In 1974, the U.S. Environmental Protection Agency recommended that all types of noise environments be assessed in terms of the annual time-averaged sound level. Noise impact on human communities is often assessed in terms of the percent of the community that is highly annoyed, as a function of annual time-averaged sound exposure level. This has proven to be unsatisfactory for assessing community response to military blast noise. Infrequent event noise levels from military testing and training activities can be loud enough to elicit strong negative community response, yet the annual time-averaged noise level may meet established acceptability criteria. Moreover, experience has shown that citizens and decision makers have great difficulty relating annual time-averaged noise levels to the blast noise events that they experience. As an interim procedure, Department of Defense stakeholders supplement annual time-averaged noise levels with individual event peak noise level criteria that indicate complaint risk. This paper describes methodology to establish dose-response cause-and-effect relationships between high-energy impulsive noise metrics and human response.