Information Collection

Weatherization Assistance Program Sub-programs - State, Local or Tribal Government

IC 210941 under ICR 202505-1910-001 · OMB 1910-5157.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form DOE F 540.2 Community Scale Form - Annual File Worksheet Weatherization Assistance Program Sub-programs - State, Local or Tribal Government	Form and Instruction
Form DOE F 540.2 SERC Form - Annual File Worksheet Weatherization Assistance Program Sub-programs - State, Local or Tribal Government	Form and Instruction
Form DOE F 540.4 Community Scale Form - T&TA. Monitoring, and Leveraging Report Weatherization Assistance Program Sub-programs - State, Local or Tribal Government	Form and Instruction
Form DOE F 540.4 SERC Form - T&TA. Monitoring, and Leveraging Report Weatherization Assistance Program Sub-programs - State, Local or Tribal Government	Form and Instruction
Form DOE F 540.5 E&I Form - Subgrantee Information Worksheet Weatherization Assistance Program Sub-programs - State, Local or Tribal Government	Form and Instruction
Form DOE F 540.6 E&I Form - Historic Preservation Weatherization Assistance Program Sub-programs - State, Local or Tribal Government	Form and Instruction
Form DOE F 540.7 E&I Form - Annual Report Weatherization Assistance Program Sub-programs - State, Local or Tribal Government	Form and Instruction
Form DOE F 540.8 E&I Form - Grant File Weatherization Assistance Program Sub-programs - State, Local or Tribal Government	Form and Instruction
Form DOE F 540.9 E&I Form - QPR Weatherization Assistance Program Sub-programs - State, Local or Tribal Government	Form and Instruction
Form DOE F 540.11 SERC Form - QPR Weatherization Assistance Program Sub-programs - State, Local or Tribal Government	Form and Instruction
Form DOE F 540.12 Community Scale Form - QPR Weatherization Assistance Program Sub-programs - State, Local or Tribal Government	Form and Instruction
DOE F 540.2 Community Scale Form - Annual File Worksheet DOE F 540.2 Community Scale Form - Annual File Worksheet- Final.docx	Form and Instruction
DOE F 540.2 SERC Form - Annual File Worksheet DOE F 540.2 SERC Form - Annual File Worksheet_ Final.docx	Form and Instruction
DOE F 540.4 Community Scale Form - T&TA. Monitoring, and Leveraging DOE F 540.4 Community Scale Form - T&TA. Monitoring, and Leveraging Report- Final.docx	Form and Instruction
DOE F 540.4 SERC Form - T&TA. Monitoring, and Leveraging Report DOE F 540.4 SERC Form - T&TA. Monitoring, and Leveraging Report_Final.docx	Form and Instruction
DOE F 540.5 E&I Form - Subgrantee Information Worksheet DOE F 540.5 E&I Form - Subgrantee Information Worksheet- Final.docx	Form and Instruction
DOE F 540.6 E&I Form - Historic Preservation DOE F 540.6 E&I Form - Historic Preservation- Final.docx	Form and Instruction
DOE F 540.7 E&I Form - Annual Report DOE F 540.7 E&I Form - Annual Report- Final.docx	Form and Instruction
DOE F 540.8 E&I Form - Grant File DOE F 540.8 E&I Form - Grant File- Final.docx	Form and Instruction
DOE F 540.9 E&I Form - QPR DOE F 540.9 E&I Form - QPR- Final.docx	Form and Instruction
DOE F 540.11 SERC Form - QPR DOE F 540.11 SERC Form - QPR - Final.docx	Form and Instruction
DOE F 540.12 Community Scale Form - QPR DOE F 540.12 Community Scale Form - QPR- Final.docx	Form and Instruction
Legal Authority Community Scale Form - Statute Language-Final.docx Legal Authority Community Scale Form	IC Document
Legal Authority E&I 42 USC 6864d-Final.pdf Legal Authority E&I 42 USC 6864d	IC Document
Legal Authority SERC 42 USC 6872_ Final.pdf Legal Authority SERC 42 USC 6872	IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

Weatherization Assistance Program Sub-programs - State, Local or Tribal Government

Agency IC Tracking Number:

Katy Kujawski

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	DOE F 540.2	Yes	Yes	Fillable Fileable
Form and Instruction	DOE F 540.2	Yes	Yes	Fillable Fileable
Form and Instruction	DOE F 540.4	Yes	Yes	Fillable Fileable
Form and Instruction	DOE F 540.4	Yes	Yes	Fillable Fileable
Form and Instruction	DOE F 540.5	Yes	Yes	Fillable Fileable
Form and Instruction	DOE F 540.6	Yes	Yes	Fillable Fileable
Form and Instruction	DOE F 540.7	Yes	Yes	Fillable Fileable
Form and Instruction	DOE F 540.8	Yes	Yes	Fillable Fileable
Form and Instruction	DOE F 540.9	Yes	Yes	Fillable Fileable
Form and Instruction	DOE F 540.11	Yes	Yes	Fillable Fileable
Form and Instruction	DOE F 540.12	Yes	Yes	Fillable Fileable

Federal Enterprise Architecture Business Reference Module

Line of Business: Energy

Subfunction: Energy Conservation and Preparedness

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 205

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	379	-27	406
Annual IC Time Burden (Hours)	1,754	-82	1,836
Annual IC Cost Burden (Dollars)	106,941	-1,967	108,908

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Legal Authority Community Scale Form		02/25/2022
Legal Authority E&I 42 USC 6864d		02/25/2022
Legal Authority SERC 42 USC 6872		02/25/2022

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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