DOE F 413.41 HIE Partner Quarterly Reporting Form

DOE HQ F 413.41
(12/2019)

Home Improvement Expert Partner Quarterly Reporting Form

OMB Control # 1910-5184
Exp. Date: xx/xx/xxxx

Home Improvement Expert Partner
Quarterly Reporting Form
Home Improvement Expert Checklist Account Management & Reporting

* Required

Partner Name *
Your answer

Email of Person Filling Out Form *
So that we can follow up with questions or clarifications.

Your answer

For which quarter is data being submitted? *

Choose

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DOE HQ F 413.41
(12/2019)

OMB Control # 1910-5184
Exp. Date: xx/xx/xxxx

Home Improvement Expert Partner Quarterly Reporting Form

Which Checklists has your organization used in the last quarter? *
Check all that apply.

Enclosure - Attic Air Sealing & Insulation
Enclosure - Basement Wall Insulation
Enclosure - Framed Wall Insulation
Enclosure - Home Air Sealing
Enclosure - Masonry Wall Insulation
Enclosure - Vented to Unvented Attic Conversion
Enclosure - Vented to Unvented Crawl Space Conversion
Enclosure - Window Replacement
Fresh Air - High-Capture Filtration
Fresh Air - Kitchen Exhaust Fan
Fresh Air - Whole-House Balanced Fresh Air System
Fresh Air - Whole-House Exhaust Fresh Air System
Fresh Air - Whole-House Supply Fresh Air System
Heating & Cooling System - Air Conditioner Replacement
Heating & Cooling System - Gas Furnace Replacement
Heating & Cooling System - Heat Pump Replacement
Heating & Cooling System - Heating/Cooling Duct Sealing and Insulation
Heating & Cooling System - Oil & Gas Boiler Replacement
Hot Water - Gas Tank Water Heater
Hot Water - Gas Tankless Water Heater
Hot Water - Heat Pump Water Heater
We have used none of the checklists in the past quarter.

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DOE HQ F 413.41
(12/2019)

OMB Control # 1910-5184
Exp. Date: xx/xx/xxxx

Home Improvement Expert Partner Quarterly Reporting Form

Approximately how many home upgrade transactions has your organization
completed in the last quarter? *

Your answer

Approximately what percentage of the last quarter's home upgrade transactions
included at least one Home Improvement Expert Checklist? *
Your answer

Approximately how many checklists have been disseminated by your
organization in the last quarter? *
Your answer

Do you believe the Home Improvement Expert Checklists are helping you
achieve any of the following? *
Check all that apply.

Achieve more sales conversions
Build trust with consumers
Hold field employees & subcontractors accountable for their work
Train field employees & subcontractors for higher performance
Stand apart in the market
The checklists have not helped achieve any of the above
Other:

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DOE HQ F 413.41
(12/2019)

Home Improvement Expert Partner Quarterly Reporting Form

OMB Control # 1910-5184
Exp. Date: xx/xx/xxxx

How have you educated your buyers about the Home Improvement Expert
Checklists? *
Check all that apply.

Social media content
In-store displays
Website
Signage
Print advertising
Television advertising
Search engine advertising
Direct mail
We have not educated buyers about the checklists.
Other:

Based on experiences in the field, do you have any suggested updates or
changes to any of the Home Improvement Expert Checklists?
Please share your thoughts below.

Your answer

Any other feedback?
We appreciate your feedback.

Your answer

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DOE HQ F 413.41
(12/2019)

Home Improvement Expert Partner Quarterly Reporting Form

OMB Control # 1910-5184
Exp. Date: xx/xx/xxxx

Burden Disclosure Statement
Public reporting burden for this collection of information is estimated to average 20 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-23, Paperwork Reduction Project (1910-5184), 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 (1910-5184), Washington, DC 20503.

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