Information Collection

Low Income Home Energy Assistance Program (LIHEAP) Grantee Survey

IC 9834 under ICR 200712-0970-003 · OMB 0970-0076.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0076 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Att B-OMB-GSurvey_instructions06.doc	Instruction
Att B-surveysample06$.xls Att B-surveysample06$	IC Document

IC Title:

Low Income Home Energy Assistance Program (LIHEAP) Grantee Survey

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction			Att B-OMB-GSurvey_instructions06.doc		No	No	Paper Only

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 51

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 95 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	51	0	51
Annual IC Time Burden (Hours)	178	5	173
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Att B-surveysample06$	Att B-surveysample06$.xls	11/26/2007

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