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Eligibility, 2605(c)(1)(A), 2605(b)(2) - Assurance 2 5.1 Designate the income eligibility threshold used for the Weatherization component Add Household Size Eligibility Guideline Eligibility Threshold 1 All Household Sizes HHS Poverty Guidelines 200.00% 5.2 Do you enter into an interagency agreement to have another government agency administer a WEATHERIZATION component? Yes No 5.3 If yes, name the agency and attach a copy of the Internal Agreement or Contract. 5.4 Is there a separate monitoring protocol for weatherization? Yes No WEATHERIZATION - Types of Rules 5.5 Under what rules do you administer LIHEAP weatherization? (Check only one.) Entirely under LIHEAP (not DOE) rules Entirely under DOE WAP (not LIHEAP) rules Mostly under LIHEAP rules with the following DOE WAP rule(s) where LIHEAP and WAP rules differ (Check all that apply): Income Threshold Weatherization of entire multi-family housing structure is permitted if at least 66% of units (50% in 2- & 4-unit buildings) are eligible units or will become eligible within 180 days Weatherize shelters temporarily housing primarily low income persons (excluding nursing homes, prisons, and similar institutional care facilities). Other - Describe: Mostly under DOE WAP rules, with the following LIHEAP rule(s) where LIHEAP and WAP rules differ (Check all that apply.) Income Threshold Weatherization not subject to DOE WAP maximum statewide average cost per dwelling unit. Weatherization measures are not subject to DOE Savings to Investment Ration (SIR ) standards. Other - Describe: LPW Weatherization funding not subject to the DOE limits on Fringe and Indirect costs. Homes weatherized with LPW funding can be reweatherized after 7 years. Weatherization of multi-family housing structures is permitted if at least 50% of units are eligible units where significant energy-efficiency improvement would occur if the building were weatherized, and authorization has been provided by the grantee. Weatherizatin of entire multi-family housing structures is permitted if at least 66% of unites (50% in 2 & 4 unit buildings) are eligible units or will become eligible with 180 days. Weatherization of shelters temporaily housing primary low income persons (excluding nursing homes, prisions, and similar institutional care facilities). Eligibility, 2605(b)(5) - Assurance 5 5.6 Do you require an assets test? Yes No 5.7 Do you have additional/differing eligibility policies for : Renters Yes No Renters living in subsidized housing? Yes No Renters with utilities included in the Yes No rent? 5.8 Do you give priority in eligibility to: Older Adults? Yes No Individuals with a disability? Yes No Young Children? Yes No House holds with high energy burdens? Yes No Other? Yes No If you selected "Yes" for any of the options in questions 5.6, 5.7, or 5.8, you must provide further explanation of these policies in the text field below. Applicants that rent their homes are required to obtain an Owner and Renter agreement as outlined in the DOE-Approved Idaho Weatherization Operations Manual (IWOM). Idaho considers the presence of elderly, disabled or children, under 18, in the household as well as households with high energy burdens as priority demographics for weatherization. All participants will be prioritized according to the Weatherization Application Priority Formula Worksheet (Priority Formula) rules. Priority is automatically calculated by each Community Action Agency’s Weatherization reporting database based upon emergency situation; priority populations living in the household, including elderly persons, persons with disabilities, and children under 19; high residential energy use; and high energy burden. First priority to receive services is assigned to those eligible participants with an emergency heating situation. When selecting a home for energy audit, Community Action Agencies will review a participant household’s priority level relative to all other active applications within the same county that are eligible for the funding source planned to ensure to ensure proper prioritization of grant funds. Benefit Levels 5.9 Do you have a maximum LIHEAP weatherization benefit/expenditure per household? Yes No 5.9a If yes, what is the maximum? $0 5.10 Do you use an Average Cost per Unit (ACPU). Yes No 5.10a If so, what is the ACPU amount? $0 Types of Assistance, 2605(c)(1), (B) & (D) 5.11 What LIHEAP weatherization measures do you provide ? (Check all categories that apply.) Weatherization needs assessments/audits Energy related roof repair Caulking and insulation Major appliance repairs Storm windows Major appliance replacement Furnace/heating system modifications/repairs Windows/sliding glass doors Furnace replacement Doors Cooling system modifications/repairs Water Heater Water conservation measures Cooling system replacement Roof top solar Community solar projects Compact florescent light bulbs Other - Describe: Attic floor installation, duct sealing, general heat waste reduction, LED bulbs and Spray Foam insulation. Portable space heaters for participants with failed heating systems, during the heating season. If any of the above questions require further explanation or clarification that could not be made in the fields provided, attach a document with said explanation here.