Final - AppendixJ_GRRP_Energy_Efficiency_Survey

(OMB # 2528-XXXX)

Expiration Date: XX/XX/XXXX

Energy Efficiency Survey

Category	Property 1	Property 2
HUD Property iREMS ID	800012345	800012346
Property Name	Sprawling Meadows	Smith Properties
What are the property's heat source(s) for common areas? Check all that apply.	Rooftop HVAC Hot water boiler Steam boiler Heat pump system Furnace PTAC Baseboard None Other: _________	Rooftop HVAC Hot water boiler Steam boiler Heat pump system Furnace PTAC Baseboard None Other: _________
What are the property's heat source(s) for units? Check all that apply.	Rooftop HVAC Hot water boiler Steam boiler Heat pump system Furnace PTAC Baseboard None Other: _________	Rooftop HVAC Hot water boiler Steam boiler Heat pump system Furnace PTAC Baseboard None Other: _________
Do units get too warm during certain times of the year?	Yes, all units Yes, at least half of units but not all units Yes, less than half of units No units I don’t know	Yes, all units Yes, at least half of units but not all units Yes, less than half of units No units I don’t know
Do tenants open windows during the heating season to stay comfortable?	Yes, all tenants Yes, at least half of tenants but not all tenants Yes, less than half of tenants No I don’t know	Yes, all tenants Yes, at least half of tenants but not all tenants Yes, less than half of tenants No I don’t know
Do tenants use air conditioning during the heating season to stay comfortable?	Yes, all tenants Yes, at least half of tenants but not all tenants Yes, less than half of tenants No I don’t know	Yes, all tenants Yes, at least half of tenants but not all tenants Yes, less than half of tenants No I don’t know
What are the property’s air conditioning source(s) for common areas? Check all that apply.	Rooftop HVAC Window Unit A/C Split System Heat Pump System Wall/through-the-wall A/C PTAC Other: _______ None	Rooftop HVAC Window Unit A/C Split System Heat Pump System Wall/through-the-wall A/C PTAC Other: _______ None
What are the property’s air conditioning source(s) for units? Check all that apply.	Rooftop HVAC Window Unit A/C Split System Heat Pump System Wall/through-the-wall A/C PTAC Other: _______ None	Rooftop HVAC Window Unit A/C Split System Heat Pump System Wall/through-the-wall A/C PTAC Other: _______ None
Approximately what percent of units have their own locally controlled thermostat?
Do units get too warm during certain times of the year?	Many units Some units This is not an issue I don’t know	Many units Some units This is not an issue I don’t know
If units get too warm during certain times of year, in what months does this occur? Check all that apply.	January February March April May June July August September October November December	January February March April May June July August September October November December
Do units get too cold during certain times of the year?	Many units Some units This is not an issue I don’t know	Many units Some units This is not an issue I don’t know
If units get too cold during certain times of year, what months does this occur? Check all that apply.	January February March April May June July August September October November December	January February March April May June July August September October November December
How does the facility create hot water?	Electric hot water heater in tenant space Hot water boiler in tenant space Electric hot water heaters servicing multiple units Hot water boiler servicing multiple units Gas water heater Other: _________	Electric hot water heater in tenant space Hot water boiler in tenant space Electric hot water heaters servicing multiple units Hot water boiler servicing multiple units Gas water heater Other: __________
What is the hot water used for? Check all that apply.	Dishwasher Laundry Shower/Sink Other: _________	Dishwasher Laundry Shower/Sink Other: _________
Approximately what percent of units have aerated shower heads?
Approximately what percent of units have aerated faucets in sinks?
What year were the windows installed? Please estimate to the best of your ability.
Are there noticeable air leaks around windows and doors?	Yes, many Yes, some No	Yes, many Yes, some No
How does the temperature of the interior walls compare to the temperature outside?	The walls feel like the inside temperature Some walls are cold in the winter and hot in the summer Many walls are cold in the winter and hot in the summer	The walls feel like the inside temperature Some walls are cold in the winter and hot in the summer Many walls are cold in the winter and hot in the summer
Approximately what percent of the property’s INTERIOR lighting is non-LED lighting?
What types of non-LED lighting are used for the property’s INTERIOR lighting?	Fluorescent Incandescent Other: ______ N/A—the property only uses LED lighting for interior lighting	Fluorescent Incandescent Other: _____ N/A—the property only uses LED lighting for interior lighting
Approximately what percent of EXTERIOR lighting is non-LED lighting?
What types of non-LED lighting are used for the property’s EXTERIOR lighting?	Compact Fluorescent (CFL) Halogen Metal halide Sodium-vapor Other: _____ N/A—the property only uses LED lighting for exterior lighting	Compact Fluorescent (CFL) Halogen Metal halide Sodium-vapor Other: _____ N/A—the property only uses LED lighting for exterior lighting
Feel free to share any other information about your property that you see as relevant to efficiency and the benchmarking initiative.
Appliance and Systems Inventory: Please indicate the number and model of each of the following items in your building. Please indicate and provide the model numbers if there is more than one model for each type. This information will help ensure we can provide efficiency recommendations that are tailored to your building.
Heating Systems	Number	Make/model
Roof-top HVAC
Heat pumps
Hot water or steam boiler
Furnace
PTAC
Baseboard heat
Electric hot water heater
Gas hot water heater
Other: _______________
Cooling Systems	Number	Make/model
Roof-top HVAC
Window A/C units
Split system
Heat pump
Wall/through-the-wall A/C
PTAC
Other: _______________
Appliances	Number	Make/model
Washer
Dryer
Ceiling fan
Cooking stove
Microwave
Refrigerator
Other: _______________

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 to reduce this burden, to the Reports Management Officer, REE, Department of Housing and Urban Development, 451 7th Street, SW, Room 4176, Washington, DC 20410-5000. HUD may not collect this information, and you are not required to complete this form, unless it displays a currently valid OMB control number.

Title III of the Inflation Reduction Act of 2022, H.R. 5376 (IRA), section 30002 titled “Improving Energy Efficiency or Water Efficiency or Climate Resilience of Affordable Housing,” authorizes the Green and Resilient Retrofit Program (GRRP). The program provides grants or loans for building retrofits to HUD-assisted multifamily projects with utility efficiency or climate resilience needs. This information is required as part of the GRRP grant and loan program. While no assurances of confidentiality are pledged to respondents, HUD generally discloses this data only in response to a Freedom of Information Act request.