Information Collection

LIHEAP Detailed Model Plan Application - FY26

IC 264445 under ICR 202401-0970-007 · OMB 0970-0075.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0075 can be found here:

Documents and Forms

Document Name Document Type
ADMIN_LIHEAP_DETAILED MODEL PLAN Clean Copy_FY2025.docx Other-Detailed Model Plan Applicatio
ADMIN_LIHEAP_DETAILED MODEL PLAN Clean Copy_FY2025.docx Other-Detailed Model Plan Applicatio

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	LIHEAP Detailed Model Plan Application - FY26	Agency IC Tracking Number:	OCS

Is this a Common Form? No		IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 45 CFR 96.10 45 CFR 96.42

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Detailed Model Plan Application			ADMIN_LIHEAP_DETAILED MODEL PLAN Clean Copy_FY2025.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: 207	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	207	207
Annual IC Time Burden (Hours)	104	104
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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