Quarterly Performance and Management Report

Low Income Home Energy Assistance Program (LIHEAP) Quarterly Performance and Management Reports

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0589 can be found here:

Documents and Forms

Document Name Document Type
Form 1 Quarterly Performance and Management Report Form
LIHEAP_Quarterly_Report_Instructions_1.27.22.docx Instruction
LIHEAP_Quarterly_Report_Instructions_1.27.22.docx Instruction
1 LIHEAP Quarterly Performance and Management Report RPT_LIHEAP Quarterly Performance and Managment Report_FY22 1.27.22.xlsx Form
1 LIHEAP Quarterly Performance and Management Report RPT_LIHEAP Quarterly Performance and Managment Report_FY22 1.27.22.xlsx Form

Information Collection (IC) Details

IC Title:	Quarterly Performance and Management Report	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	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	1	LIHEAP Quarterly Performance and Management Report	RPT_LIHEAP Quarterly Performance and Managment Report_FY22 1.27.22.xlsx		Yes	Yes	Fillable Fileable
Instruction			LIHEAP_Quarterly_Report_Instructions_1.27.22.docx		Yes	Yes	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)	7,416	7,416
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.