Application Requirements for the Low Income Home Energy Assistance Program (LIHEAP) Model Plan

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 1 Abbreviated Model Plan	Form and Instruction	Modified	Available
Form 1 Program Integrity Assessment and Plan Template	Form and Instruction	New	Available
Form 1 Detailed Model Plan	Form and Instruction	Modified	Repair queued
OMB-supstat-MP-PIAP Amend.DOC	Supporting Statement A	Uploaded 2010-06-01	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
9831	LIHEAP Abbreviated Model Plan	Form and Instruction	Modified	Abbreviated Model Plan
192860	LIHEAP Program Integrity Assessment and Plan	Form and Instruction	New	Program Integrity Assessment and Plan Template
185539	LIHEAP Detailed Model Plan	Form and Instruction	Modified	Detailed Model Plan

ICR Details

OMB Control No: 0970-0075	ICR Reference No: 201005-0970-002
Status: Historical Active	Previous ICR Reference No: 200807-0970-002
Agency/Subagency: HHS/ACF	Agency Tracking No:
Title: Application Requirements for the Low Income Home Energy Assistance Program (LIHEAP) Model Plan
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Emergency	Approval Requested By: 05/31/2010
OIRA Conclusion Action: Approved with change	Conclusion Date: 06/03/2010
Retrieve Notice of Action (NOA)	Date Received in OIRA: 05/11/2010
Terms of Clearance: ACF is approved this emergency request for a period of six months. During this time, ACF is encouraged to seek input from State, Tribal, and Territorial grantees on the burden and practical utility of the new amendments to the collection.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	12/31/2010	6 Months From Approved	09/30/2011
Responses	360	0	180
Time Burden (Hours)	283	0	103
Cost Burden (Dollars)	0	0	0

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Abstract: The data collectd will be used as the application for LIHEAP block grant funding to determine the state, tribal and territorial grantees of LIHEAP funds for each fiscal year in order to carry out the requirements of Section 2605(b) of the LIHEAP statute.

Emergency Justfication: States, Territories, and Indian Tribes/Tribal organizations that wish to administer a Low Income Home Energy Assistance Program (LIHEAP) must submit an application for funds each year. Section 2605(c)(3) of the Omnibus Budget Reconciliation Act of 1981, as amended, provides that not later than April 1 of each fiscal year, the Secretary shall make available a model LIHEAP plan which may be used, at the option of each grantee, to prepare the application required under Sections 2605(a)(1) and (c)(1). Presidential Executive Order 13520, Reducing Improper Payments and Eliminating Waste in Federal Programs, issued in November 2009, encourages Federal agencies to take deliberate and immediate action to eliminate fraud and improper payments. Additionally, as part of a review of programs subsequent to this executive order, HHS has determined that additional information from each administering agency is necessary to assess grantee measures that are in place to prevent, detect and address waste, fraud and abuse in LIHEAP programs. The LIHEAP Model Plan, OMB Number 0970-0075, currently expires on 12/30/10. The plan must be submitted by grantees annually on or before September 1 of each year in preparation for funding in the upcoming fiscal year that begins on October 1. Therefore, the Administration for Children and Families (ACF) cannot reasonably comply with the normal clearance procedures for a plan supplement, since the requested information is needed from grantees by September 1, 2010. The need has been precipitated by the unanticipated event of Executive Order 13520. Because we are asking grantees to submit additional information on the LIHEAP Program Integrity Assessment and Plan, as a supplement to the LIHEAP Model Plan beginning on September 1, 2010, we are requesting an expedited clearance from OMB. We need the clearance in sufficient time to notify grantees of our request for the completion of LIHEAP Program Integrity Assessment and Plan, so that they will be able to submit it with the LIHEAP Model Plan by September 1, 2010. In order to plan for the timely submission and review process of Fiscal Year 2011 LIHEAP applications, including the Program Integrity Assessment Supplement, ACF is requesting an expedited clearance process for Action Transmittal Number, LIHEAP-AT-2010-6, which will transmit the LIHEAP Program Integrity Assessment and Plan to grantees. We plan to make this request to grantees after OMB provides clearance. The attached Federal Register notice details the information we are requesting grantees to include in the LIHEAP Program Integrity Assessment and Plan. To give sufficient time for grantees to complete their responses to the ACF, we ask that OMB expedite their review of the information collection through emergency processing and give us clearance by May 31, 2010.

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Authorizing Statute(s): US Code: 42 USC 8624 Name of Law: Low Income Energy Assistance Act
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments

Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 3

table that charts list of burden

IC Title	Form No.	Form Name
LIHEAP Abbreviated Model Plan	1	Abbreviated Model Plan
LIHEAP Detailed Model Plan	1	Detailed Model Plan
LIHEAP Program Integrity Assessment and Plan	1	Program Integrity Assessment and Plan Template

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ICR Summary of Burden

table that charts list of burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	360	180	0	180	0	0
Annual Time Burden (Hours)	283	103	0	180	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: There is an increase in burden due to a program change required by E.O. 13520.

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Annual Cost to Federal Government: $12,975

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 05/11/2010

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