This collection
is approved as amended by ACF's memorandum of 6/2/95. However, this
collection has only been given a one year clearance. ACF must
revise this form and the Annual Report on Households Assisted by
LIHEAP (OMB #0970-0060) to reflect the new requirements included in
the 1994 reauthorization of the LIHEAP statute, including a
requirement that LIHEAP develop model performance goals and
measures. The draft Annual Report on Households which was submitted
with this package has not been approved by OMB and should not be
sent out to States to collect the information. The Annual Report
should be amended prior to its expiration at the end of
12/31/95.
Inventory as of this Action
Requested
Previously Approved
05/31/1996
05/31/1996
06/30/1995
180
0
0
240
0
286
0
0
0
States, District of Columbia, tribes,
tribal organizations, and territories applying for LIHEAP block
grant funds must submit an application that meets the LIHEAP
statute and regulations prior to receiving Federal funds.
On behalf of this Federal agency, I certify that
the collection of information encompassed by this request complies
with 5 CFR 1320.9 and the related provisions of 5 CFR
1320.8(b)(3).
The following is a summary of the topics, regarding
the proposed collection of information, that the certification
covers:
(i) Why the information is being collected;
(ii) Use of information;
(iii) Burden estimate;
(iv) Nature of response (voluntary, required for a
benefit, or mandatory);
(v) Nature and extent of confidentiality; and
(vi) Need to display currently valid OMB control
number;
If you are unable to certify compliance with any of
these provisions, identify the item by leaving the box unchecked
and explain the reason in the Supporting Statement.