamps, bulbs
~ Measuring instruments
~	Pump seals
~	Switches, relays, sensors,
valves
~ Miscellaneous/novelty
mercury-added products
iQ-1995
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Exhibit 4-8 shows a screen capture of the 'Question 4' screen (Scroll 2):
Exhibit 4-8 Question 4 Screen (Scroll 2)
A Jane Doe, TEST ORGANIZATION LLC (Primary Agent/ConsultanC
0 Dental amalgam
~ CBI
~ Formulated products

(includes uses in cosmetics,

pesticides, and laboratory

chemicals)

~ Lighting, lamps, bulbs
~ Measuring instruments
~ Pump seals
~ Switches, relays, sensors,

valves

~ Miscellaneous/novelty

mercury-added products

Country of Origin
None selected ~
During the calendar year 2018, my company distributed [
mercury in products into domestic commerce.
Industries of Distribution:
None selected ~
~	CBI
] pounds of elemental ~ CBI
~	CBI
During the calendar year 2018, my company exported
mercury in mercury-added products.
Destination Country
]] pounds of elemental ~ CBI
~ CBI
None selected
Previous I Continue
lext Step: Question
Navigation: Click the 'Continue' button to navigate to the subsequent screen that was checked
on the 'Introductory Questions' screen or the 'Summary' screen.
4.7 Question 5
You can access the 'Question 5' screen by checking the 'Q5' checkbox and clicking the
'Continue' button from the 'Question 4' screen or the 'Introductory Questions' screen. You can
also access this screen by clicking the 'Question 5' link within the navigation header.
The 'Question 5' screen provides fields to capture information regarding the use of elemental
mercury in a manufacturing process (separate from manufacturing mercury compounds and/or
manufacturing elemental mercury-added products).
•	During the calendar year XXXX, my company used a total of	pounds of
elemental mercury in a manufacturing process: Enter the amount of elemental mercury
used in a manufacturing process. The entered value must be greater than or equal to one, but
less than or equal to 1,000,000,000. This is a required field.
•	CBI: Check the 'CBI' checkbox to claim the amount of elemental mercury used in a
manufacturing process as confidential.
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•	During the calendar year XXXX, my company used elemental mercury in a
manufacturing process in the following capacity for the following purposes: Check the
processes in which elemental mercury is used. At least one process must be selected.
•	CBI: Check the CBI' checkbox to claim elemental mercury used in (a) manufacturing
process(es) as confidential.
•	The 'Process' column displays the following values: 'Chlorine production (e.g., mercury-cell
chlor-alkali process),' 'Acetaldehyde production,' 'Sodium/potassium methylate/ethylate
production,' 'Polyurethane/plastic production,' and 'Other (please specify).' Enter a value
into the 'Other' text field if 'Other' is checked. At least one process is required to be
checked.
•	CBI: Check the 'CBI' checkbox to claim the associated process as confidential.
•	The 'Use' drop-down contains the following values: 'Catalyst,' 'Reactant,' 'Reagent,'
'Cathode,' and 'Other.' A use is required for each checked process.
- Other: A text field displays when 'Other' is selected to capture the use description.
•	CBI: Check the 'CBI' checkbox to claim the associated use(s) as confidential.
•	During the calendar year XXXX, my company stored between	and
	pounds of elemental mercury on-site: Enter a range to estimate the amount of
elemental mercury that is stored on-site. The entered values must be greater than or equal to
zero, but less than or equal to 1,000,000,000. The minimum and maximum range input fields
are required if enabled.
•	CBI: Check the 'CBI' checkbox to claim the amount of elemental mercury stored on-site as
confidential.
•	Check here if not applicable: Check the checkbox to disable the input fields and indicate
that elemental mercury is not stored on-site for the purpose of a manufacturing process.
•	During the calendar year XXXX, my company stored between	and
	pounds of elemental mercury off-site: Enter a range to estimate the amount of
elemental mercury that is stored off-site for use in a manufacturing process. The entered
values must be greater than or equal to zero, but less than or equal to 1,000,000,000. The
minimum and maximum range input fields are required if enabled.
•	CBI: Check the 'CBI' checkbox to claim the amount of elemental mercury stored off-site for
use in a manufacturing process as confidential.
•	Check here if not applicable: Check the checkbox to indicate that elemental mercury is not
stored off-site for the purpose of a manufacturing process and disable the input fields for the
associated question.
•	Industries of Distribution: Select the industry(ies) of distribution to which final products
that may or may not contain elemental mercury have been distributed by selecting the
applicable North American Industry Classification System (NAICS) code(s). Use the
keyword search on the NAICS website (https://www.census.gov/eos/www/naics/index.htmn
to search for the desired industry.
•	CBI: Check the 'CBI' checkbox to claim the selected industries of distribution as
confidential.
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•	Destination Country: Select the country(ies) to which the reporting company exports final
products that may or may not contain detectable amounts of elemental mercury as a result of
a manufacturing process. Select the 'Not Applicable' option to indicate that final products
containing elemental mercury are not exported to any countries.
•	CBI: Check the 'CBI' checkbox to claim the countries to which the reporting company
exports final products that may or may not contain elemental mercury as confidential.
Exhibit 4-9 shows a screen capture of the 'Question 5' screen (Scroll 1):
Exhibit 4-9 Question 5 Screen (Scroll 1)
X Jane Doe, TEST ORGANIZATION LLC (Primary Agent/ConsuttanC
Mercury Electronic Reporting ~	MER-20180614-10:15:54
Introductory Questions Question 1	Question 2 Question 3
Question 6 Question 7	Question 8 Question 9
Submitting Official Information
Question 4
Question 10
Summary
Q5. My company uses elemental mercury in a manufacturing process (other than manufacturing mercury compounds and/or manufacturing elemental mercury-
added products)
]] pounds of elemental
During the calendar year 2018, my company used a total of I
mercury in a manufacturing process.
During the calendar year 2018, my company used elemental mercury in a manufacturing process in the
following capacity for the following purposes:
Process

Use

0 Chlorine production (e.g., mercury-
~ CBI
| Catalyst v
~ CBI
cell chlor-alkali process)



0 Acetaldehyde production
~ CBI
| Reactant v
~ CBI
0 Sodium/potassium methylate/ethylate
~ CBI
Reagent
~ CBI
production



0 Polyurethane/plastic production
~ CBI
Cathode v
~ CBI
~ Other (please specify)
r cbi
V

~	CBI
~	CBI
During the calendar year 2018, my company stored between |	
I	I pounds of elemental mercury on-site.
Check here if not applicable. ~
During the calendar year 2018, my company stored between |_

Check here if not applicable. ~
U pounds of elemental mercury off-site.
|]and
~ CBI
~ CBI
During the calendar year 2018, my company distributed into domestic commerce final products that may or may
not contain detectable amounts of elemental mercury as a result of a manufacturing process to the following
Industries of Distribution.
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Exhibit 4-10 shows a screen capture of the 'Question 5' screen (Scroll 2):
Exhibit 4-10 Question 5 Screen (Scroll 2)
A Jane Doe, TEST ORGANIZATION LLC (Primary Agent/ConsultanG
During the calendar year 2018, my company used a total of |	| pounds of elemental
mercury in a manufacturing process.
During the calendar year 2018, my company used elemental mercury in a manufacturing process in the
following capacity for the following purposes:
Process	Use
0 Chlorine production (e.g., mercury- ~ CBl
cell chlor-alkali process)
0 Acetaldehyde production	~ CBl
0 Sodium/potassium methylate/ethylate ~ CBl
production
0 Polyurethane/plastic production	~ CBl	[ Cathode v] ~ cbi
~ Other (please specify)	~ CBl	v
[Catalyst vj ~ CBl
| Reactant v~] ~ cbi
| Reagent v] ~ CBl
~	CBI
~	CBI
During the calendar year 2018, my company stored between |	
I	| pounds of elemental mercury on-site.
ChecK here if not applicable. ~
During the calendar year 2018, my company stored between Q
i:
pounds of elemental mercury off-site.
~ CBI
~ CBI
Check here if not applicable. ~
During the calendar year 2018, my company distributed into domestic commerce final products that may or may
not contain detectable amounts of elemental mercury as a result of a manufacturing process to the following
Industries of Distribution:
Industries of Distribution:	~ CBI
None selected -
During the calendar year 2018, my company exported final products that may or may not contain detectable
amounts of elemental mercury as a result of a manufacturing process to the following Countries:
Destination Country	~ CBI
None selected -¦
Previous I Continue
Navigation: Click the 'Continue' button to navigate to the subsequent screen that was checked
on the 'Introductory Questions' screen or the 'Summary' screen.
4.8 Question 6
You can access the 'Question 6' screen by checking the 'Q6' checkbox and clicking the
'Continue' button from the 'Question 5' screen or the 'Introductory Questions' screen. You can
also access this screen by clicking the 'Question 6' link within the navigation header.
The 'Question 6' screen provides fields to capture information regarding the manufacture of
mercury compounds.
•	My company reported amount of manufactured (other than imported) mercury
compounds in the most recent CDR reporting cycle: Check the checkbox to indicate that
the reporting company reported an amount of manufactured mercury compounds during the
most recent CDR reporting cycle.
•	CBI: Check the 'CBI' checkbox to claim that the amount of manufactured mercury
compounds in the most recent CDR reporting cycle is confidential.
•	During the calendar year XXXX, my company manufactured (other than imported) a
total of	pounds of mercury compounds: Enter the amount of mercury
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compounds that the reporting company has manufactured. The entered value must be greater
than or equal to one, but less than or equal to 1,000,000,000. This question does not display if
the 'My company reported amount of manufactured (other than imported) mercury
compounds in the most recent CDR reporting cycle' statement is checked. This is a required
field if displayed.
•	CBI: Check the 'CBI' checkbox to claim the amount of mercury compounds which has been
manufactured as confidential.
•	During the calendar year XXXX, my company manufactured the following mercury
compounds: Select the mercury compound(s) which the reporting company has
manufactured during the specified calendar year. This question does not display if the 'My
company reported amount of manufactured (other than imported) mercury compounds in the
most recent CDR reporting cycle' statement is checked. This is a required field if displayed.
•	During the calendar year XXXX, my company used a total of	pounds of
elemental mercury to manufacture mercury compounds: Enter the amount of elemental
mercury that was used to manufacture mercury compounds. The entered value must be
greater than or equal to zero, but less than or equal to 1,000,000,000. This is a required field.
•	CBI: Check the 'CBI' checkbox to claim the amount of elemental mercury used to
manufacture mercury compounds as confidential.
•	During the calendar year XXXX, my company stored between	and
	pounds of elemental mercury on-site: Enter a range to estimate the amount of
elemental mercury stored on-site. The entered values must be greater than or equal to zero,
but less than or equal to 1,000,000,000. The minimum and maximum range input fields are
required if enabled.
•	CBI: Check the 'CBI' checkbox to claim the range of elemental mercury that is stored on-
site as confidential.
•	Check here if not applicable: Check the checkbox to disable the input fields and claim that
elemental mercury is not stored on-site.
•	During the calendar year XXXX, my company stored between	and
	pounds of elemental mercury off-site: Enter a range to estimate the amount of
elemental mercury that is stored off-site. The entered values must be greater than or equal to
zero, but less than or equal to 1,000,000,000. The minimum and maximum range input fields
are required if enabled.
•	CBI: Check the 'CBI' checkbox to claim the amount of elemental mercury stored off-site as
confidential.
•	Check here if not applicable: Check the checkbox to disable the input fields and claim that
elemental mercury is not stored off-site as not applicable.
•	During the calendar year XXXX, my company stored between	and
	pounds of mercury compounds on-site: Enter a range to estimate the amount
of mercury compounds stored on-site. The entered values must be greater than or equal to
zero, but less than or equal to 1,000,000,000. The minimum and maximum range input fields
are required if enabled.
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•	CBI: Check the 'CBI' checkbox to claim the amount of mercury compounds stored on-site
as confidential.
•	Check here if not applicable: Check the checkbox to disable the input fields and claim that
mercury compounds are not stored on-site.
•	During the calendar year XXXX, my company stored between	and
	pounds of mercury compounds off-site: Enter a range to estimate the amount
of mercury compounds stored off-site. The entered values must be greater than or equal to
zero, but less than or equal to 1,000,000,000. The minimum and maximum range input fields
are required if enabled.
•	CBI: Check the 'CBI' checkbox to claim the amount of mercury compounds stored off-site
as confidential.
•	Check here if not applicable: Check the checkbox to disable the input fields and claim that
mercury compounds are not stored off-site as not applicable.
•	During the calendar year XXXX, my company distributed	pounds of
mercury compounds into domestic commerce: Enter the amount of mercury compounds
which has been distributed into domestic commerce. The entered value must be greater than
or equal to zero, but less than or equal to 1,000,000,000. This is a required field.
•	CBI: Check the 'CBI' checkbox to claim the amount of mercury compounds distributed into
domestic commerce as confidential.
•	Industries of Distribution: Select the industry(ies) to which mercury compounds have been
distributed by selecting the applicable North American Industry Classification System
(NAICS) code(s). Use the keyword search on the NAICS website
(https://www.census.gov/eos/www/naics/index.htmn to search for the desired industry. This
is a required field.
•	CBI: Check the 'CBI' checkbox to claim the industries of distribution as confidential.
•	During calendar year XXXX, my company exported	pounds of mercury
compounds: Enter the amount of mercury compounds which the reporting company has
exported to the specified country(ies). The entered value must be greater than or equal to
zero, but less than or equal to 1,000,000,000. This question does not display if the 'My
company reported amount of manufactured (other than imported) mercury compounds in the
most recent CDR reporting cycle' statement is checked. This is a required field if displayed.
•	CBI: Check the 'CBI' checkbox to claim the amount of mercury compounds exported to
specific country(ies) as confidential.
•	Destination Country: Select the destination country(ies) to which the reporting company
exports mercury compounds. Select the 'Not Applicable' value to indicate that the reporting
company does not export mercury compounds to other country(ies).
•	CBI: Check the 'CBI' checkbox to claim the destination country(ies) as confidential.
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Exhibit 4-11 shows a screen capture of the 'Question 6' screen (Scroll 1):
Exhibit 4-11 Question 6 Screen (Scroll 1)
A Jane Doe, TEST ORGANIZATION LLC (Primary Agent/ConsultanG
Mercury Electronic Reporting ~ MER-20180614-10:15:54
Introductory Questions Question 1
Question 2
Question 3
Question 4
Question 5
Question 6
Question 8
Question 9
Question 10
Summary
Submitting Official Information




Q6. My company manufactures (other than imports) mercury compounds
~ My company reported amount of manufactured (other than imported) mercury compounds in the
most recent CDR reporting cycle.
During the calendar year 2018, my company manufactured (other than imported) a total of
[	| pounds of mercury compounds.
During the calendar year 2018, my company manufactured the following mercury compounds:
Check all that apply.
During the calendar year 2018, my company used a total of |	
mercury to manufacture mercury compounds.
During the calendar year 2018, my company stored between |
|	| pounds of elemental mercury on-site.
Check here if not applicable. ~
During the calendar year 2018, my company stored between []
|	| pounds of elemental mercury off-site.
Check here if not applicable. ~
During the calendar year 2018, my company stored between |
|	| pounds of mercury compounds on-site.
Check here if not applicable. ~
During the calendar year 2018, my company stored between Q
r
[] pounds of mercury compounds off-site.
Check here if not applicable. ~
During the calendar year 2018, my company distributed Q
pounds of elemental
U and
]]and
^]and
[] and
J pounds of mercury
~	CBI
~	CBI
~	CBI
~	CBI
~ CBI
~ CBI
~ CBI
~ CBI
compounds into domestic commerce.
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Exhibit 4-12 shows a screen capture of the 'Question 6' screen (Scroll 2):
Exhibit 4-12 Question 6 Screen (Scroll 2)

ly company reported amount of manufactured (other than imported) mercury compounds in the
most recent CDR reporting cycle.
During the calendar year 2018, my company manufactured (other than imported) a total of
J pounds of mercury compounds.
During the calendar year 2018, my company manufactured the following mercury compounds:
Check all that apply.
During the calendar year 2018, my company used a total of |	| pounds of elemental
mercury to manufacture mercury compounds.
During the calendar year 2018, my company stored between |
[	| pounds of elemental mercury on-site.
Check here if not applicable. ~
During the calendar year 2018, my company stored between
pounds of elemental mercury off-site.
Check here if not applicable. ~
During the calendar year 2018, my company stored between Q
r
[] pounds of mercury compounds on-site.
Check here if not applicable. ~
During the calendar year 2018, my company stored between Q
r
J pounds of mercury compounds off-site.
Check here if not applicable. ~
During the calendar year 2018, my company distributed [
compounds into domestic commerce
Industries of Distribution:
None selected ~
During calendar year 2018, my company exported Q
Destination Country
[]and
^jand
[] pounds of mercury
[] pounds of mercury compounds.
A Jane Doe, TEST ORGANIZATION LLC (Primary Agent/ConsultanG
~	CBI
~	CBI
~	CBI
~	CBI
~ CBI
~ CBI
~ CBI
~	CBI
~	CBI
~	CBI
~	CBI
None selected •»
Previous I Continue
Navigation: Click the 'Continue' button to navigate to the subsequent screen that was checked
on the 'Introductory Questions' screen or the 'Summary' screen.
4.9 Question 7
You can access the 'Question 7' screen by checking the 'Q7' checkbox and clicking the
'Continue' button from the 'Question 6' or the 'Introductory Questions' screen. You can also
access this screen by clicking the 'Question 7' link within the navigation header.
The 'Question 7' screen provides fields to capture information regarding the import of mercury
compounds.
•	My company reported amount of imported mercury compounds in the most recent
CDR reporting cycle: Check the checkbox to indicate that the reporting company reported
an amount of imported mercury compounds during the most recent CDR reporting cycle.
•	CBI: Check the 'CBI' checkbox to claim the amount of imported mercury compounds
reported in the most recent CDR reporting cycle as confidential.
•	During the calendar year XXXX, my company imported a total of	pounds
of mercury compounds: Enter the amount of mercury compounds that the reporting
company has imported during the specified calendar year. The entered value must be greater
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than or equal to one, but less than or equal to 1,000,000,000. This question does not display if
the 'My company reported amount of imported mercury compounds in the most recent CDR
reporting cycle' statement is checked. This is a required field if displayed.
•	CBI: Check the 'CBI' checkbox to claim the amount of imported mercury compounds as
confidential.
•	During the calendar year XXXX, my company imported the following mercury
compounds: Select the mercury compound(s) that the company has imported. This question
does not display if the 'My company reported amount of imported mercury compounds in the
most recent CDR reporting cycle' statement is checked. This is a required field if displayed.
•	Country of Origin: Select the country(ies) from which the reporting company imported
mercury compounds. At least one country of origin is required.
•	CBI: Check the 'CBI' checkbox to claim the country(ies) of origin as confidential.
•	During the calendar year XXXX, my company stored between	and
	pounds of mercury compounds on-site: Enter a range to estimate the amount
of imported mercury compounds stored on-site. The entered values must be greater than or
equal to zero, but less than or equal to 1,000,000,000. The minimum and maximum range
input fields are required if enabled.
•	CBI: Check the 'CBI' checkbox to claim the amount of imported mercury compounds stored
on-site as confidential.
•	Check here if not applicable: Check the checkbox to disable the input fields and claim that
imported mercury compounds are not stored on-site.
•	During the calendar year XXXX, my company stored between	and
	pounds of mercury compounds off-site: Enter a range to estimate the amount
of imported mercury compounds stored off-site. The entered values must be greater than or
equal to zero, but less than or equal to 1,000,000,000. The minimum and maximum range
input fields are required if enabled.
•	CBI: Check the 'CBI' checkbox to claim the amount of imported mercury compounds stored
off-site as confidential.
•	Check here if not applicable: Check the checkbox to disable the input fields and claim that
imported mercury compounds are not stored off-site.
•	During the calendar year XXXX, my company distributed	pounds of
mercury compounds into domestic commerce: Enter the amount of imported mercury
compounds which has been distributed into domestic commerce. The entered value must be
greater than or equal to zero, but less than or equal to 1,000,000,000. This is a required field.
•	CBI: Check the 'CBI' checkbox to claim the amount of imported mercury compounds
distributed into domestic commerce as confidential.
•	Industries of Distribution: Select the industry(ies) of distribution to which the reporting
company distributes imported mercury compounds by selecting the applicable North
American Industry Classification System (NAICS) code(s). Use the keyword search on the
NAICS website (https://www.census.gov/eos/www/naics/index.htmn to search for the
desired industry. This is a required field.
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•	CBI: Check the 'CBI' checkbox to claim the industries of distribution as confidential.
•	During the calendar year XXXX, my company exported	pounds of mercury
compounds: Enter the amount of imported mercury compounds that the reporting company
has exported to the specified destination country. The entered value must be greater than or
equal to zero, but less than or equal to 1,000,000,000. This question does not display if the
'My company reported amount of imported mercury compounds in the most recent CDR
reporting cycle' statement is checked. This is a required field if displayed.
•	CBI: Check the 'CBI' checkbox to claim the amount of imported mercury compounds that
the reporting company has exported to the specified destination country as confidential.
•	Destination Country: Select the destination country(ies) to which the company has exported
mercury compounds. This is a required field.
•	CBI: Check the 'CBI' checkbox to claim the destination country(ies) to which the reporting
company exports imported mercury compounds as confidential.
Exhibit 4-13 shows a screen capture of the 'Question 7' screen (Scroll 1):
Exhibit 4-13 Question 7 Screen (Scroll 1)

HOME
A Jane Doe, TEST ORGANIZATION LLC (Primary Agent/Consultanl
n
Mercury Electronic Reporting ~ MER-20180614-10:15:54

Introductory Questions Question 1 Question 2 Question 3
Question 6 Question 8 Question 9
Submitting Official Information

Question 4 Question 5
Question 10 Summary

Q7. My company imports mercury compounds



D My company reported amount of imported mercury compounds in the most recent CDR reporting
cycle.
~ CBI



During the calendar year 2018, my company imported a total of | | pounds of mercury
compounds.
~ CBI



During the calendar year 2018, my company imported the following mercury compounds:
Check all that apply.
Country of Origin (check all that apply)
~ CBI



None selected ~




During the calendar year 2018, my company stored between | J and
| pounds of mercury compounds on-site.
~ CBI



Check here if not applicable. ~




During the calendar year 2018, my company stored between | J and
~ CBI



| pounds of mercury compounds off-site.




Check here if not applicable. ~
During the calendar year 2018, my company distributed | | pounds of mercury
compounds into domestic commerce.
Industries of Distribution:
~	CBI
~	CBI



None selected ~



During the calendar year 2018, my company exported | | pounds of mercury
compounds.
~ CBI

| H



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Exhibit 4-14 shows a screen capture of the 'Question 7' screen (Scroll 2):
Exhibit 4-14 Question 7 Screen (Scroll 2)

A Jane Doe, TEST ORGANIZATION LLC (Primary Agent/Consult;
Q7. My company imports mercury compounds
~ My company reported amount of imported mercury compounds in the most recent CDR reporting
cycle.
During the calendar year 2018, my company imported a total of [	
compounds.
During the calendar year 2018, my company imported the following mercury compounds:
Check all that apply.
Country of Origin (check all that apply)
J pounds of mercury
None selected ~
During the calendar year 2018, my company stored between |
I pounds of mercury compounds on-site.
Check here if not applicable. ~
During the calendar year 2018, my company stored between Q
[
pounds of mercury compounds off-site.
Check here if not applicable. ~
During the calendar year 2018, my company distributed [
compounds into domestic commerce.
Industries of Distribution:
None selected ~
During the calendar year 2018, my company exported |
compounds.
Destination Country
]]and
J pounds of mercury
pounds of mercury
~	CBI
~	CBI
~	CBI
~	CBI
~	CBI
~	CBI
~	CBI
~	CBI
~	CBI
None selected -
Previous I Continue
Navigation: Click the 'Continue' button to navigate to the subsequent screen that was checked
on the 'Introductory Questions' screen or the 'Summary' screen.
4.10 Question 8
You can access the 'Question 8' screen by checking the 'Q8' checkbox on the 'Introductory
Questions' screen and clicking the 'Continue' button from the 'Question 7' screen or the
'Introductory Questions' screen. You can also access this screen by clicking the 'Question 8'
link within the navigation header.
The 'Question 8' screen provides fields to capture information regarding the manufacture (other
than imports) of mercury compound-added products.
•	My company reported national sales data to the most recent IMERC reporting cycle:
Check the checkbox to indicate that the reporting company reported national sales data
regarding the manufacture of mercury compound-added products to the most recent IMERC
reporting cycle.
•	CBI: Check the 'CBI' checkbox to claim the national sales data regarding the manufacture of
mercury compound-added products as confidential.
Mercury Electronic Reporting User Guide
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•	During the calendar year XXXX, my company used a total of	pounds of
elemental mercury in the manufacturing of mercury compound-added products: Enter
the amount of elemental mercury used during the specified calendar year in the manufacture
of mercury compound-added products. The entered value must be greater than or equal to
one, but less than or equal to 1,000,000,000. This is a required field.
•	CBI: Check the 'CBI' checkbox to claim the amount of elemental mercury used in the
manufacturing of mercury compound-added products as confidential.
•	During the calendar year XXXX, my company used a total of	pounds of
mercury compounds in the manufacturing of mercury compound-added products:
Enter the amount of mercury compounds used in the manufacture of mercury compound-
added products during the specified calendar year. The entered value must be greater than or
equal to one, but less than or equal to 1,000,000,000. This is a required field.
•	CBI: Check the 'CBI' checkbox to claim the amount of mercury compounds used in the
manufacturing of mercury compound-added products as confidential.
•	During the calendar year XXXX, my company manufactured (other than imported) the
following mercury compound-added products: Select the category(ies) and associated
subcategory(ies) of products under which the reporting company manufactures mercury
compound-added products. At least one category must be checked.
-	The 'Batteries' category includes the following subcategories: 'Button cell (silver),'
'Button cell (zinc-air),' 'Button cell (alkaline),' 'Stacked button cell batteries,' 'Manganese
oxide,' 'Silver oxide,' 'Mercuric oxide (non-button cell),' 'Button cell (mercuric oxide),'
'Button cell (zinc carbon),' and 'Other (specify).' At least one subcategory value is
required if displayed.
•	CBI: Check the 'CBI' checkbox to claim the 'batteries' category and associated
subcategory(ies) as confidential.
-	The 'Dental amalgam' category does not include any subcategories.
•	CBI: Check the 'CBI' checkbox to claim the 'dental amalgam' category as confidential.
-	The 'Formulated products (includes uses in cosmetics, pesticides, and laboratory
chemicals)' category includes the following subcategories: 'Skin-lightening creams,'
'Lotions,' 'Soaps and sanitizers,' 'Bath oils and salts,' 'Preservatives (e.g. for use in
vaccines for preservation),' 'Pharmaceuticals (including prescription and over-the-counter
products),' 'Cleaning products (not registered as pesticides under the Federal Insecticide,
Fungicide, and Rodenticide Act),' 'Pesticides,' 'Paints,' 'Dyes,' 'Reagents (e.g., catalysts,
buffers, fixatives),' and 'Other (specify).' At least one subcategory value is required if
displayed.
•	CBI: Check the 'CBI' checkbox to claim the 'Formulated products (includes uses in
cosmetics, pesticide, and laboratory chemicals)' category and associated subcategory(ies)
as confidential.
-	The 'Lighting, lamps, bulbs' category includes the following subcategories: 'Liner
fluorescent,' 'Compact fluorescent,' 'U-tube and circular fluorescent,' 'Cold cathode
fluorescent,' 'External electrode fluorescent,' 'Mercury vapor,' 'Metal halide,' 'High
Mercury Electronic Reporting User Guide
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pressure sodium,' 'Mercury short arc,' 'Neon,' and 'Other (specify).' At least one
subcategory value is required if displayed.
•	CBI: Check the 'CBI' checkbox to claim the 'Lighting, lamps, and bulbs' category and
associated subcategory(ies) as confidential.
-	The 'Measuring instruments' category includes the following subcategories: 'Barometer,'
'Feverthermometer,' 'Flowmeter,' 'Hydrometer,' 'Hygrometer/psychrometer,'
'Manometer,' 'Non-fever thermometer,' 'Pyrometer,' 'Sphygmomanometer,' and'Other
(specify).' At least one subcategory value is required if displayed.
•	CBI: Check the 'CBI' checkbox to claim the 'measuring instruments' and associated
subcategory(ies) as confidential.
-	The 'Pump seals' category does not include any subcategories.
•	CBI: Check the 'CBI' checkbox to claim the 'pump seals' category as confidential.
-	The 'Switches, relays, sensors, valves' category includes the following subcategories: 'Tilt
switch,' 'Vibration switch,' 'Float switch,' 'Pressure switch,' 'Temperature switch,'
'Displacement relay,' 'Wetted reed relay,' 'Contact relay,' 'Flame sensor,' 'Thermostat,'
and 'Other (specify).' At least one subcategory value is required if displayed.
•	CBI: Check the 'CBI' checkbox to claim the 'switches, relays, sensors, and valves'
category and associated subcategory(ies) as confidential.
-	The 'Miscellaneous/novelty mercury-added products' category includes the following
subcategories: 'Wheel weights,' 'Wheel rotation balancers/stabilizers,' 'Firearm recoil
suppressors,' 'Carburetor synchronizers,' 'Joint support/shock absorption bands,' and
'Other (specify).' At least one subcategory value is required if displayed.
•	CBI: Check the 'CBI' checkbox to claim the 'miscellaneous/novelty mercury-added
products' category and associated subcategory(ies) as confidential.
•	During the calendar year XXXX, my company distributed	pounds of
mercury compounds in mercury compound-added products into domestic commerce:
Enter the amount of mercury compounds in mercury compound-added products distributed
into domestic commerce during the specified calendar year. The entered value must be
greater than or equal to zero, but less than or equal to 1,000,000,000. This question does not
display if the 'My company reported national sales data to the most recent IMERC reporting
cycle' statement is checked. This is a required field if displayed.
•	CBI: Check the 'CBI' checkbox to claim the amount of mercury compounds in mercury
compound-added products distributed into domestic commerce as confidential.
•	Industries of Distribution: Select the industry(ies) of distribution to which the reporting
company distributes mercury compounds in products into domestic commerce by selecting
the applicable North American Industry Classification System (NAICS) code(s). Use the
keyword search on the NAICS website (https://www.census.gov/eos/www/naics/index.htmn
to search for the desired industry. This field is required.
•	CBI: Check the 'CBI' checkbox to claim the industry(ies) of distribution as confidential.
•	During the calendar year XXXX, my company exported	pounds of mercury
compounds in mercury compound-added products: Enter the amount of mercury
compounds in mercury compound-added products that the reporting company has exported.
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The entered value must be greater than or equal to zero, but less than or equal to
1,000,000,000. This is a required field.
•	CBI: Check the "CBI" checkbox to claim the amount of exported mercury compounds in
mercury compound-added products as confidential.
•	Destination Country: Select the country(ies) to which the reporting company exports
mercury compounds in mercury compound-added products. At least one country is required
to be selected.
•	CBI: Check the 'CBI' checkbox to claim the country(ies) to which the reporting company
exports mercury compounds in mercury compound-added products as confidential.
Exhibit 4-15 shows a screen capture of the 'Question 8' screen (Scroll 1):
Exhibit 4-15 Question 8 Screen (Scroll 1)
X Jane Doe, TEST ORGANIZATION LLC (Primary Agent/Consulta
Mercury Electronic Reporting	~ MER-20180614-10:15:54
Introductory Questions Question 1	Question 2 Question 3
Question 6 Question 7	Question 9
Submitting Official Information
Question 4
Question 10
Question 5
Summary
Q8. My company manufactures (other than imports) mercury compound-added products.
~ My company reported national sales data to the most recent IMERC reporting cycle.
During the calendar year 2018, my company used a total of[	
mercury in the manufacturing of mercury compound-added products.
During the calendar year 2018, my company used a total of]
[] pounds of elemental
pounds of mercury
~	CBI
~	CBI
~	CBI
compounds in the manufacturing of mercury compound-added products.
During the calendar year 2018, my company manufactured (other than imported) the following mercury compound-added products:
Category
0 Batteries
~	Dental amalgam
~	Formulated products (includes
uses in cosmetics, pesticides, and
laboratory chemicals)
~	Lighting, lamps, bulbs
~	Measuring instruments
~	Pump seals
~	Switches, relays, sensors,
valves
Subcategory
Button cell, alkaline ~
~ CBI
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CDXr	
Exhibit 4-16 shows a screen capture of the 'Question 8' screen (Scroll 2):
Exhibit 4-16 Question 8 Screen (Scroll 2)
X Jane Doe, TEST ORGANIZATION LLC (Primary Agent/Consult;
Category
0 Batteries
Subcategory
Button cell, alkaline ~
~ CBI
~	Dental amalgam
~	Formulated products (includes
uses in cosmetics, pesticides, and
laboratory chemicals)
~	Lighting, lamps, bulbs
~	Measuring instruments
~	Pump seals
~	Switches, relays, sensors,
valves
~	Miscellaneous/novelty
mercury-added products
During the calendar year 2018, my company distributed |	| pounds of mercury	~ CBI
compounds in mercury compound-added products into domestic commerce.
Industries of Distribution:	~ CBI
None selected »
During the calendar year 2018, my company exported |	| pounds of mercury	~ CBI
compounds in mercury compound-added products.
Destination Country	~ CBI
None selected ~
Previous I Continue
Next Step: Question 9
Navigation: Click the 'Continue' button to navigate to the subsequent screen that was checked
on the 'Introductory Questions' screen or the 'Summary' screen.
4.11 Question 9
You can access the 'Question 9' screen by checking the 'Q9' checkbox and clicking the
'Continue' button from the 'Question 8' screen or the 'Introductory Questions' screen. You can
also access this screen by clicking the 'Question 9' link within the navigation header.
The 'Question 9' screen provides fields to capture information regarding the import of mercury
compound-added products.
•	My company reported national sales data to the most recent IMERC reporting cycle:
Check the checkbox to indicate that the reporting company reported national sales data of
imported mercury compound-added products to the most recent IMERC reporting cycle.
•	CBI: Check the 'CBI' checkbox to claim the national sales data reported to the most recent
IMERC reporting cycle as confidential.
•	During the calendar year XXXX, my company imported a total of	pounds
of mercury in compounds in mercury compound-added products: Enter the amount of
mercury in compounds in imported mercury compound-added products. The entered value
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must be greater than or equal to one, but less than or equal to 1,000,000,000. This is a
required field.
•	CBI: Check the 'CBI' checkbox to claim the amount of mercury in compounds in mercury
compound-added products as confidential.
•	During the calendar year XXXX, my company imported the following mercury
compound-added products: Check the category(ies) and associated subcategory(ies) under
which the imported mercury compound-added products fall. At least one category is required
to be checked.
-	The 'Batteries' category includes the following subcategories: 'Button cell (silver),'
'Button cell (zinc-air),' 'Button cell (alkaline),' 'Stacked button cell batteries,' 'Manganese
oxide,' 'Silver oxide,' 'Mercuric oxide (non-button cell),' 'Button cell (mercuric oxide),'
'Button cell (zinc carbon),' and 'Other (specify).' At least one subcategory value is
required if displayed.
•	CBI: Check the 'CBI' checkbox to claim the 'batteries' category and associated
subcategory(ies) as confidential.
-	The 'Dental amalgam' category does not include any subcategories.
•	CBI: Check the 'CBI' checkbox to claim the 'dental amalgam' category as confidential.
-	The 'Formulated products (includes uses in cosmetics, pesticides, and laboratory
chemicals)' category includes the following subcategories: 'Skin-lightening creams,'
'Lotions,' 'Soaps and sanitizers,' 'Bath oils and salts,' 'Preservatives (e.g. for use in
vaccines for preservation),' 'Pharmaceuticals (including prescription and over-the-counter
products),' 'Cleaning products (not registered as pesticides under the Federal Insecticide,
Fungicide, and Rodenticide Act),' 'Pesticides,' 'Paints,' 'Dyes,' 'Reagents (e.g., catalysts,
buffers, fixatives),' and 'Other (specify).' At least one subcategory value is required if
displayed.
•	CBI: Check the 'CBI' checkbox to claim the 'Formulated products (includes uses in
cosmetics, pesticides, and laboratory chemicals)' category and associated
subcategory(ies) as confidential.
-	The 'Lighting, lamps, bulbs' category includes the following subcategories: 'Liner
fluorescent,' 'Compact fluorescent,' 'U-tube and circular fluorescent,' 'Cold cathode
fluorescent,' 'External electrode fluorescent,' 'Mercury vapor,' 'Metal halide,' 'High
pressure sodium,' 'Mercury short arc,' 'Neon,' and 'Other (specify).' At least one
subcategory value is required if displayed.
•	CBI: Check the 'CBI' checkbox to claim the 'Lighting, lamps, and bulbs' category and
associated subcategory(ies) as confidential.
-	The 'Measuring instruments' category includes the following subcategories: 'Barometer,'
'Feverthermometer,' 'Flowmeter,' 'Hydrometer,' 'Hygrometer/psychrometer,'
'Manometer,' 'Non-fever thermometer,' 'Pyrometer,' 'Sphygmomanometer,' and'Other
(specify).' At least one subcategory value is required if displayed.
•	CBI: Check the 'CBI' checkbox to claim the 'measuring instruments' and associated
subcategory(ies) as confidential.
-	The 'Pump seals' category does not include any subcategories.
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•	CBI: Check the 'CBI' checkbox to claim the 'pump seals' category as confidential.
-	The 'Switches, relays, sensors, valves' category includes the following subcategories: 'Tilt
switch,' 'Vibration switch,' 'Float switch,' 'Pressure switch,' 'Temperature switch,'
'Displacement relay,' 'Wetted reed relay,' 'Contact relay,' 'Flame sensor,' 'Thermostat,'
and 'Other (specify).' At least one subcategory value is required if displayed.
•	CBI: Check the 'CBI' checkbox to claim the 'switches, relays, sensors, and valves'
category and associated subcategory(ies) as confidential.
-	The 'Miscellaneous/novelty mercury-added products' category includes the following
subcategories: 'Wheel weights,' 'Wheel rotation balancers/stabilizers,' 'Firearm recoil
suppressors,' 'Carburetor synchronizers,' 'Joint support/shock absorption bands,' and
'Other (specify).' At least one subcategory value is required if displayed.
•	CBI: Check the 'CBI' checkbox to claim the 'miscellaneous/novelty mercury-added
products' category and associated subcategory(ies) as confidential.
•	Country of Origin: Select the country(ies) of origin from which the reporting company
imports mercury compound-added products. At least one value is required to be selected.
•	CBI: Check the 'CBI' checkbox to claim the country(ies) of origin from which the reporting
company imports mercury compound-added products as confidential.
•	During the calendar year XXXX, my company distributed	pounds of
mercury compounds in products into domestic commerce: Enter the amount of mercury
compounds that has been distributed in products into domestic commerce. The entered value
must be greater than or equal to zero, but less than or equal to 1,000,000,000. This question
does not display if the 'My company reported national sales data to the most recent IMERC
reporting cycle' statement is checked. This is a required field if displayed.
•	CBI: Check the 'CBI' checkbox to claim the amount of mercury compounds which has been
distributed in products into domestic commerce as confidential.
•	Industries of Distribution: Select the industry(ies) of distribution to which the reporting
company distributes mercury compounds in products by selecting the applicable North
American Industry Classification System (NAICS) code(s). Use the keyword search on the
NAICS website (https://www.census.gov/eos/www/naics/index.htmn to search for the
desired industry. At least one value is required to be selected.
•	CBI: Check the 'CBI' checkbox to claim the industry(ies) of distribution as confidential.
•	During the calendar year XXXX, my company exported	pounds of mercury
compounds in mercury-added products: Enter the amount of mercury compounds in
imported mercury-added products that the company exports. The entered value must be
greater than or equal to zero, but less than or equal to 1,000,000,000. This is a required field.
•	CBI: Check the 'CBI' checkbox to claim the amount of mercury compounds in mercury-
added products that the reporting company has exported as confidential.
•	Destination Country: Select the country(ies) to which the reporting company exports
mercury compounds in mercury-added products. Select 'Not Applicable' to indicate that the
company does not export mercury compounds in mercury-added products. At least one
country is required to be selected.
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• CBI: Check the 'CBT checkbox to claim the destination country(ies) to which the reporting
company exports mercury compounds in mercury-added products as confidential.
Exhibit 4-17 shows a screen capture of the 'Question 9' screen (Scroll 1):
Exhibit 4-17 Question 9 Screen (Scroll 1)
Mercury Electronic Reporting	~ MER-20180614-10:15:54
Introductory Questions Question 1	Question 2 Question 3
Question 6 Question 7	Question 8
Submitting Official Information
A. Jane Doe, TEST ORGANIZATION LLC (Primary Agent/ConsultanC
Question 4
Question 10
Question 5
Summary
Q9. My company imports mercury compound-added products
~ My company reported national sales data to the most recent IMERC reporting cycle.
During the calendar year 2018, my company imported a total of|
compounds in mercury compound-added products.
During the calendar year 2018, my company imported the following mercury compound-added products:
Category	Subcategory
S»
~ CBI
] pounds of mercury in ~ CBI
~ Batteries
~ Dental amalgam
~ Formulated products (includes


uses in cosmetics, pesticides, and


laboratory chemicals)


0 Lighting, lamps, bulbs
Cold cathode fluorescent»
~ CBI
~ Measuring instruments
~ Pump seals
~ Switches, relays, sensors.


valves


~ Miscellaneous/novelty


mercury-added products



Mercury Electronic Reporting User Guide
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CDX.
Exhibit 4-18 shows a screen capture of the 'Question 9' screen (Scroll 2):
Exhibit 4-18 Question 9 Screen (Scroll 2)
X Jane Doe, TEST ORGANIZATION LLC (Primary Agent/Consult;
~	Dental amalgam
~	Formulated products (includes
uses in cosmetics, pesticides, and
laboratory chemicals)
0 Lighting, lamps, bulbs
Cold cathode fluorescent ~
~ CBI
~ Measuring instruments
~ Pump seals
~ Switches, relays, sensors,


valves


~ Miscellaneous/novelty


mercury-added products


Country of Origin
None selected ~
During the calendar year 2018, my company distributed [
compounds in products into domestic commerce.
Industries of Distribution:
None selected ~
During the calendar year 2018, my company exported |_
compounds in mercury-added products.
Destination Country
None selected -»
pounds of mercury
]] pounds of mercury
~	CBI
~	CBI
~	CBI
~	CBI
~	CBI
Previous 1
Continue


Navigation: Click the 'Continue' button to navigate to the subsequent screen that was checked
on the 'Introductory Questions' screen or the 'Summary' screen.
4.12 Question 10
You can access the 'Question 10' screen by checking the 'Q10' checkbox and clicking the
'Continue' button from the 'Question 9' screen or the 'Introductory Questions' screen. You can
also access this screen by clicking the 'Question 10' link within the navigation header.
The 'Question 10' screen provides fields to capture information regarding the use of mercury
compounds in a manufacturing process outside of manufacturing mercury compound-added
products.
•	During the calendar year XXXX, my company used a total of	pounds of
mercury compounds in a manufacturing process: Enter the amount of mercury
compounds used in a manufacturing process. The entered value must be greater than or equal
to one, but less than or equal to 1,000,000,000. This is a required field.
•	During the calendar year XXXX, my company used mercury compounds in a
manufacturing process in the following capacity for the following purposes: Select the
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processes in which mercury compounds are used. At least one process is required to be
checked.
•	Process: The 'Process' column displays the following values: 'Chlorine production (e.g.,
mercury-cell chlor-alkali process),' 'Acetaldehyde production,' 'Sodium/potassium
methylate/ethylate production,' 'Polyurethane/plastic production,' 'Production of other
mercury compounds,' and 'Other (please specify).' At least one process is required to be
checked.
•	CBI: Check the 'CBI' checkbox to claim the applicable process as confidential.
•	Use: The 'Use' drop-down contains the following values: 'Catalyst,' 'Reactant,' 'Reagent,'
'Cathode,' and 'Other.' The drop-down is enabled when the associated process is checked. A
use is required for each checked process.
•	During the calendar year XXXX, my company stored between	and
	pounds of elemental mercury on-site: Enter a range to estimate the amount of
elemental mercury stored on-site during the specified calendar year. The entered values must
be greater than or equal to zero, but less than or equal to 1,000,000,000. The minimum and
maximum range input fields are required if enabled.
•	CBI: Check the 'CBI' checkbox to claim the amount of elemental mercury stored on-site as
confidential.
•	Check here if not applicable: Check the checkbox to indicate that elemental mercury is not
stored on-site and disable the input fields for the associated question.
•	During the calendar year XXXX, my company stored between	and
	pounds of elemental mercury off-site: Enter a range to estimate the amount of
elemental mercury stored off-site during the specified calendar year. The entered values must
be greater than or equal to zero, but less than or equal to 1,000,000,000. The minimum and
maximum range input fields are required if enabled.
•	CBI: Check the 'CBI' checkbox to claim the amount of elemental mercury stored off-site as
confidential.
•	Check here if not applicable: Check the checkbox to indicate that elemental mercury is not
stored off-site and disable the input fields for the associated question.
•	During the calendar year XXXX, my company stored between	and
	pounds of mercury compounds on-site: Enter a range to estimate the amount
of mercury compounds stored on-site during the specified calendar year. The entered values
must be greater than or equal to zero, but less than or equal to 1,000,000,000. The minimum
and maximum range input fields are required if enabled.
•	CBI: Check the 'CBI' checkbox to claim the amount of mercury compounds stored on-site
as confidential.
•	Check here if not applicable: Check the checkbox to indicate that mercury compounds are
not stored on-site and disable the input fields for the associated question.
•	During the calendar year XXXX, my company stored between	and
	pounds of mercury compounds off-site: Enter a range to estimate the amount
of mercury compounds stored off-site during the specified calendar year. The entered values
Mercury Electronic Reporting User Guide
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must be greater than or equal to zero, but less than or equal to 1,000,000,000. The minimum
and maximum range input fields are required if enabled.
•	CBI: Check the 'CBI' checkbox to claim the amount of mercury compounds stored off-site
as confidential.
•	Check here if not applicable: Check the checkbox to indicate that mercury compounds are
not stored off-site and disable the input fields for the associated question.
•	During the calendar year XXXX, my company distributed into domestic commerce
final products that may or may not contain detectable amounts of a mercury compound
as a result of a manufacturing process to the following Industries of Distribution: Select
the industry(ies) of distribution to which the reporting company distributes final products that
may or may not contain detectable amounts of a mercury compounds as a result of a
manufacturing process. Select the applicable North American Industry Classification System
(NAICS) code(s). Use the keyword search on the NAICS website
(https://www.census.gov/eos/www/naics/index.htmn to search for the desired industry. At
least one industry of distribution must be entered.
•	CBI: Check the 'CBI' checkbox to claim the industry(ies) of distribution as confidential.
•	During the calendar year XXXX, my company exported final products that may or may
not contain detectable amounts of a mercury compound as a result of a manufacturing
process to the following Countries: Select the destination country(ies) to which the
reporting company exports final products that may or may not contain detectable amounts of
a mercury compound as a result of a manufacturing process. At least one country is required
to be selected.
•	CBI: Check the 'CBI' checkbox to claim the destination country(ies) to which the reporting
company exports final products as confidential.
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Exhibit 4-19 shows a screen capture of the 'Question 10' screen (Scroll 1):
Exhibit 4-19 Question 10 Screen (Scroll 1)
J. Jane Doe, TEST ORGANIZATION LLC (Primary Agent/Consult;
Mercury Electronic Reporting ~ MER-20180614-10:15:54
Introductory Questions Question 1
Question 2
Question 3
Question 4
Question 5
Question 6 Question 7
Question 8
Question 9
1 Question 10
| Summary
Submitting Official Information




Q10. My company uses mercury compounds in a manufacturing process (other than manufacturing mercury compound-added products)
~ CBI
During the calendar year 2018, my company used a total of [_
compounds in a manufacturing process.
J pounds of mercury
During the calendar year 2018, my company used mercury compounds in a manufacturing process in the
following capacity for the following purposes:
Use
| Catalyst v"] ~ CBI
Process

0 Chlorine production (e.g., mercury-
~ CBI
cell chlor-alkali process)

~ Acetaldehyde production
CBI
~ Sodium/potassium methylate/ethylate
EL CBI
production

~ Polyurethane/plastic production
[ CBI
~ Production of other mercury
E CBI
compounds

~ Other (please specify)
[ CBI
5*
During the calendar year 2018, my company stored between |
|	| pounds of elemental mercury on-site.
Check here if not applicable. ~
During the calendar year 2018, my company stored between |
I	| pounds of elemental mercury off-site.
Check here if not applicable. ~
During the calendar year 2018, my company stored between |_
J pounds of mercury compounds on-site.
[]and
~ CBI
~ CBI
~ CBI

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Exhibit 4-20 shows a screen capture of the 'Question 10' screen (Scroll 2):
Exhibit 4-20 Question 10 Screen (Scroll 2)
production

-
~ Polyurethane/plastic production
~ CBI
~ Production of other mercury
~ CBI
-
compounds


~ Other (please specify)
~ CBI

During the calendar year 2018, my company stored between |
|	| pounds of elemental mercury on-site.
Check here if not applicable. ~
During the calendar year 2018, my company stored between
pounds of elemental mercury off-site.
|]and
Check here if not applicable. ~
During the calendar year 2018, my company stored between [
J pounds of mercury compounds on-site.
Check here if not applicable. ~
During the calendar year 2018, my company stored between Q
[
Check here if not applicable. ~
pounds of mercury compounds off-site.
[]and
During the calendar year 2018, my company distributed into domestic commerce final products that may or
may not contain detectable amounts of a mercury compound as a result of a manufacturing process to the
following Industries of Distribution:
Industries of Distribution:
None selected

During the calendar year 2018, my company exported final products that may or may not contain detectable
amounts of a mercury compound as a result of a manufacturing process to the following Countries:
Destination Country
None selected
-
Previous I Continue
Next Step: Summary
X Jane Doe, TEST ORGANIZATION LLC (Primary Agent/Consult;
~ CBI
~ CBI
~ CBI
~ CBI
~ CBI
~ CBI
1 H Save Q Preview ~ Validate
Raise a Bua CDX Links *
CDX HelDdesk f888^ 890-1995 I

Navigation: Click the 'Continue' button to navigate to the 'Summary' screen.
4.13 Summary
You can access the 'Summary' screen by clicking the 'Continue' button from a question screen.
You can also access this screen by clicking the 'Summary' link within the navigation header.
The 'Summary' screen provides a visual representation of all the information that has been
captured within an MER form for selected question(s). Click each question title to expand the
section and view entered information to verify accuracy. The 'Expand All' and 'Collapse All'
links may also be used to expand and collapse all sections, respectively.
•	Ql. My company manufactures (other than imports) elemental mercury: Click the
'Question 1' link at the bottom of the section to navigate back to the original page to make
any necessary edits.
•	Q2. My company imports elemental mercury: Click the 'Question 2' link at the bottom of
the section to navigate back to the original page to make any necessary edits.
•	Q3. My company manufactures (other than imports) elemental mercury-added
products: Click the 'Question 3' link at the bottom of the section to navigate back to the
original page to make any necessary edits.
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•	Q4. My company imports elemental mercury-added products: Click the 'Question 4' link
at the bottom of the section to navigate back to the original page to make any necessary edits.
•	Q5. My company uses elemental mercury in a manufacturing process (other than
manufacturing mercury compounds and/or manufacturing elemental mercury-added
products): Click the 'Question 5' link at the bottom of the section to navigate back to the
original page to make any necessary edits.
•	Q6. My company manufactures (other than imports) mercury compounds: Click the
'Question 6' link at the bottom of the section to navigate back to the original page to make
any necessary edits.
•	Q7. My company imports mercury compounds: Click the 'Question T link at the bottom
of the section to navigate back to the original page to make any necessary edits.
•	Q8. My company manufactures (other than imports) mercury compound-added
products: Click the 'Question 8' link at the bottom of the section to navigate back to the
original page to make any necessary edits.
•	Q9. My company imports mercury compound-added products: Click the 'Question 9'
link at the bottom of the section to navigate back to the original page to make any necessary
edits.
•	Q10. My company uses mercury compounds in a manufacturing process (other than
manufacturing mercury compound-added products): Click the 'Question 10' link at the
bottom of the section to navigate back to the original page to make any necessary edits.
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Exhibit 4-21 shows a screen capture of the 'Summary' screen:
Exhibit 4-21 Summary Screen
Sutmlitting Official Information
Summary
>	Q1. My company manufactures (other than imports) elemental mercury
>	Q2. My company imports elemental mercury
>	Q3. My company manufactures (other than imports) elemental mercury-added products
>	Q4. My company imports elemental mercury-added products
>	Q5. My company uses elemental mercury in a manufacturing process (other than manufacturing mercury compounds and/or
manufacturing elemental mercury-added products)
>	Q6 My company manufactures (other than imports) mercury compounds
>	Q7 My company imports mercury compounds
>	Q8. My company manufactures (other than imports) mercury compound-added products
>	Q9 My company imports mercury compound-added products
>	Q10. My company uses mercury compounds in a manufacturing process (other than manufacturing mercury compound-added products)
J. Jane Doe, TEST ORGANIZATION LLC (Primary Agent/Consulta
H Save Q Preview ~Validate
Raise a Bug CDX Links - CDX Helpdesk: (888) 890-1995
Navigation: If any CBI claims were made, click the 'Continue' button to navigate to the
'Instructions for Substantiating Confidential Business Information (CBI) Claims' screen. Refer
to Section 7 for information on CBI substantiation. If no CBI claims were made, refer to Section
3.6 for the functionality available within the bottom action bar.
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5 Preview
The system provides the option to preview a form at any point during the submission process.
Click the 'Preview' link (3), located within the bottom action bar, to see a PDF version of the
form. A menu displays for you to view either the 'Regular' or the ' Sanitized' version of the PDF.
After you choose either the 'Regular' or 'Sanitized' PDF, the application displays a confirmation
message and generates a draft, watermarked PDF version of the form.
The watermark reads 'Not for Submission' and displays across each page in the background. The
form preview displays the entire form in a printable format. The preview functionality provides
the flexibility to track the status of the form and see the entire form in a single viewpoint.
Exhibit 5-1 shows a screen capture of the 'Preview' links:
Exhibit 5-1 Preview


HOME
X Jane Doe, TEST ORGANIZATION LLC (Primary Agent/Consultan

Mercury Electronic Reporting ~ MER-20180614-10:15:54

Introductory Questions
Summary Submitting Official Information

Introductory Questions
- Submission Alias
MER-20180614-10:15:54
The Mercury Electronic Reporting (MER) rule, under the Toxic Substances Control Act (TSCA), requires any person who manufactures (including imports) mercury or
mercury-added products, or otherwise intentionally uses mercury in a manufacturing process to report quantitative and qualitative data to the Environmental
Protection Agency. The law defines mercury as meaning elemental mercury and a mercury compound. In accordance with section 8(b) of TSCA, information collected
under this reporting application will be used in support of a triennial publication of the supply, uses, and trade of mercury in the United States.
Read the TSCA MER requirements in the Code of Federal Regulations (40 CFR Part ###).
Check all applicable statements
G Elemental Mercury
0 Q1: My company manufactures (other than imports) elemental mercury
0 Q2: My company imports elemental mercury
0 Q3: My company manufactures (other than imports) elemental mercury-added products
0 Q4: My company imports elemental mercury-added products
0 Q5: My company uses elemental mercury in a manufacturing process (other than manufacturing mercury compounds and/or manufacturing elemental mercury-added products)
O Mercury Compounds
0 Q6: My company manufactures (other than imports) mercury compounds
0 Q7: My company imports mercury compounds
0 Q8: My company manufactures (other than imports) mercury compound-added products


""	i:—jrts mercury compound-added products
Regular PDF is mercury compounds in a manufacturing process (other than manufacturing mercury compound-added products)
Sanitized PDF

H Save
O Preview
~Validate Raise a Bug CDX Links - CDX Helpdesk: (888) 890-199!

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Exhibit 5-2 shows a screen capture for the 'Preview' of the MER form:
Exhibit 5-2 Preview Mercury Electronic Reporting Form PDF
MERCURY ELECTRONIC REPORTING
Submission Date:

Revised Date:

Submitting Official Information
Name of Authorized Official
(first)

(middle)

(last)

CBI: T
Company Name

Position

Email Address

Phone Mjmber

Mailing Address 1

Mailing Address 2

City

State

Postal Code

Country

Technical Contact
Name of Authorized Official
(first)

(middle)

(last)

CBI: !~
Company Narna

Position

Email Address

Phone Mjmber

Mailing Address 1

Mailing Address 2

City

State

Postal Code

Country

Question 1: My company manufactures (other than imports) elemental mercury
CBI
f~ My company reported amount of manufactured mercury In the most recent CDR reporting cycle.
r
During the calendar year 2018 my company manufactured (other than imported) a total of pounds of elemental mercury.
r
During the calendar year 2018 my company stored between and pounds of elemental mercury on-site.
Check here If not applicable. f~
r
During the calendar year 2018 my company stored between and pounds of elemental mercury off-site.
Check here if not applicable. P
r
During the calendar year 2018 my company distributed pounds of elemental mercury into domestic commerce-
r
Industries of Distribution:
r
Question 2: My company imports elemental mercury
CBI
r My company reported amount of Imported mercury In the most recent CDR reporting cycle.
r
During the calendar year 2018, my company imported a total of pounds of elemental mercury.
r
Country of Origin:
r
During the calendar year 2018, my company stored between and pounds of elemental mercury on-site.
Check here if not applicable, [~
r
During the calendar year 2018, my company stored between and pounds of elemental mercury off-site.
Check here if not applicable. P
r
During the calendar year 2018, my corrpany distributed pounds of elemental mercury into domestic commerce.
r
Industries of Distribution:
r
Question 3: My company manufactures (other than imports) elemental mercury-added products
CBI
l~ My company reported national sales data to the most recent IMERC reporting cycle.
r
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6 Validate
You can click the 'Validate' link at any stage of completing a Mercury Electronic Reporting
form. The 'Mercury Electronic Reporting Validation' window displays when you click the
'Validate' link. Disable the pop-up blocker within your internet browser so that the 'Mercury
Electronic Reporting Validation' window displays correctly. The 'Mercury Electronic Reporting
Validation' window displays a report of all validation errors and warning messages. During the
validation process, the application validates each screen of the Mercury Electronic Reporting
form to find missing and invalid data.
Validation Errors: Errors can be fixed by clicking the error link. The links will display the
Screen Title Name (e.g., Question 1) and the associated error. After you click a link, the main
application screen will display the section where the error occurred so you can easily fix the
error. Once you have fixed the error(s), click the 'Validate' link again to refresh the 'Mercury
Electronic Reporting Validation' window. If the information you fixed passes validation, the
error will be removed from the 'Mercury Electronic Reporting Validation' window. You must
fix all validation errors to submit the form to CDX successfully.
Click the 'X' button located at the upper right-hand corner of the window to close the 'Mercury
Electronic Reporting Validation' window.
Exhibit 6-1 shows a screen capture for the 'Mercury Electronic Reporting Validation' window:
Exhibit 6-1 Mercury Electronic Reporting Validation Window
Mercury Electronic Reporting Validation	x
• Validation Errors
° Question 1
¦	Total mercury value is required.
¦	Minimum range value is required
¦	Maximum range value is required
¦	Minimum range value is required
¦	Maximum range value is required
¦	Distributed value is required
° Question 2
¦	Total mercury value is required.
¦	Minimum range value is required
¦	Maximum range value is required
¦	Minimum range value is required
¦	Maximum range value is required
¦	Distributed value is required	v
° Question 3
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7 CBI Substantiation
EPA modified the electronic reporting applications for TSCA submissions to accept CBI
substantiations for CBI claims made during the creation of electronic submissions. Other than
information exempt from substantiation under TSCA Section 14(c)(2), users who wish to assert
CBI claims for data within a submission must substantiate those claims at the time of submission
as required by TSCA Section 14(c)(3).
7.1 Instructions for Substantiating Confidential Business Information (CBI) Claims
Screen
You can access the 'Instructions for Substantiating Confidential Business Information (CBI)
Claims' screen by claiming information as CBI within a form and clicking the 'Instructions for
Substantiating CBI Claims' link within the navigation header. The 'Instructions for
Substantiating Confidential Business Information (CBI) Claims' screen will not generate until a
CBI claim is made within a submission. Information claimed CBI must either be substantiated or
claimed exempt pursuant to TSCA Section 14(c)(2) at the time of submission.
To substantiate a CBI claim, upload documentation asserting your claim(s). You may also opt-
out of substantiation if, for example, you believe your CBI claim is exempt under TSCA Section
14(c)(2). Common exemption reasons can be found at https://www.epa.gov/tsca-cbi/what-
information-include-cbi-substantiations. To opt-out of substantiation at the time of submission,
all CBI claims within a submission must be exempt.
•	Substantiation Opt-Out: Certain data claimed CBI may be exempt from substantiation at
the time of submission. If all information contained within the submission was previously
substantiated or you believe it to be exempt pursuant to TSCA Section 14(c)(2), check the
'Substantiation Opt-Out' checkbox to enable the 'Substantiation Opt-Out Reasoning' text
box. If a substantiation document is uploaded, checking the 'Substantiation Opt-Out'
checkbox removes the uploaded attachments. Either a substantiation opt-out reason or CBI
substantiation document must be provided if a CBI claim is made in a submission.
•	Substantiation Opt-Out Reasoning: Enter information explaining why you believe your
CBI claim(s) to be exempt from substantiation. Either a substantiation opt-out reason
within the text box or CBI substantiation document must be provided if a CBI claim is
made in a submission.
•	Attach CBI Substantiation Document: Click the 'Attach CBI Substantiation Document'
link to search your local machine and upload a file that contains your CBI substantiation.
To overwrite an uploaded file, click the 'Edit' link to search for and upload a new file.
Delete uploaded files to enable the 'Substantiation Opt-Out' checkbox. Either a
substantiation opt-out reason or CBI substantiation document must be provided if a CBI
claim is made in a submission.
If you are unfamiliar with substantiating CBI claims or require assistance preparing
substantiation documents, EPA offers a link to templates and other information for substantiating
CBI claims on the 'Instructions for Substantiating Confidential Business Information (CBI)
Claims' screen. It is suggested that you right-click the link and open in a new tab or new window
so you do not leave your submission as this may affect your saved data.
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The 'Instructions for Substantiating Confidential Business Information (CBI) Claims' screen is
under development.
Navigation: Click the 'Validate' link located in the bottom action bar to validate the form. Click
the 'Save' link located in the bottom action bar to save the overall form. Click the 'Preview' link
to generate a PDF preview of the form.
7.2 Attach Documents for CBI Substantiation
The 'Attach CBI Substantation Document' link displays on the 'Instructions for Substantiating
CBI Claims' screen, and provides functionality for you to attach supporting documents where
needed. Click the 'Attach CBI Substantiation Document' link displayed on a screen to access the
'Attach Documents for CBI Substantiation' pop-up window. You can attach a file and enter a
description, number of pages, and indicate CBI status.
The system allows you to claim an uploaded document as CBI. If you claim a document as CBI,
the system requires you to upload a sanitized version of the attached document. If you wish to
change a CBI attachment to be non-CBI by deselecting the 'CBI' checkbox, a warning appears to
notify you that deselecting the 'CBI' checkbox will delete the sanitized file. If you neglect to
populate a required field and click the 'OK' button, an error message will display to indicate the
missing field and the application will delete the previously attached file.
After you upload a document to be attached, the 'Attach Documents for CBI Substantiation'
window will close and the document's information will display in a table format on the screen.
Depending on the screen, the attachment table may display the section of the page the file is
associated with, the file name and file extension of the document, the number of pages in the
document, and if the document was claimed CBI. The system allows you to delete unwanted
documents by clicking the 'Delete' link. To view, open, or edit previously attached documents,
click the 'Edit' link.
•	Type: Select 'CBI Substantiation' from the drop-down menu of the document that you
upload. This is a required field.
•	Attachment: Click the 'Browse' button to generate the 'File Upload' window to search for a
document on your hard drive.
•	Description: Enter a description associated with the attached document. Submitters should
not include any CBI information in the document description. This is a required field.
•	Number of Pages: Enter the number of pages in a document. This is a required field.
•	Check to claim the attachment as CBI: Check the 'CBI' checkbox to claim the attached
document as confidential. Un-checking the 'CBI' checkbox for a CBI document generates a
warning notifying you that un-checking the CBI claim will delete the sanitized file.
•	Sanitized Attachment: Click the 'Browse' button to generate the 'File Upload' window to
search for a document on your hard drive. For any attached document claimed as CBI, you
will be required to attach a sanitized version of the document.
•	Cancel: Click the 'Cancel' button to cancel the attach document process.
•	OK: Click the 'OK' button to attach and link the document uploaded on the 'Attach
Documents for CBI Substantiation' window to the form. If a field is missing, a warning
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message will display notifying you that all attachments must be re-attached and the missing
field must be populated.
The 'Attach Documents for CBI Substantiation' window is under development.
Navigation: Click the 'Cancel' button or 'X' icon in the upper right-hand corner to cancel the
document attachment process. Click the 'OK' button to attach the document to the form and
navigate back to the 'Instructions for Substantiating CBI Claims' screen from which the
document attachment process was initiated.
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8 Submit to EPA via CDX
As a Primary Agent/Consultant, you have the ability to submit amendments. You can save your
form at any point during the data entry process and return to that same form at any point in the
future.
Once you complete all required information and correct all items failing validation, the system
will allow the Mercury Electronic Reporting form to be successfully submitted.
8.1 TSCA CBI Certification
Click the 'Start Submission Process' button from the 'Submitting Official Information' or
'Instructions for Substantiating CBI Claims' screen to access the 'TSCA CBI Certification' page.
Exhibit 8-1 shows a screen capture of the 'TSCA CBI Certification' screen:
Exhibit 8-1 TSCA CBI Certification Screen


HOME
Jane Doe, TEST ORGANIZATION LLC (Primary Agent/Consultant)
Mercury Electronic Reporting ~ MER-20180614-10:15:54
TSCA CBI Certification
| MER Certification Validation Review & Submit
TSCA CBI Certification
I hereby certify to the best of my knowledge and belief that all information entered on this
form is complete and accurate.
I further certify that, pursuant to 15 U.S.C. § 2613(c), for all claims for protection for any
confidential information made with this submission, all information submitted to substantiate
such claims is true and correct, and that it is true and correct that the person submitting the
claim has:
i.	taken reasonable measures to protect the confidentiality of the information;
ii.	determined that the information is not required to be disclosed or otherwise made
available to the public under any other Federal law;
iii.	a reasonable basis to conclude that disclosure of the information is likely to cause
substantial harm to the competitive position of the person; and
iv.	a reasonable basis to believe that the information is not readily discoverable through
reverse engineering.
Any knowing and willful misrepresentation is subject to criminal penalty pursuant to 18
U.S.C. § 1001.
Raise a Bug CDX Links - CDX Helpdesk: (888) 890-1995
Navigation: Click the 'Continue' button to navigate to the 'MER Certification' screen.
8.2 MER Certification
Click the 'Continue' button from the 'TSCA CBI Certification' screen to access the 'MER
Certification' screen.
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Exhibit 8-2 shows a screen capture of the 'MER Certification' screen:
Exhibit 8-2 MER Certification Screen
X jane Doe, TEST ORGANIZATION LLC (Primary Agent/Consultant)
Mercury Electronic Reporting ~ MER-20180614-10:15:54
TSCA CBI Certification
MER Certification
Review & Submit
MER Certification
I certify under penalty of law that this document and all attachments were prepared under
my direction or supervision and the information contained therein, to the best of my
knowledge is, true, accurate, and complete. I am aware there are significant penalties for
submitting incomplete, false and/or misleading information, including the possibility of fine
and imprisonment for Knowing violations.
Raise a Bug CDX Links CDX Helpdesk: (888) 890-1995
Navigation: Click the 'Continue' button to navigate to the 'Mercury Electronic Reporting
Validation' screen.
8.3 Mercury Electronic Reporting Validation
Click the 'Continue' button from the 'MER Certification' screen to access the 'Mercury
Electronic Reporting Validation' screen.
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Exhibit 8-3 shows a screen capture of the 'Mercury Electronic Reporting Validation' screen:
Exhibit 8-3 Mercury Reporting Validation Screen

)
HOME
± Jane Doe, TEST ORGANIZATION LLC (Primary Agent/Consultant)
Mercury Electronic Reporting ~ MER-20180614-10:15:54
TSCA CBI Certification MER Certification
Validation
Review & Submit
Validation
No Validation Errors!
Congratulations! Your Mercury Electronic Reporting form has passed the validation check.
Please click the 'PDF Generation' button to continue the submission process.
Cancel
Raise a Bug CDX Links - CDX Helpdesk: (888) 890-1995
Navigation: Click the 'PDF Generation' button to navigate to the 'PDF Generation' screen.
8.4 Mercury Electronic Reporting PDF Generation
Click the 'PDF Generation' button from the 'Mercury Electronic Reporting Validation' screen to
access the 'PDF Generation' screen.
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Exhibit 8-4 shows a screen capture of the 'PDF Generation' screen:
Exhibit 8-4 PDF Generation Screen
X Jane Doe, TEST ORGANIZATION LLC (Primary Agent/Consuttant)
Mercury Electronic Reporting ~ MER-20180614-10:15:54
TSCA CBI Certification MER Certification	Validation
Review & Submit
PDF Generation
Click the "Regular PDF" or "Sanitized PDF" button to view a PDF of the Mercury Electronic
Reporting form. If you make no CBI claims, the two versions will be the same. Please do
NOT send a copy of the PDF to the EPA Click the "Sign, Encrypt, and Submit" button to
complete the submission process.
li Regular PDF I h Sanitized PDF
Sign, Encrypt and Submit
Raise a Bug CDX Links - CDX Helpdesk: (888) 890-1995
Navigation: Click the 'Regular PDF' button to view the regular version of the MER PDF in a
separate window. Click the 'Sanitized PDF' button to view the sanitized version of the MER
PDF. Click the 'Sign, Encrypt and Submit' button to begin the CROMERR certification process.
8.5 CROMERR Certification
Click the 'Sign, Encrypt and Submit' button from the 'PDF Generation' screen to generate the
'CROMERR Certification' pop-up window.
Exhibit 8-5 shows a screen capture of the 'CROMERR Certification' window:
Exhibit 8-5 CROMERR Certification Window
I certify, under penalty of law that the information provided i
this document is, to the best of my knowledge and belief,
true, accurate, and complete. I am aware that there are
significant penalties for submitting false information,
including the possibility of fines and imprisonment for
knowing violations.
Navigation: Click the 'Accept' button to agree to the certification statement and generate the
'eSignature Widget.'
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8.6 eSignature Widget
Click the 'Accept' button on the 'CROMERR Certification' window to accept the certification
statement and generate the 'eSignature Widget.' The 'eSignature Widget' will prompt for the
CDX login password and an answer to one of your security questions registered within CDX.
Then click the 'Sign' button on the 'eSignature Widget' to navigate to the 'Submission Finished'
screen.
Exhibit 8-6 shows a screen capture of the 'eSignature Widget' window:
Exhibit 8-6 eSignature Widget
Mercury Electronic Reporting ~ MER-20180614-10:15:54
SCA CBI Certification MER Certification
Validation
PDF Generation
Click the "Regular PDE
Reporting term If you
NOT send a copy of The
complete the su&missK
eSignature Widget
1. Authentication
Log into CDX
User:
JANEDOEOPPTPAC
J Show Password O
Welcome Jane Doe
2. Verification
Question:
What is the name of your home town
newspaper?
Answer:
•••••»•**
Show Answer D
3. Sign File
f I
Navigation: Click the 'Sign' button on the 'eSignature Widget' to navigate to the 'Submission
Finished' screen.
8.7 Submission Finished
Click the 'Sign' button within the 'eSignature Widget' to navigate to the 'Submission Finished'
screen.
The 'Submission Finished' screen is under development.
Navigation: Click the 'Home' button to confirm the submission of the form and navigate back to
the Mercury Electronic Reporting 'Ftome' screen.
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9 Download Copy of Record
To download a Copy of Record, navigate to the Mercury Electronic Reporting 'Home' screen
and locate a form alias for which you have successfully completed a submission and which has a
status of 'Completed.'
Click the 'Copy of Record' icon (A) from the 'Submission History' table of the Mercury
Electronic Reporting 'Home' screen for the desired submission to navigate to the 'Enter
Passphrase' screen. The 'Enter Passphrase' screen requires you to enter the passphrase originally
associated with the form. If the passphrase is entered correctly, you will view the 'CROMERR
Certification' message where you can acknowledge the certification. Once you accept the
certification, the 'eSignature Widget' displays where you provide the correct CDX password,
answer the 20-5-1 question, and click the 'Sign' button. Then the copy of record .zip file
generates on the current page.
The 'Download Copy of Record' screen is under development.
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MONTH DD, 2018
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CDX,
10 EPA Communications
EPA may send electronic communications related to specific CDX submissions. In the event
EPA sends an electronic communication, the original submitter will receive a notification to both
their registered email address and inbox within CDX. The notification will inform the user that
there is a new, submission-specific communication available from EPA.
Shows a screen capture of a sample email notification from CDX:
This is under development.
Mercury Electronic Reporting User Guide
Primary Agent/Consultant
MONTH DD, 2018
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CDX,
11 Create An Amendment
The ability to unlock submissions to create an amendment is limited. Contact EPA at to unlock
the completed submission.
This process is under development.
Mercury Electronic Reporting User Guide
Primary Agent/Consultant
MONTH DD, 2018
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