Survey on Pogress with Implementing the Weatherization Assistance Program

OMB Control No.:1910-XXXX

WEATHERIZATION ASSISTANCE PROGRAM QUESTIONNAIRE

For those questions for which data is not readily available, please provide best available estimates.

Grantee Data

1. Expenditures

   1. What are your total actual ARRA expenditures on equipment, administration, training and technical assistance, per month from March 1, 2009 through September 30, 2009?

2. Jobs created

   1. How many people have you hired, from February 17, 2009 through September 30, 2009 (employees and contractors)?

   2. Based on your planned activities, how many people do you estimate you will hire, from October 1, 2009 through the end of the planned ARRA period?

3. Training

   1. How many people have you trained with ARRA funding, from March 1, 2009 through September 30, 2009?

   2. How many new hires have you trained, from March 1, 2009 through September 30, 2009?

Subgrantee Data

1. Expenditures

   1. What are your total actual ARRA expenditures on equipment, administration, training and technical assistance, per month from March 1, 2009 through September 30, 2009?

   2. What are your total actual ARRA expenditures on production, per month since March 1, 2009 through September 30, 2009?

2. Jobs created

   1. How many people have you hired, from February 17, 2009 through September 30, 2009 (employees and contractors)?

   2. Based on your planned production schedule, how many people do you estimate you will hire, from October 1, 2009 through the end of the planned ARRA period?

3. Training

   1. How many people have you trained with ARRA funding, from March 1, 2009 through September 30, 2009?

   2. How many new hires have you trained, from March 1, 2009 through September 30, 2009?

4. Homes Weatherized

   1. How many ARRA units have you weatherized, per month from March 1, 2009 through September 30, 2009?

   2. How many non-ARRA units have you weatherized, per month from March 1, 2009 through September 30, 2009?

Paperwork Reduction Act Burden Disclosure Statement

This data is being collected to determine program production, monitor the use of Recovery Funds and answer congressional, budget and public inquiries. The data you supply will be used by DOE to monitor performance and to respond quickly to identified problems.

Public reporting burden for this collection of information is estimated to average(2-4 hours) per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to Office of the Chief Information Officer, Records Management Division, IM-23, Paperwork Reduction Project (1910-XXXX), U.S. Department of Energy, 1000 Independence Ave SW, Washington, DC, 20585-1290; and to the Office of Management and Budget (OMB), OIRA, Paperwork Reduction Project (1910-XXXX), Washington, DC 20503.