Weatherization Assistance Program Evaluation

Weatherization Assistance Program Evaluation

DF11 Weatherization Staff Survey Data Form

Weatherization Assistance Program Evaluation

OMB: 1910-5151

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OMB Control Number: 1910-5151


DF11 Weatherization Staff Survey Data Form

This information is being collected to help implement the Weatherization Staff Survey.


Public reporting burden for this collection of information is estimated to average fifteen minutes 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-11, Paperwork Reduction Project (1910-5151), 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 (1910-5151), Washington, DC  20503.


Thank you in advance for completing this data form.


  1. Please identify your local weatherization agency. _____________________________


  1. Please provide the following information about each individual who has conducted energy audits for you agency so far in PY2010:


NAME

TELEPHONE NUMBER

EMAIL ADDRESS



























































1


File Typeapplication/msword
File TitleALL STATES PY 2006 SURVEY
AuthorTERNESMP2
Last Modified ByPreferred Customer
File Modified2010-09-18
File Created2010-04-16

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