Low Income Home Energy Assistance Program (LIHEAP) Annual Report on Households Assisted

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 1 Household Report Short Form	Form	Modified	Available
Form 1 Household Report Long Form	Form	Modified	Available
NonSub Change - Update to ACF ICs - Protecting Women EO - Submission 2.10.25.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2025-02-10	Available
NonSub Change - Update to ACF ICs - Protecting Women EO - Submission 2.10.25.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2025-02-10	Missing upstream
Attachment 1 FRN Comments and Responses.docx	Supplementary Document	Uploaded 2022-11-18	Available
Attachment 1 FRN Comments and Responses.docx	Supplementary Document	Uploaded 2022-11-18	Missing upstream
COMM_OMB_SupportingStmt_HHR_FY22_111522_Update_022425.docx	Supporting Statement A	Uploaded 2025-03-03	Repair queued
COMM_OMB_SupportingStmt_HHR_FY22_111522_Cleancopy.docx	Supporting Statement A	Uploaded 2022-11-18	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
256988	Household Application		Unchanged
184199	LIHEAP Household Report–Short Format	Form	Modified	Household Report Short Form
184199	LIHEAP Household Report–Short Format	Instruction	Modified
184198	LIHEAP Household Report–Long Format	Form	Modified	Household Report Long Form
184198	LIHEAP Household Report–Long Format	Instruction	Modified

ICR Details

OMB Control No: 0970-0060	ICR Reference No: 202502-0970-009
Status: Historical Active	Previous ICR Reference No: 202211-0970-005
Agency/Subagency: HHS/ACF	Agency Tracking No: OCS
Title: Low Income Home Energy Assistance Program (LIHEAP) Annual Report on Households Assisted
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 03/04/2025
Retrieve Notice of Action (NOA)	Date Received in OIRA: 02/15/2025
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2026	03/31/2026	03/31/2026
Responses	6,160,207	0	6,160,207
Time Burden (Hours)	6,165,262	0	6,165,262
Cost Burden (Dollars)	0	0	0

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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, P. L. 97-35. The Office of Community Services (OCS) within the Department of Health and Human Services' (DHHS) Administration for Children and Families (ACF) administers LIHEAP at the Federal level. The LIHEAP Household Report is an annual data collection effort conducted by OCS to collect information from LIHEAP grantees to meet statutory requirements and program objectives. The LIHEAP statute requires the collection of data on the number of households assisted, their income levels, and vulnerability group, by type of LIHEAP assistance, for inclusion in the Secretary’s annual LIHEAP Report to Congress. The data are collected through the LIHEAP Household Report, which consists of the following: (1) a Long Format for state grant recipients, the District of Columbia, and select territory grant recipients, and (2) a Short Format for tribal grant recipients and select territory grant recipients. OCS has updated the report to update gender collected data to denote sex as a biological variable in current approved information collection requests to comply with recent Presidential directives.

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Authorizing Statute(s): US Code: 42 USC 8629 Name of Law: Omnibus Reconciliation Act of 1981, LIHEAP
   US Code: 42 USC 8621 Name of Law: Low Income Home Energy Assistance Program (LIHEAP) block grant
  

Citations for New Statutory Requirements: None

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

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	87 FR 39523	07/01/2022
30-day Notice:	Federal Register Citation:	Citation Date:
	87 FR 71332	11/22/2022
Did the Agency receive public comments on this ICR? Yes

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

table that charts list of burden

IC Title	Form No.	Form Name
Household Application
LIHEAP Household Report–Long Format	1	Household Report Long Form
LIHEAP Household Report–Short Format	1	Household Report Short Form

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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	6,160,207	6,160,207	0	0	0	0
Annual Time Burden (Hours)	6,165,262	6,165,262	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $37,047

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

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Common Form ICR:  No

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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: 02/15/2025

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