Spreadsheet Instructions

This Excel spreadsheet may be used to report CMS Downtime Summary data into CEDRI web forms. Please input the data in th
'Data' worksheet following format outlined in the examples.

The asterisk (*) next to each field indicates that the corresponding field is required.

When prompted to report CMS Downtime Summary data in a CEDRI web form, click on the 'Upload' button to choose the Exce
file you would like to upload. Upload a completed version of this template to report the data.

Do not submit confidential business information (CBI) to EPA via CEDRI. If you are required to submit a report in CEDRI, you
must submit the report via CEDRI with the CBI omitted and mail a complete report, including any information claimed to be CB
to EPA on a compact disc, flash drive, or other commonly used electronic storage media via U.S. postal service. You must mark
the outside of the digital storage media as CBI and then identify electronically within the digital storage media the specific
information that is claimed as CBI. Mail the media to the address in the referencing federal regulation. If no address is specifie
mail the media to:

U.S. EPA/OAQPS/CORE CBI Office Attention:

Group Leader, Measurement Policy Group MD C404-02
4930 Old Page Rd
Durham, North Carolina 27703
 Other CMS Downtime
Reason Date Event Time Event
Begins * Begins *
CMS Downtime Reason *
(* Required if CMS
Downtime Reason is (MM/DD/YYYY) (HH:MM)
"Other known causes")

(Select from dropdown) e.g. Planned Outage e.g. 01/28/2018 e.g. 23:45
Date Event Ends Time Event Total Time Total Operating Time
* Ends * Down * Description of system repair During Reporting Period *
or adjustment
(MM/DD/YYYY) (HH:MM) (Hours) (Hours)

e.g. 01/29/2018 e.g. 00:45 e.g. 1 e.g. System Recalibration e.g. 120
 Total CMS Percent CMS
Downtime Downtime

(Hours) (%)

Calculated value. No Calculated value. No

input required. input required.
0 Not Yet Known
Date Description