Low Income Household Water Assistance Program (LIHWAP) Reports

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form FY24 Quarterly Performance and Management Report for LIHWAP (FY 2024)	Form	New	Repair queued
Form FY23 Quarterly Performance and Management Report for LIHWAP (FY 2023)	Form	Unchanged	Repair queued
Form 1 Annual Performance and Management Report for LIHWAP	Form	Unchanged	Available
Form FY22 Quarterly Performance and Management Report for LIHWAP (FY 2022)	Form	Unchanged	Available
NonSub Change Request LIHWAP QR_fnl 9.8.23.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2023-09-08	Available
Appendix 1. FRN Comments and Responses final_2.17.22.docx	Supplementary Document	Uploaded 2022-02-17	Available
Attachment A - LIHWAP Sample HH Application 10.14.21.docx	Supplementary Document	Uploaded 2021-10-19	Missing upstream
ADMIN_LIHWAP_QAReportOMBSupStmt_nonsubchg_9.8.23.docx	Supporting Statement A	Uploaded 2023-09-08	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
262081	Quarterly Performance and Management Report for LIHWAP (FY 2024)	Form	New
251662	Quarterly Performance and Management Report for LIHWAP (FY 2023)	Form	Unchanged
249840	Household Application		Unchanged
249839	Annual Performance and Management Report for LIHWAP	Form	Unchanged
249838	Quarterly Performance and Management Report for LIHWAP (FY 2022)	Form	Unchanged

ICR Details

OMB Control No: 0970-0578	ICR Reference No: 202309-0970-002
Status: Received in OIRA	Previous ICR Reference No: 202202-0970-007
Agency/Subagency: HHS/ACF	Agency Tracking No: OCS
Title: Low Income Household Water Assistance Program (LIHWAP) Reports
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 09/08/2023

table that charts list comparision

	Requested	Previously Approved
Expiration Date	04/30/2025	04/30/2025
Responses	401,769	401,413
Time Burden (Hours)	249,351	247,571
Cost Burden (Dollars)	0	0

---

Abstract: OCS has utilized the LIHWAP reporting process to provide critical information for the LIHWAP emergency effort. Reports submitted by grant recipients have helped to ensure that LIHWAP, an emergency and temporary program, has been implemented effectively and efficiently; provided reliable and complete fiscal and household data for OCS analysis and reporting to Congress and the public; and responded to questions from the Congress, Department of Health and Human Services, Office of Management and Budget (OMB), White House and other interested parties in a timely and accurate manner. With support from the data provided in the reports, OCS identified that many grant recipients needed additional time to accomplish the goals for LIHWAP. Therefore, OCS instituted an optional No Cost Extension (NCE) for grant recipients to extend the obligation deadline by six months through March 31, 2024. A total of 89 grant recipients requested and have received programmatic approval for the NCE. To reflect this update, OCS requests to: 1. Adjust the LIHWAP Quarterly Report form to collect two additional quarterly reports to account for the six-month extension through March 31, 2024. 2. Update the Annual Report Instructions to reflect an extension for the LIHWAP Annual Report due date. The extended due date for the annual report is July 31, 2024; 30 days after the liquidation deadline of June 30, 2024. This Supporting Statement has been updated to include the additional reporting periods and associated materials have been included with this submission for review and approval.

---

Authorizing Statute(s): PL: Pub.L. 116 - 260 533 Name of Law: Consolidated Appropriations Act, 2021
   PL: Pub.L. 117 - 2 2912 Name of Law: American Rescue Plan Act of 2021
  

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	86 FR 59166	10/26/2021
30-day Notice:	Federal Register Citation:	Citation Date:
	87 FR 9364	02/18/2022
Did the Agency receive public comments on this ICR? Yes

---

Number of Information Collection (IC) in this ICR: 5

table that charts list of burden

IC Title	Form No.	Form Name
Annual Performance and Management Report for LIHWAP	1	Annual LIHWAP Report
Household Application
Quarterly Performance and Management Report for LIHWAP (FY 2022)	FY22	LIHWAP Quarterly Report FY22
Quarterly Performance and Management Report for LIHWAP (FY 2023)	FY23	LIHWAP Quarterly Report FY23
Quarterly Performance and Management Report for LIHWAP (FY 2024)	FY24	LIHWAP Quarterly Report FY24

---

ICR Summary of Burden

table that charts list of burden

	Total Request	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	401,769	401,413	0	356	0	0
Annual Time Burden (Hours)	249,351	247,571	0	1,780	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: This request is to add two additional reporting period for the LIHWAP quarterly reports for FY 2024 for those grant recipients who are utilizing the No Cost Extension (NCE through March 31, 2024). Two questions from Section III will be included in FY 2024 Quarterly Reports for those grant recipients utilizing the NCE to help understand which grant recipients are still accepting LIHWAP applications and which water vendors are participating in the program. This allows OCS to keep members of the public informed about benefit eligibility.

---

Annual Cost to Federal Government: $186,043

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Yes

---

Common Form ICR:  No

---

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 09/08/2023

---