OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

State Grantees Module 1

IC 230200 under ICR 202112-0970-006 · OMB 0970-0449.

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Instruction
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Information Collection (IC) Details

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State Grantees Module 1
 
No Modified
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 1 LIHEAP Performance Data ADMIN_LIHEAP_OMBSSAtt2Form_FY2021.xlsx Yes Yes Fillable Printable
Instruction LIHEAP Performance Data Form Instructions – CLEAN.docx Yes Yes Fillable Printable

Community and Social Services Social Services

 

51 0
   
State, Local, and Tribal Governments
 
   100 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 51 0 51 0 0 0
Annual IC Time Burden (Hours) 1,836 0 1,836 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Popup instructions for LPDF ADMIN_LIHEAP_LPDFPopupInstrs_FY2021.docx 12/13/2021
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.