Low Income Home Energy Assistance Program (LIHEAP) Household Report

ICR 201811-0970-007

OMB: 0970-0060

Federal Form Document

Forms and Documents
Document
Name
Status
Supporting Statement A
2018-11-08
Justification for No Material/Nonsubstantive Change
2013-04-29
IC Document Collections
IC ID
Document
Title
Status
184199 Modified
184198 Modified
ICR Details
0970-0060 201811-0970-007
Historical Active 201507-0970-007
HHS/ACF 19397
Low Income Home Energy Assistance Program (LIHEAP) Household Report
Reinstatement without change of a previously approved collection   No
Regular
Approved without change 02/13/2019
Retrieve Notice of Action (NOA) 11/13/2018
  Inventory as of this Action Requested Previously Approved
02/28/2022 36 Months From Approved
216 0 0
2,344 0 0
0 0 0

The LIHEAP statute requires the collection of data on the number of households assisted, their income levels, and vulnerability group, by type of LIHEAP assistance, for inclusion in the Secretary's annual LIHEAP Report to Congress. Over the years, the LIHEAP statute, as amended, has expanded the household data requirements. The data are collected through the LIHEAP Household Report which consists of the following: (1) Long Format and (2) Short Format. OCS requests that OMB approval of the LIHEAP Household Report be extended from FY 2016 through FY 2018 to include an unduplicated count of: • Assisted and applicant households, by type of LIHEAP assistance; • Assisted and applicant households, by type of LIHEAP assistance and poverty level; • Assisted households receiving nominal payments of $50 or less; • Assisted households receiving only utility payment assistance; this information will automatically be transferred to the grantee's Performance Data Form. • Assisted households, regardless of the type(s) of LIHEAP assistance, excluding households that only receive nominal payments of $50 or less; • Assisted households, by type of LIHEAP assistance, having at least one member 60 years or older, disabled, or five years old or younger; • Assisted households, by type of LIHEAP assistance, with at least one member age 2 years or under; • Assisted households, by type of LIHEAP assistance, with at least one member ages 3 years through 5 years; and • Assisted households, regardless of the type(s) of LIHEAP assistance, having at least one member 60 years or older, disabled, or five years old or younger.

US Code: 42 USC 8624 Name of Law: Omnibus Reconciliation Act of 1981
  
None

Not associated with rulemaking

  83 FR 41075 08/17/2018
83 FR 53637 10/24/2018
No

2
IC Title Form No. Form Name
Long Format 1 Household Report Long Form
Short Format 1 Household Report Short Form

  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 216 0 0 0 0 216
Annual Time Burden (Hours) 2,344 0 0 152 0 2,192
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
Yes
Miscellaneous Actions
change in the number of respondents.

$28,908
No
    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.
11/13/2018


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