Low Income Household Water Assistance Program (LIHWAP) Reports

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 2 Annual Performance and Management Report for LIHWAP	Form	New	Available
Form 1 Quarterly Performance and Management Report for LIHWAP	Form	New	Repair queued
Attachment A - LIHWAP Sample HH Application 10.14.21.docx	Supplementary Document	Uploaded 2021-10-19	Repair queued
ADMIN_LIHWAP_QAReportOMBSupStmt_FY2021_10.19.21_final.docx	Supporting Statement A	Uploaded 2021-10-19	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
249840	Household Application		New
249839	Annual Performance and Management Report for LIHWAP	Form	New
249838	Quarterly Performance and Management Report for LIHWAP	Form	New

ICR Details

OMB Control No:	ICR Reference No: 202110-0970-011
Status: Received in OIRA	Previous ICR Reference No:
Agency/Subagency: HHS/ACF	Agency Tracking No: OCS
Title: Low Income Household Water Assistance Program (LIHWAP) Reports
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Emergency	Approval Requested By: 10/26/2021
Date Submitted to OIRA: 10/20/2021

table that charts list comparision

	Requested	Previously Approved
Expiration Date	6 Months From Approved
Responses	400,785	0
Time Burden (Hours)	241,291	0
Cost Burden (Dollars)	0	0

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Abstract: The proposed forms are necessary to provide data to the Administration and Congress in its oversight of recipients’ performance in administering the Low Income Household Water Assistance Program (LIHWAP) program. The LIHWAP effort was authorized under two separate appropriations as part of an emergency effort to prevent and respond to COVID-19: the Consolidated Appropriations Act, 2021 (Public Law No.: 116-260) and the American Rescue Plan Act of 2021 (Public Law No.: 117-2). As a result of the emergency nature, the timeline to implement the program was very short and the time to develop and submit related performance measures is similarly short. The proposed LIHWAP Quarterly Performance and Management Report and the LIHWAP Annual Report are conducted in accordance with the LIHWAP statute (Public Law 116-260) and will provide the Administration and Congress information necessary for oversight of recipients’ performance in administering the LIHWAP program. The completeness, accuracy, consistency, and timeliness of responses to data collections are needed for the agency to do the following: • Ensure that LIHWAP, an emergency and temporary program, is implemented effectively and efficiently; • Provide reliable and complete fiscal and household data for OCS analysis and reporting to Congress and the public; and • Respond to questions from the Congress, Department of Health and Human Services, OMB, White House, and other interested parties in a timely and accurate manner.

Emergency Justfication: The Administration for Children and Families Office of Community Services (OCS) is requesting emergency review and approval of this information collection by the Office and Management and Budget (OMB), as authorized under 44 U.S.C. 3507(subsection j). The proposed forms are necessary to provide data to the Administration and Congress in its oversight of recipients’ performance in administering the Low Income Household Water Assistance Program (LIHWAP) program. The information collection is essential to the mission of the agency and the use of normal clearance procedures is reasonably likely to disrupt and prevent the collection of information.

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Authorizing Statute(s): PL: Pub.L. 116 - 260 533 Name of Law: Consolidated Appropriations Act, 2021
   PL: Pub.L. 117 - 2 2912 Name of Law: American Rescue Plan Act of 2021
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments

Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 3

table that charts list of burden

IC Title	Form No.	Form Name
Annual Performance and Management Report for LIHWAP	2	Annual LIHWAP Report
Household Application
Quarterly Performance and Management Report for LIHWAP	1	LIHWAP Quarterly Report

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ICR Summary of Burden

table that charts list of burden

	Total Request	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	400,785	0	0	400,785	0	0
Annual Time Burden (Hours)	241,291	0	0	241,291	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: This is a new information collection for the new Low Income Household Water Assistance Program (LIHWAP) program. The LIHWAP effort was authorized under two separate appropriations as part of an emergency effort to prevent and respond to COVID-19: the Consolidated Appropriations Act, 2021 (Public Law No.: 116-260) and the American Rescue Plan Act of 2021 (Public Law No.: 117-2).

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Annual Cost to Federal Government: $186,043

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Yes

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 10/20/2021

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