Information Collection

Weatherization Assistance Program Evaluation

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

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
DF1 ALL STATES AGENCIES INFORMATION DATA FORM for OMB v1.doc	Other-Survey
DF2 HOUSING UNIT INFORMATION DATA FORM for OMB - final 2nov09.doc	Other-Survey
DF3 BUILDING INFORMATION DATA FORM for OMB - final 2nov09.doc	Other-survey
DF4 ELECTRIC & NAT GAS BILLS INFO FROM AGENCIES for OMB final.doc	Other-survey
DF5_ELECTRIC__NAT_GAS_BILLS_INFO_FROM_UTILITIES_for_OMB_-_Electric_Version_3.doc	Other-survey
DF5_ELECTRIC__NAT_GAS_BILLS_INFO_FROM_UTILITIES_for_OMB_-_Gas_Version_3.doc	Other-survey
DF6 METERED FUELS & AC STUDY for OMB - final.doc	Other-survey
DF9 CONTACT INFO FROM AGENCIES FOR OCCUPANT SURVEY for OMB.doc	Other-survey
DF10 All Agencies Program Overview Data Form - for OMB - final.doc	Other-survey
DF11 Weatherization Staff Survey Data Form.doc	Other-survey
S1 ALL STATES PROGRAM INFORMATION SURVEY for OMB V2.doc	Other-survey
S2 ALL AGENCIES PROGRAM INFORMATION SURVEY for OMB V2.doc	Other-survey
S3 SUBSET OF AGENCIES DETAILED PROG INFO SURVEY for OMB.doc	Other-survey
S4 Occupant Survey for OMB.doc	Other-survey
S5_WEATHERIZATION_STAFF_SURVEY_Final Draft.doc	Other-survey

IC Title:

Agency IC Tracking Number:

Bruce Tonn

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 10 CFR 440

Information Collection Instruments:

table that charts list of instruments
Document Type	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Survey	Yes	Yes	Fillable Printable
Other-Survey	Yes	Yes	Fillable Printable
Other-survey	Yes	Yes	Fillable Printable
Other-survey	Yes	Yes	Fillable Printable
Other-survey	Yes	Yes	Fillable Printable
Other-survey	Yes	Yes	Fillable Printable
Other-survey	Yes	Yes	Fillable Printable
Other-survey	Yes	Yes	Fillable Printable
Other-survey	Yes	Yes	Fillable Printable
Other-survey	Yes	Yes	Fillable Printable
Other-survey	Yes	Yes	Fillable Printable
Other-survey	Yes	Yes	Fillable Printable
Other-survey	Yes	Yes	Fillable Printable
Other-survey	Yes	Yes	Fillable Printable
Other-survey	Yes	Yes	Fillable Printable

Line of Business: Energy

Subfunction: Energy Production

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 8,248

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 92 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	11,198	9,248	1,950
Annual IC Time Burden (Hours)	74,051	4,915	69,136
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

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

Something went wrong when downloading this file. If you have any questions, please send an email to [email protected].