Long Format

Low Income Home Energy Assistance Program (LIHEAP) Household Report

OMB: 0970-0060

IC ID: 184198

Documents and Forms
Information Collection (IC) Details

View Information Collection (IC)

Long Format
 
No Modified
 
Required to Obtain or Retain Benefits
 
45 CFR 96.82

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Instruction hhrptinstructions Long Form.doc Yes Yes Fillable Printable
Form 1 Household Report Long Form Household Report Long Form.pdf Yes Yes Fillable Printable

Community and Social Services Social Services

 

56 0
   
State, Local, and Tribal Governments
 
   100 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 56 0 4 0 52 0
Annual IC Time Burden (Hours) 2,184 0 156 0 2,028 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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.

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