Low Income Home Energy Assistance Program (LIHEAP) Performance Data Form

ICR 202503-0970-011

OMB: 0970-0449

Federal Form Document

Forms and Documents

Document Name	Status
Form 1 Energy Vendors (largest 5 electric, 5 natural gas, 10 fuel oil, and 10 propane vendors per state - average) - Modules II and III Form	Modified
Form 1 Sub-Grant Recipients (in states with sub-grant recipient managed systems) - Modules II and III Form	Modified
Form 1 State Grant Recipients - Modules II and III Form	Modified
Form 1 State Grant Recipients - Module I Form	Modified
ADMIN_LIHEAP_Att1StatutoryLanguage_FY2024toFY2026 (002).docx Supplementary Document	2025-03-19
ADMIN_LIHEAP_LPDFOMBSupStmt_States_FY2024toFY2026.docx Supporting Statement A	2025-03-18

IC Document Collections

IC ID	Document Title	Status
230203	Energy Vendors (largest 5 electric, 5 natural gas, 10 fuel oil, and 10 propane vendors per state - average) - Modules II and III Form	Modified
230202	Sub-Grant Recipients (in states with sub-grant recipient managed systems) - Modules II and III Form	Modified
230201	State Grant Recipients - Modules II and III Form	Modified
230200	State Grant Recipients - Module I Form	Modified