Information Collection

LIHWAP Plan

IC 247833 under ICR 202105-0970-014 · OMB 0970-0571.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
ADMIN_LIHWAP_Model Plan_Final OMB Clearance Version.CLEAN.docx	Other-Model Plan
ADMIN_LIHWAP_Model Plan Instructions_Final OMB Clearance Version.CLEAN.docx	Other-Model Plan Instructions
ADMIN_LIHWAP_Model Plan Definitions Document_Final OMB Clearance Version.CLEAN.docx	Other-Model Plan Definitions

IC Title:

LIHWAP Plan

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Model Plan	ADMIN_LIHWAP_Model Plan_Final OMB Clearance Version.CLEAN.docx	Yes	Yes	Fillable Fileable
Other-Model Plan Instructions	ADMIN_LIHWAP_Model Plan Instructions_Final OMB Clearance Version.CLEAN.docx	Yes	No	Printable Only
Other-Model Plan Definitions	ADMIN_LIHWAP_Model Plan Definitions Document_Final OMB Clearance Version.CLEAN.docx	Yes	No	Printable Only

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 206

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	206	206
Annual IC Time Burden (Hours)	1,648	1,648
Annual IC Cost Burden (Dollars)	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.