Short Format

Low Income Home Energy Assistance Program (LIHEAP) Household Report

OMB: 0970-0060

IC ID: 184199

Documents and Forms
Information Collection (IC) Details

View Information Collection (IC)

Short Format
 
No Modified
 
Required to Obtain or Retain Benefits
 
34 CFR 45

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Instruction hhrptinstructions Short Form 2015.doc Yes Yes Fillable Printable
Form 1 Household Report Short Form Household Report Short Form.pdf Yes Yes Fillable Printable

Community and Social Services Social Services

 

160 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 160 0 -4 0 164 0
Annual IC Time Burden (Hours) 160 0 -4 0 164 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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

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