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LIHEAP Household Report–Short Format

IC 184199 under ICR 202502-0970-009 · OMB 0970-0060.

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Document Name
Document Type
Instruction
Instruction
Form
Form
Information Collection (IC) Details

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LIHEAP Household Report–Short Format
 
No Modified
 
Required to Obtain or Retain Benefits
 
34 CFR 45

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Instruction COMM_LIHEAP_AT2024_HHR_ShortFormInstr_FY24_Subreview_REV_022525 Clean.docx Yes Yes Printable Only
Form 1 Household Report Short Form Household Report_Short Form_Sample_REV_022525 Clean.docx Yes Yes Fillable Printable

Community and Social Services Social Services

 

151 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 151 0 0 0 0 151
Annual IC Time Burden (Hours) 1,510 0 0 0 0 1,510
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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