LIHEAP Household Report–Long Format

Low Income Home Energy Assistance Program (LIHEAP) Household Report

OMB: 0970-0060

IC ID: 184198

Information Collection (IC) Details

View Information Collection (IC)

LIHEAP Household Report–Long Format
 
No Modified
 
Required to Obtain or Retain Benefits
 
45 CFR 96.82

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Instruction COMM_LIHEAP_OMB HHRInstrLongForm FY22_121721.docx Yes Yes Printable Only
Form 1 Household Report Long Form COMM_LIHEAP_HHR_Long Form_121721.xlsx Yes Yes Fillable Printable

Community and Social Services Social Services

 

56 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 56 0 0 0 0 56
Annual IC Time Burden (Hours) 2,408 0 0 0 0 2,408
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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