Information Collection

Low Income Household Water Assistance Program (LIHWAP) Grantee Forecast

IC 262709 under ICR 202310-0970-004 · OMB 0970-0558.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0558 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 Low Income Household Water Assistance Program (LIHWAP) Grantee Forecast	Form
LIHWAP Forecast Instructions_Submission for Monitoring Generic _Clean.docx	Instruction
LIHWAP Forecast Instructions_Submission for Monitoring Generic _Clean.docx	Instruction
1 LIHWAP Forecast Updated July 2023_LIHWAP Forecast_FY2023 (Not 508-compliant).xlsx	Form
1 LIHWAP Forecast Updated July 2023_LIHWAP Forecast_FY2023 (Not 508-compliant).xlsx	Form
LIHWAP Forecast_Submission for Monitoring Generic _1104 cc.docx Monitoring GenIC Submission Form - LIHWAP Grantee Forecast	IC Document
LIHWAP Forecast_Submission for Monitoring Generic _1104 cc.docx Monitoring GenIC Submission Form - LIHWAP Grantee Forecast	IC Document
NOA_NonSub Chg_LIHWAP Grantee Forecast_0970-0558_8.1.23.pdf NOA NonSub Change - LIHWAP Grantee Forecast (Dates)	IC Document
NOA_NonSub Chg_LIHWAP Grantee Forecast_0970-0558_8.1.23.pdf NOA NonSub Change - LIHWAP Grantee Forecast (Dates)	IC Document
NOA_LIHWAP Grantee Forecast_0970-0558_1.30.23.pdf NOA - LIHWAP Grantee Forecast	IC Document
NOA_LIHWAP Grantee Forecast_0970-0558_1.30.23.pdf NOA - LIHWAP Grantee Forecast	IC Document

IC Title:

Low Income Household Water Assistance Program (LIHWAP) Grantee Forecast

Agency IC Tracking Number:

OCS

IC Status: New

Obligation to Respond: Mandatory

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	LIHWAP Forecast	Updated July 2023_LIHWAP Forecast_FY2023 (Not 508-compliant).xlsx		Yes	Yes	Fillable Fileable
Instruction			LIHWAP Forecast Instructions_Submission for Monitoring Generic _Clean.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: 152

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: 100 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	152	152
Annual IC Time Burden (Hours)	304	304
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Monitoring GenIC Submission Form - LIHWAP Grantee Forecast	LIHWAP Forecast_Submission for Monitoring Generic _1104 cc.docx	10/05/2023
NOA NonSub Change - LIHWAP Grantee Forecast (Dates)	NOA_NonSub Chg_LIHWAP Grantee Forecast_0970-0558_8.1.23.pdf	10/05/2023
NOA - LIHWAP Grantee Forecast	NOA_LIHWAP Grantee Forecast_0970-0558_1.30.23.pdf	10/05/2023

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.