DOE F 540.2
OMB Control No. 1910-5157 Expiration Date: 5/31/2025
Grant #:
Amendment:
State:
Program Year:
Budget Period:
Subgrantees
Grantee |
City |
Tentative |
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Funding* |
Units* |
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Totals |
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Funding can include non-DOE sources if included in DOE budget. Units can include those completed with non-DOE funding if included in the DOE budget.
Production Schedule
Number of Units (Excluding reweatherized) |
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Reweatherized Units |
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Average Unit Costs, Including Reweatherization, Subject to DOE Program Rules* |
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VEHICLES & EQUIPMENT AVERAGE COST PER DWELLING UNIT (DOE |
RULES) |
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A |
Total Vehicles & Equipment ($5,000 or more) Budget |
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B |
Units Weatherized |
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C |
Units Reweatherized |
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D |
Total Dwelling Units to be Weatherized and Reweatherized (B+C) |
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E |
Average Vehicle & Equipment Acquisition Cost per Unit (A divided by D) |
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AVERAGE COST PER DWELLING UNIT (DOE RULES*) |
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F |
Total Funds for Program Operations** |
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G |
Total Dwelling Units to be Weatherized and Reweatherized (from line D) |
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H |
Average Program Operations Cost per Unit (F divided by G) |
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I |
Average Vehicle & Equipment Acquisition Cost per Unit (from line E) |
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J |
Total Average Cost per Dwelling (H plus I) |
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Funding can include non-DOE sources if included in DOE budget. Units can include those completed with non-DOE funding if included in the DOE budget.
** Funds for program operations include expenditures described by 440.18 (c)(1) through (9).
Energy
Savings
Method used to calculate energy savings: WAP algorithm: Other (describe below): Estimated energy savings (Mbtus):
Other
Energy Savings
Method Description
Training,
Technical
Assistance,
and
Monitoring
Activities
DOE F 540.2 (08/05)
Grant #:
Amendment:
State:
Program Year:
Budget Period:
DOE-Funded
Leveraging
Activities
Policy Advisory Committee Members
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State Plan Hearings (send notes, minutes, or transcript to the Regional Office)
Hearing Date: |
Newspapers that publicized the hearings and the dates that the notice ran. |
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If desired, hearing notes or transcripts may be cut and pasted into this space. |
Adjustments
to
On-File
Information
Miscellaneous
DOE F 540.2 (08/05)
OMB Control No. 1910-5127 Expiration Date: 6/30/08
U.S. Department of Energy WEATHERIZATION ASSISTANCE PROGRAM
ANNUAL FILE WORKSHEET INSTRUCTIONS
The Annual File Worksheet is designed to gather specific detail related to the expenditures of the Weatherization grant. Grant Number: The seven-digit Federal identification number assigned to the grant (R999999).
Amendment: If applicable.
State: Name of state or tribal organization submitting the report.
Program Year: The beginning and ending dates (mm/dd/yy) for the Program Year reported.
Budget Period: The starting and ending dates (mm/dd/yy) for the budget period for the WAP program year.
Item Explanation
Subgrantees
Grantee Identify
each intended
subgrantee by
name
City Identify
the city in
which the agency
resides
Funding Identify
the tentative
funding each
agency will
receive
Units Identify
the tentative total of completed units anticipated by the agency
with this funding
Production Schedule
Total
Units Calculate the
total units
expected to
be weatherized
for this
program year,
excluding reweatherized units
Reweatherized
Units Calculate
the number
of reweatherized
units to
be completed
this program
year
Average
Unit Costs, including Enter data for and add and subtract, as
specified to determine the average unit Reweatherization, Subject
to costs for units subject to DOE Program/Rules
DOE Program/Rules
Energy Savings Identify whether the states will use the WAP Algorithm or Other method to calculate
the estimated energy savings; if other method, description must be entered
Identify the actual estimated energy savings in Mbtus attributed to this funding and program year
Training, Technical Assistance and State weatherization training, technical assistance, and monitoring activities Monitoring Activities anticipated during this program year, including any publications or materials planned
DOE-Funded Leveraging Activities State weatherization leveraging activities anticipated during this program year using
DOE funding
DOE F 540.2 (08/05)
Policy Advisory Committee Members Provide the names, groups, organizations, or agencies represented by the PAC
members and a list of the PAC meeting(s) attendees
State Plan Hearings Identify the hearing date(s); a list of the newspapers that publicized the hearings
including the dates the notices ran (notes, minutes, or transcripts should be sent to the appropriate Regional Office)
Adjustments to On-File Information Identify any items that have changed since the previous year to the on-file information stored at the state
Miscellaneous Identify and anticipated activities that are not routinely administered as part of the
Weatherization Assistance Program (e.g. disaster relief, energy crisis response)
File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
File Title | 22679 |
Author | Stan Murgolo |
File Modified | 0000-00-00 |
File Created | 2025-06-01 |