Low Income Home Energy Assistance (LIHEAP) Leveraging Report

ICR 201703-0970-004

OMB: 0970-0121

Federal Form Document

Forms and Documents
Document
Name
Status
Form
Modified
Supporting Statement A
2017-03-13
Justification for No Material/Nonsubstantive Change
2013-04-29
Supplementary Document
2012-02-17
IC Document Collections
ICR Details
0970-0121 201703-0970-004
Historical Active 201304-0970-007
HHS/ACF 19402
Low Income Home Energy Assistance (LIHEAP) Leveraging Report
Reinstatement without change of a previously approved collection   No
Regular
Approved without change 06/16/2017
Retrieve Notice of Action (NOA) 03/15/2017
  Inventory as of this Action Requested Previously Approved
06/30/2020 36 Months From Approved
70 0 0
2,660 0 0
0 0 0

The data collected will be used to determine the amount of nonfederal home energy resources that LIHEAP grantees have leveraged for low income households in carrying out the provisions of Section 96.87 of the LIHEAP regulations.

PL: Pub.L. 95 - 35 2607A Name of Law: LIHEAP Act
  
None

Not associated with rulemaking

  81 FR 18857 04/01/2016
82 FR 13456 03/13/2017
No

1
IC Title Form No. Form Name
Low Income Home Energy Assistance (LIHEAP) Leveraging Report 1 LIHEAP Leveraging Report

  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 70 0 0 70 0 0
Annual Time Burden (Hours) 2,660 0 0 2,660 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
No change in burden hours

$11,200
No
No
No
No
No
Uncollected
Robert Sargis 2026907275

  No

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.
03/15/2017


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