Information Collection

Quarterly Performance and Management Report for LIHWAP (FY 2024)

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

Documents and Forms

Documents and forms in this information collection
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

IC Title:

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:

table that charts list of 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 %

table that charts list of burden
	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

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.