DOE F 540.6 SEP Quarterly Program Report

DOE F 540.6 (11/2022)
PREVIOUS EDITIONS ARE OBSOLETE

U.S. DEPARTMENT OF ENERGY
STATE ENERGY PROGRAM
PROGRAM STATUS REPORT

OMB No: 1910-5126
Expiration Date: 08/31/2023

Grant Number:
Grant Period:
1.
2.
3.
4.
5.
6.
7.

Project Title:
Market:
Program Year:
State:
Status:
Percent Of Work Complete:
Final:

I. MILESTONES:
Milestone

Q1

II. FINANCIAL METRICS:
Q1
Source of Funds
Applicant
Local
III. PROCESS METRICS:
Q1
Description

Q2

Q3

Q4

To Date
0
0
0

Q2

Q3

Q4

To Date
0
0

Q2

Q3

Q4

To Date
0
0
0

IV. QUALITATIVE DESCRIPTIONS:
1. Accomplishments, publicity, good news:

2. Infrastructure Investment Rationale:

3. Performance outcome data collected:

4. Remarks (problems, issues, variance from plan):

DOE F 540.6 (11/2022)6

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Section 508 Compliant

OMB No: 1910-5126
Expiration Date: 08/31/2023

DOE F 540.6 (11/2022)
PREVIOUS EDITIONS ARE OBSOLETE

PAPERWORK REDUCTION ACT BURDEN DISCLOSURE STATEMENT
This data is being collected to ensure transparency and accountability and adequately gather programmatic and financial, outcome, expenditure and obligation data
to provide metrics showing how the grant recipient is implementing their respective Department of Energy (DOE) funded state plans. The data you supply will be
used by DOE to track and determine program outcomes and respond to Congressional, budget, Office of Management and Budget (OMB) requests and other
inquiries regarding progress on grantees' State Energy Program (SEP) activities.
Public reporting burden for this collection of information is estimated to average 16 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,
Enterprise Policy Development & Implementation Office, IM-22, Information Collection Management Program (1910-5126), U.S. Department of Energy, 1000
Independence Ave SW, Washington, DC 20585; and to the Office of Management and Budget (OMB), OIRA, Paperwork Reduction Project (1910-5126),
Washington, DC 20503.
Notwithstanding any other provision of the law, no person is required to respond to, nor shall any person be subject to a penalty for failure to comply with a
collection of information subject to the requirements of the Paperwork Reduction Act unless that collection of information displays a currently valid OMB control
number.
Submission of this data is mandatory as appropriate and grant recipients can only view their own reporting using multi-factor authentication.

DOE F 540.6 (11/2022)6

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Section 508 Compliant