Information Collection

Annual Performance and Management Report for LIHWAP

IC 249839 under ICR 202309-0970-002 · OMB 0970-0578.

Documents and Forms

Documents and forms in this information collection
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

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	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: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	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

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.