Information Collection

2019 Low Income Home Energy Assistance Program (LIHEAP) Grantee Conference Feedback

IC 235817 under ICR 202105-0970-001 · OMB 0970-0401.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0401 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Attachment A - MTG_LIHEAP_overallconferencefeedbackform_FY19_042419.docx	Other-
Attachment A - MTG_LIHEAP_overallconferencefeedbackform_FY19_042419.docx	Other-
Attachment B - MTG_LIHEAP_conferencesessionfeedbackforfacilitatorssample_FY19_042419.docx	Other-
Attachment B - MTG_LIHEAP_conferencesessionfeedbackforfacilitatorssample_FY19_042419.docx	Other-
Attachment C - MTG_LIHEAP_conferencesessionfeedbackforpresenterssample_FY19_042419.docx	Other-
Attachment C - MTG_LIHEAP_conferencesessionfeedbackforpresenterssample_FY19_042419.docx	Other-
ACF Request Fast Track Generic for Cust Feedback 0970-0401_LIHEAPgrantee....doc Submission Form - FastTrack - OCS LIHEAP Conference Apr 2019	IC Document
ACF Request Fast Track Generic for Cust Feedback 0970-0401_LIHEAPgrantee....doc Submission Form - FastTrack - OCS LIHEAP Conference Apr 2019	IC Document

IC Title:

2019 Low Income Home Energy Assistance Program (LIHEAP) Grantee Conference Feedback

Agency IC Tracking Number:

IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Instrument File	Available Electronically?	Electronic Capability
Other-	Attachment A - MTG_LIHEAP_overallconferencefeedbackform_FY19_042419.docx	No	Paper Only
Other-	Attachment B - MTG_LIHEAP_conferencesessionfeedbackforfacilitatorssample_FY19_042419.docx	No	Paper Only
Other-	Attachment C - MTG_LIHEAP_conferencesessionfeedbackforpresenterssample_FY19_042419.docx	No	Paper Only

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 150

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	150	150
Annual IC Time Burden (Hours)	15	15
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Submission Form - FastTrack - OCS LIHEAP Conference Apr 2019	ACF Request Fast Track Generic for Cust Feedback 0970-0401_LIHEAPgrantee....doc	04/24/2019

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