Information Collection Request

Low Income Home Energy Assistance Program (LIHEAP) Performance Data Form

ICR 202112-0970-006 · OMB 0970-0449 · Received in OIRA

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form 1 State Grantees Module 1 - Energy Vendors Form Removed Repair queued
Form 1 Energy Vendors (largest 5 electric, 5 natural gas, 10 fuel oil, and 10 propane vendors per state - average) - Modules II and III Form Modified Repair queued
Form 1 Sub-Grantees (in states with sub-grantee managed systems) - Modules II and III Form Modified Repair queued
Form 1 State Grantees - Modules II and III Form Modified Repair queued
Form 1 State Grantees Module 1 Form Modified Repair queued
Attachment 1_Statutory Language_ADMIN_LIHEAP_LPDFRenewal.docx Supplementary Document Uploaded 2021-12-13 Repair queued
ADMIN_LIHEAP_LPDFRenewalSSAFullCLEAN_FY2021_final.docx Supporting Statement A Uploaded 2021-12-13 Repair queued

ICR Details

Reginfo record details
table that charts list comparision
  Requested Previously Approved
36 Months From Approved
1,732 0
25,841 0
0 0





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 1,732 0 0 202 0 1,530
Annual Time Burden (Hours) 25,841 0 0 24,311 0 1,530
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No