DOE F 540.4
U.S. Department of Energy WEATHERIZATION ASSISTANCE PROGRAM
OMB # 1910-5157
Expiration Date: 05/31/2025
State Program Year Grant Number Reporting Period / / - / /
Please describe the training and technical assistance (T&TA) activities conducted during the past program year.
Please list the subgrantees monitored during the reporting period and indicate the focus and significant findings of each monitoring activity, as appropriate.
For each leveraging activity, states are to describe the type of project, the amount and source of funding (Note: the number of leveraged completed units will be reported on line D of the Quarterly Program Report).
Submitted by Date Type name
Title
U.S. Department of Energy WEATHERIZATION ASSISTANCE PROGRAM
ANNUAL FILE WORKSHEET INSTRUCTIONS
The Annual Training, Technical Assistance, Monitoring, and Leveraging Report is to be submitted annually, 30 days after the end of the reporting period.
State: Program Year: Grant number:
Reporting Period:
Name of state or tribal organization submitting the report.
The beginning and ending dates (mm/dd/yy) for the Program Year reported. The seven-digit Federal identification number assigned to the grant (R999999).
The starting and ending dates (mm/dd/yy) for the reporting period for the WAP program year.
Item Explanation
Training and Technical Assistance Activities
Monitoring Activities Leveraging Activities
Identify the training and technical assistance activities conducted during the past program year; may also include publications such as brochures, or articles that highlight the states’ weatherization activities
Identify the subgrantees monitored during the reporting period and indicate the focus and significant findings of each monitoring activity, as appropriate
Identify and describe the type of projects executed and the amount and source of funding successfully leveraged
Submitted by: Signature of the person submitting the report. Date signed.
Typed name and title of the submitter.
File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
File Title | DOE F 540.4.cdr |
Author | visual access |
File Modified | 0000-00-00 |
File Created | 2025-06-01 |