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⚠️ Notice: This information collection may be referencing outdated material.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

Document Name Document Type
Att B-OMB-GSurvey_instructions06.doc Instruction
Att B-surveysample06$.xls Att B-surveysample06$ IC Document

Information Collection (IC) Details

View Information Collection (IC)

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:

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 %

	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

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.