Information Collection

Quarterly Performance and Management Report for LIHWAP (FY 2022)

IC 249838 under ICR 202309-0970-002 · OMB 0970-0578.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form FY22 Quarterly Performance and Management Report for LIHWAP (FY 2022)	Form
1a. LIHWAP_Quarterly_Report_Instructions_FY2022.docx	Instruction
1a. LIHWAP_Quarterly_Report_Instructions_FY2022.docx	Instruction
FY22 LIHWAP Quarterly Report FY22 1b. rpt_lihwap_quarterly-report_fy2022_LOCKED_REVISED_v4.xlsx	Form
FY22 LIHWAP Quarterly Report FY22 1b. rpt_lihwap_quarterly-report_fy2022_LOCKED_REVISED_v4.xlsx	Form

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Unchanged

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	FY22	LIHWAP Quarterly Report FY22	1b. rpt_lihwap_quarterly-report_fy2022_LOCKED_REVISED_v4.xlsx		Yes	Yes	Fillable Fileable
Instruction			1a. LIHWAP_Quarterly_Report_Instructions_FY2022.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: Farms, Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	628	628
Annual IC Time Burden (Hours)	8,164	8,164
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.