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Federal forms, ICRs, and supporting documents

Information Collection

LIHEAP Detailed Model Plan Application - FY25

IC 264444 under ICR 202402-0970-013 · OMB 0970-0075.

Documents and Forms
Document Name
Document Type
Other-Detailed Model Plan Applicatio
Other-Detailed Model Plan Applicatio
Information Collection (IC) Details

View Information Collection (IC)

LIHEAP Detailed Model Plan Application - FY25 OCS
 
No Unchanged
 
Required to Obtain or Retain Benefits
 
45 CFR 96.10 45 CFR 96.42

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

Community and Social Services Social Services

 

207 0
   
State, Local, and Tribal Governments
 
   100 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 207 0 0 0 0 207
Annual IC Time Burden (Hours) 207 0 0 0 0 207
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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