LIHWAP Plan

Low Income Household Water Assistance Program (LIHWAP) Plan

Documents and Forms

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

Information Collection (IC) Details

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:

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 %

	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

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.