LIHEAP Performance Measures

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 1 Performance Data Form	Form	New	Available
Form 1 Performance Data Form	Form	New	Available
Form 1 Performance Data Form	Form	New	Available
Form 1 Performance Data	Form	New	Available
Form 1 Performance Data Form	Form	New	Available
Form 1 Performance Data Form	Form	New	Available
LIHEAP PM Supporting Statement 6-4-2014.docx	Supporting Statement A	Uploaded 2014-06-05	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
211800	Small Energy Vendors	Instruction	New
211800	Small Energy Vendors	Form	New	Performance Data Form
211799	Sub Grantees (in states with sub grantee managed systems)- Part II	Form	New	Performance Data Form
211799	Sub Grantees (in states with sub grantee managed systems)- Part II	Form	New	Performance Data Form
211797	Large Energy Vendors - Part II	Instruction	New
211797	Large Energy Vendors - Part II	Form	New	Performance Data
211796	LIHEAP Performance Data Form - Part II Performance Measures	Instruction	New
211796	LIHEAP Performance Data Form - Part II Performance Measures	Form	New	Performance Data Form
211795	LIHEAP Performance Data Form-Part I	Form	New	Performance Data Form
211795	LIHEAP Performance Data Form-Part I	Instruction	New

ICR Details

OMB Control No: 0970-0449	ICR Reference No: 201406-0970-003
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/ACF	Agency Tracking No: OCS
Title: LIHEAP Performance Measures
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved	Conclusion Date: 10/24/2014
Retrieve Notice of Action (NOA)	Date Received in OIRA: 10/20/2017
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	10/31/2017	36 Months From Approved
Responses	2,032	0	0
Time Burden (Hours)	84,479	0	0
Cost Burden (Dollars)	5,000,000	0	0

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Abstract: One core purpose of LIHEAP is to ensure that low-income households have access to necessary home energy services. By preventing the loss of service to at risk clients, the program can eliminate the costs of service restoration (e.g., reconnection charges) and can minimize client health and safety risks. By restoring services to clients who do not currently have access to energy service, LIHEAP is eliminating a significant risk to the health and safety of clients. The prevention and restoration of home energy services measures are designed to be complimentary. As LIHEAP grantees are successful in increasing the number of households where loss of home energy is prevented, we hope to see a decrease in the number of households needing to have energy services restored. Based on the data collected from grantees, OCS will calculate the performance measures and report the results through the annual budget development process and in the annual LIHEAP Report to Congress. Once the data are published in the LIHEAP Report to Congress, grantees will be able to compare their own results to the results for other states, as well as to regional and national summaries through the LIHEAP Performance Measurement website.

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Authorizing Statute(s): US Code: 42 USC 8621 Name of Law: Low-Income Energy Assistance
  

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
60-day Notice:	Federal Register Citation:	Citation Date:
	78 FR 34105	06/06/2013
30-day Notice:	Federal Register Citation:	Citation Date:
	79 FR 32550	06/05/2014
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 5

table that charts list of burden

IC Title	Form No.	Form Name
LIHEAP Performance Data Form - Part II Performance Measures	1	Performance Data Form
LIHEAP Performance Data Form-Part I	1	Performance Data Form
Large Energy Vendors - Part II	1	Performance Data
Small Energy Vendors	1	Performance Data Form
Sub Grantees (in states with sub grantee managed systems)- Part II	1, 1	Performance Data Form ,   Performance Data Form

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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	2,032	0	0	2,032	0	0
Annual Time Burden (Hours)	84,479	0	0	84,479	0	0
Annual Cost Burden (Dollars)	5,000,000	0	0	5,000,000	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: This is a new collection based on agency discretion.

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Annual Cost to Federal Government: $204,190

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]? No

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: 06/05/2014

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