OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Weatherization Assistance Program Evaluation

IC 189979 under ICR 201006-1910-002 · OMB 1910-5151.

Documents and Forms
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Information Collection (IC) Details

View Information Collection (IC)

Weatherization Assistance Program Evaluation Bruce Tonn
 
No Modified
 
Voluntary
 
10 CFR 440

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Survey DF1 ALL STATES AGENCIES INFORMATION DATA FORM for OMB v1.doc Yes Yes Fillable Printable
Other-Survey DF2 HOUSING UNIT INFORMATION DATA FORM for OMB - final 2nov09.doc Yes Yes Fillable Printable
Other-survey DF3 BUILDING INFORMATION DATA FORM for OMB - final 2nov09.doc Yes Yes Fillable Printable
Other-survey DF4 ELECTRIC & NAT GAS BILLS INFO FROM AGENCIES for OMB final.doc Yes Yes Fillable Printable
Other-survey DF5_ELECTRIC__NAT_GAS_BILLS_INFO_FROM_UTILITIES_for_OMB_-_Electric_Version_3.doc Yes Yes Fillable Printable
Other-survey DF5_ELECTRIC__NAT_GAS_BILLS_INFO_FROM_UTILITIES_for_OMB_-_Gas_Version_3.doc Yes Yes Fillable Printable
Other-survey DF6 METERED FUELS & AC STUDY for OMB - final.doc Yes Yes Fillable Printable
Other-survey DF9 CONTACT INFO FROM AGENCIES FOR OCCUPANT SURVEY for OMB.doc Yes Yes Fillable Printable
Other-survey DF10 All Agencies Program Overview Data Form - for OMB - final.doc Yes Yes Fillable Printable
Other-survey DF11 Weatherization Staff Survey Data Form.doc Yes Yes Fillable Printable
Other-survey S1 ALL STATES PROGRAM INFORMATION SURVEY for OMB V2.doc Yes Yes Fillable Printable
Other-survey S2 ALL AGENCIES PROGRAM INFORMATION SURVEY for OMB V2.doc Yes Yes Fillable Printable
Other-survey S3 SUBSET OF AGENCIES DETAILED PROG INFO SURVEY for OMB.doc Yes Yes Fillable Printable
Other-survey S4 Occupant Survey for OMB.doc Yes Yes Fillable Printable
Other-survey S5_WEATHERIZATION_STAFF_SURVEY_Final Draft.doc Yes Yes Fillable Printable

Energy Energy Production

 

8,248 0
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   92 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 11,198 0 0 9,248 0 1,950
Annual IC Time Burden (Hours) 74,051 0 0 4,915 0 69,136
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
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            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.