Form 1 Carryover Report Form

Attachment B

OMB Control No: 0970-0106

Expiration date: XXXXX

Carryover and Reallotment Report for FY 2019

Estimate due August 1, 2019

Final due December 15, 2019

Grantee _______________________________________ Date _______________________

Section 2607(b)(2)(B) of the LIHEAP statute (42 USC 8626(b)(2)(B)) requires that at least 90% of funds available must be obligated in the year in which they are appropriated. Not more than 10 percent of the amount payable for a fiscal year may be held for obligation in the succeeding fiscal year.

1) Current year amount payable (regular block grant funds, $______________________

contingency funds, and oil overcharge funds)

2) 10 percent of amount payable $______________________

3) Projected unobligated balance $_______________________

If line 3 is equal to or less than line 2, report the amount on line 3 as your Carryover amount below. Report $0 funds for reallotment.

If line 3 is larger than line 2, then report the amount on line 2 as your Carryover amount below. Report the difference between line 2 and line 3 as the reallotment amount below.

Carryover amount $_______________________

(Funds to be carried over for obligation in the following fiscal year.)

Reallotment amount $______________________ (Funds that exceed the 10% carryover amount and are to be returned the Federal government.)

If you report a Carryover amount above, please provide the following:

a) briefly state reasons that these funds will not be used in the fiscal year for which they were allotted

b) briefly describe the types of assistance to be provided with the amount held available for the following fiscal year:

______________________________________ _____________________

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