Information Collection

Low Income Home Energy Assistance Program (LIHEAP) Carryout and Reallotment Report

IC 9841 under ICR 201811-0970-006 · OMB 0970-0106.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0106 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 Low Income Home Energy Assistance Program (LIHEAP) Carryout and Reallotment Report	Form
RPT_LIHEAP_CarryoverReportInstructions_042219.docx	Instruction
1 Carryover Report Form RPT_LIHEAP_RevisedCarryoverReport_04222019.docx	Form

IC Title:

Low Income Home Energy Assistance Program (LIHEAP) Carryout and Reallotment Report

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 34 CFR 45

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	1	Carryover Report Form	RPT_LIHEAP_RevisedCarryoverReport_04222019.docx		Yes	Yes	Fillable Fileable
Instruction			RPT_LIHEAP_CarryoverReportInstructions_042219.docx		Yes	Yes	Fillable Fileable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 177

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	177	-39	216
Annual IC Time Burden (Hours)	531	-117	648
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.