DOE F 540.8 SEP Master File

DOE F 540.8 (11/2022)

PREVIOUS EDITIONS ARE OBSOLETE

U.S. DEPARTMENT OF ENERGY
STATE ENERGY PROGRAM
STATE PLAN / MASTER FILE WORKSHEET

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

Grant Number:
State:
Program Year:

THIS WORKSHEET SHOULD BE COMPLETED AS SPECIFIED IN SECTION III OF THE STATE ENERGY PROGRAM APPLICATION PACKAGE.

1. Description of State Energy Goals be Achieved (10 CFR 420.13.b.2):

2. Section of State Goals (10 CFR 430.13.b.2.ii):

3. Measuring achievement (10 CFR 420.13.b.2.ii):

4. State Strategy (10 CFR 420.13.b.2.iv):

5. 25% or more improvement in the efficiency of use of energy by 2012 (1990 baseline) (10 CFR 420.13.b3):

DOE F 540.8 (11/2022)

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Section 508 Compliant

DOE F 540.8 (11/2022)

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

PREVIOUS EDITIONS ARE OBSOLETE

6. Mandatory Activities (10 CFR 420.13.b.4.v and 15):

7. Environmental Impact (10 CFR 420.13.b.5):

8. Supplementing Weatherization, if applicable (10 CFR 420.13.b.6):

9. Supplementing State and Local Funds (10 CFR 420.13.b.7):

10. Compliance with Laws and Regulations (10 CFR 420.13.b.8):

11. Energy Emergency Plans (10 CFR 420.13.b.9):

12. Monitoring Approach (Annual SEP Guidance):

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Section 508 Compliant

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

DOE F 540.8 (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 8 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.

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Section 508 Compliant