Information Collection

Quarterly Performance and Management Report for LIHWAP (FY 2024)

IC 262081 under ICR 202309-0970-002 · OMB 0970-0578.

Documents and Forms

Document Name Document Type
Form FY24 Quarterly Performance and Management Report for LIHWAP (FY 2024) Form
LIHWAP_Quarterly_Report_Instructions_FY2024.docx Instruction
LIHWAP_Quarterly_Report_Instructions_FY2024.docx Instruction
FY24 LIHWAP Quarterly Report FY24 RPT_LIHWAP_Quarterly Report_FY2024 (Not 508-compliant).xlsx Form
FY24 LIHWAP Quarterly Report FY24 RPT_LIHWAP_Quarterly Report_FY2024 (Not 508-compliant).xlsx Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Quarterly Performance and Management Report for LIHWAP (FY 2024)	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	FY24	LIHWAP Quarterly Report FY24	RPT_LIHWAP_Quarterly Report_FY2024 (Not 508-compliant).xlsx		Yes	Yes	Fillable Fileable
Instruction			LIHWAP_Quarterly_Report_Instructions_FY2024.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: 89	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Farms

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	356	356
Annual IC Time Burden (Hours)	1,780	1,780
Annual IC Cost Burden (Dollars)	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.