Annual Performance and Management Report for LIHWAP

Low Income Household Water Assistance Program (LIHWAP) Reports

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0578 can be found here:

Documents and Forms

Document Name Document Type
Form 1 Annual Performance and Management Report for LIHWAP Form
3a. lihwap_Annualreport_instructions_021422.docx Instruction
3a. lihwap_Annualreport_instructions_021422.docx Instruction
1 Annual LIHWAP Report 3b. rpt_lihwap_annual-report_fy20222023_LOCKED_REVISED_v2 (1).xlsx Form
1 Annual LIHWAP Report 3b. rpt_lihwap_annual-report_fy20222023_LOCKED_REVISED_v2 (1).xlsx Form

Information Collection (IC) Details

IC Title:	Annual Performance and Management Report for LIHWAP	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

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	Annual LIHWAP Report	3b. rpt_lihwap_annual-report_fy20222023_LOCKED_REVISED_v2 (1).xlsx		Yes	Yes	Fillable Fileable
Instruction			3a. lihwap_Annualreport_instructions_021422.docx		Yes	Yes	Fillable Fileable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 157	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Not-for-profit institutions, Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	157	157
Annual IC Time Burden (Hours)	33,127	33,127
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.