Weather Assistance Program (WAP)

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form DOE F 540.5 Weatherization Assistance Program Subgrantee Information	Form	Modified	Repair queued
Form DOE F 540.4 Annual Training Technical Assistance, Monitoring and Leveraging Report	Form and Instruction	Modified	Available
Form DOE F 540.3 Weatherization Assistance Program Quarterly Program Report	Form and Instruction	Modified	Available
Form DOE F 540.2 Weatherization Annual File Worksheet	Form and Instruction	Modified	Available
OMBSupportState-WAP1704-10-01-08 rev (2).doc	Supporting Statement A	Uploaded 2009-01-06	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
23454	Weather Assistance Program (WAP)	Form	Modified	Weatherization Assistance Program Subgrantee Information
23454	Weather Assistance Program (WAP)	Form and Instruction	Modified	Annual Training Technical Assistance, Monitoring and Leveraging Report
23454	Weather Assistance Program (WAP)	Form and Instruction	Modified	Weatherization Assistance Program Quarterly Program Report
23454	Weather Assistance Program (WAP)	Form and Instruction	Modified	Weatherization Annual File Worksheet

ICR Details

OMB Control No: 1910-5127	ICR Reference No: 200707-1910-004
Status: Historical Active	Previous ICR Reference No: 200505-1910-001
Agency/Subagency: DOE/DOEOA	Agency Tracking No: Elnora Long
Title: Weather Assistance Program (WAP)
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 03/06/2009
Retrieve Notice of Action (NOA)	Date Received in OIRA: 06/11/2008
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2012	36 Months From Approved	03/31/2009
Responses	59	0	52
Time Burden (Hours)	708	0	624
Cost Burden (Dollars)	0	0	0

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Abstract: The Weatherization Assistance Program (WAP) increases the energy efficiency of dwellings occupied by Low Income Americans to reduce their energy costs while safeguarding their health and safety. DOE works directly with States, District of Columbia, and Native American Tribal Government to carry out these goals.

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Authorizing Statute(s): None

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	73 FR 52	03/17/2008
30-day Notice:	Federal Register Citation:	Citation Date:
	73 FR 110	06/06/2008
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
Weather Assistance Program (WAP)	DOE F 540.5, DOE F 540.3, DOE F 540.4, DOE F 540.2	Weatherization Annual File Worksheet ,   Weatherization Assistance Program Quarterly Program Report ,   Annual Training Technical Assistance, Monitoring and Leveraging Report ,   Weatherization Assistance Program Subgrantee Information

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ICR Summary of Burden

table that charts list of burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	59	52	0	7	0	0
Annual Time Burden (Hours)	708	624	0	84	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: The WAP is amended to include the Inter Tribal Council of Arizona, Navajo Nation, Northern Arapaho and the five (5) territories in FY 09. The hours of burden for the forms is estimated to be three (3) hours. The number of respondents is fifty nine (59) state and territories.

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Annual Cost to Federal Government: $0

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? Yes

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 06/11/2008

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