Low Income Home Energy Assistance Program (LIHEAP) Detailed Model Plan Application

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
COMM_LIHEAP_ModelPlan_SuppStmt_FY24_Public Comments 1.16.24.docx	Supporting Statement A	Uploaded 2024-01-19	Repair queued
Attachment B - FY 2025 Model Plan Public Comments Response_1.16.24.docx	Supplementary Document	Uploaded 2024-01-18	Repair queued
Attachment A PROP_LIHEAP_Model Plan Changes_FY2025.docx	Supplementary Document	Uploaded 2024-01-16	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
264445	LIHEAP Detailed Model Plan Application - FY26	Other-Detailed Model Plan Application	New
264444	LIHEAP Detailed Model Plan Application - FY25	Other-Detailed Model Plan Application	New
211409	LIHEAP Detailed Model Plan Application - FY24	Other-Detailed Model Plan Application	Modified

ICR Details

OMB Control No: 0970-0075	ICR Reference No: 202401-0970-007
Status: Historical Active	Previous ICR Reference No: 202009-0970-011
Agency/Subagency: HHS/ACF	Agency Tracking No: OCS
Title: Low Income Home Energy Assistance Program (LIHEAP) Detailed Model Plan Application
Type of Information Collection: Reinstatement with change of a previously approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 02/25/2024
Retrieve Notice of Action (NOA)	Date Received in OIRA: 01/19/2024
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	02/28/2027	36 Months From Approved
Responses	621	0	0
Time Burden (Hours)	415	0	0
Cost Burden (Dollars)	0	0	0

---

Abstract: The Low Income Home Energy Assistance Program (LIHEAP) block grant (42 U.S.C. 8621) was established under Title XXVI of the Omnibus Budget Reconciliation Act of 1981, Public Law 97-35. The Office of Community Services (OCS) within the U.S. Department of Health and Human Services (HHS), Administration for Children and Families (ACF) administers LIHEAP at the federal level. Section 2605(c)(1) of the Omnibus Budget Reconciliation Act of 1981, as amended, (LIHEAP statute) provides that “as part of the annual application required…, the chief executive officer of each state shall prepare and furnish to the Secretary, in such format as the Secretary may require, a plan” which addresses several statutorily required data elements (emphasis added). [see also Section 2604(d)(4) regarding the Plan requirement for tribes]. Section 2605(c)(3) of the LIHEAP statute requires the Secretary to make available each fiscal year a model plan for use in the next fiscal year. The regulations require that states and territories (45 C.F.R. § 96.10(c)(2)) and tribes/tribal organizations (45 C.F.R. § 96.42(e)) that wish to administer a Low Income Home Energy Assistance Program (LIHEAP) must submit an application for funds each year by September 1. Indian tribes and tribal organizations must submit their LIHEAP Plans by the required deadline unless the State(s) in which the tribe or organization is located agrees in writing to a specific later submission date. Section 2605(c)(3) of the Omnibus Budget Reconciliation Act of 1981, as amended, provides that the Secretary shall make available a model LIHEAP Plan which may be used to prepare the application required under Sections 2605(a)(1) and (c)(1) (42 U.S.C. § 8624(a)(1) and (c)(1)). OCS has responsibility to review and accept LIHEAP Plan submissions on behalf of ACF, which is the agency that administers LIHEAP at the federal level. This revision request includes a request to extend approval of the current form without any changes through August 31, 2024 and to incorporate proposed changes beginning in Fiscal Year (FY) 2025. For FY2025, OCS is proposing substantive changes, including additional form clarification, edits, more detailed reporting on program components, categorical eligibility, monitoring practices, and program integrity (see Attachment A). Updates are intended to provide OCS with additional information about how grant recipients are fulfilling the statutory requirements necessary to qualify for federal funds.

---

Authorizing Statute(s): US Code: 42 USC 8624 Name of Law: Low-Income Energy Assistance Statute
   US Code: 42 USC 8621, Secs605(c)(1), 2604(d)(4 Name of Law: Omnibus Budget Reconciliation Act of 1981, as amended, (LIHEAP statute)
  

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	88 FR 67760	10/02/2023
30-day Notice:	Federal Register Citation:	Citation Date:
	89 FR 3664	01/19/2024
Did the Agency receive public comments on this ICR? Yes

---

Number of Information Collection (IC) in this ICR: 3

table that charts list of burden

IC Title	Form No.	Form Name
LIHEAP Detailed Model Plan Application - FY24
LIHEAP Detailed Model Plan Application - FY25
LIHEAP Detailed Model Plan Application - FY26

---

ICR Summary of Burden

table that charts list of burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	621	0	0	204	207	210
Annual Time Burden (Hours)	415	0	0	206	104	105
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: OCS is requesting substantive changes in FY2025 so LIHEAP grant recipients can provide additional information about how they are fulfilling the statutory requirements. These changes impact burden estimates, as described in section A12.

---

Annual Cost to Federal Government: $46,597

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

---

Common Form ICR:  No

---

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 01/19/2024

---