Information Collection

Quarterly Performance and Management Report for LIHWAP (FY 2023)

IC 251662 under ICR 202202-0970-007 · OMB 0970-0578.

⚠️ Notice: This information collection may be referencing outdated material.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 FY23 Quarterly Performance and Management Report for LIHWAP (FY 2023) Form
2a. LIHWAP_Quarterly_Report_Instructions_FY2023.docx Instruction
2a. LIHWAP_Quarterly_Report_Instructions_FY2023.docx Instruction
FY23 LIHWAP Quarterly Report FY23 2b. rpt_lihwap_quarterly-report_fy2023_LOCKED_v4.xlsx Form
FY23 LIHWAP Quarterly Report FY23 2b. rpt_lihwap_quarterly-report_fy2023_LOCKED_v4.xlsx Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Quarterly Performance and Management Report for LIHWAP (FY 2023)	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	FY23	LIHWAP Quarterly Report FY23	2b. rpt_lihwap_quarterly-report_fy2023_LOCKED_v4.xlsx		Yes	Yes	Fillable Fileable
Instruction			2a. LIHWAP_Quarterly_Report_Instructions_FY2023.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: Businesses or other for-profits, Farms

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	628	0	628
Annual IC Time Burden (Hours)	6,280	-1,884	8,164
Annual IC Cost Burden (Dollars)	0	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.