Low Income Home Energy Assistance Program (LIHEAP) Carryout and Reallotment Report

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 1 Carryover Report Form	Form	Modified	Available
ADMIN_LIHEAP_CORptOMBSS_FY2025_fnl.docx	Supporting Statement A	Uploaded 2025-08-14	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
9841	Low Income Home Energy Assistance Program (LIHEAP) Carryover and Reallotment Report	Form	Modified	Carryover Report Form
9841	Low Income Home Energy Assistance Program (LIHEAP) Carryover and Reallotment Report	Instruction	Modified

ICR Details

OMB Control No: 0970-0106	ICR Reference No: 202508-0970-006
Status: Active	Previous ICR Reference No: 202407-0970-004
Agency/Subagency: HHS/ACF	Agency Tracking No: OCS
Title: Low Income Home Energy Assistance Program (LIHEAP) Carryout and Reallotment Report
Type of Information Collection: Reinstatement with change of a previously approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 09/22/2025
Retrieve Notice of Action (NOA)	Date Received in OIRA: 08/19/2025
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/2028	36 Months From Approved
Responses	188	0	0
Time Burden (Hours)	564	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: The federal Low Income Home Energy Assistance Program (LIHEAP) statute requires the Department of Health and Human Services (HHS) to collect data annually from all LIHEAP grant recipients regarding the status of obligated and unobligated funding (42 U.S.C. § 8626). The Administration for Children and Families (ACF), which is the agency in HHS that administers LIHEAP, shall not make payment to a grant recipient for a fiscal year (FY) unless the grant recipient has complied with this reporting requirement with respect to the prior fiscal year. The amount held available from a prior FY may not exceed 10% of the funds awarded for that FY [42 U.S.C. § 826(b)(2)(B)]. Funds exceeding 10% shall be reallotted in the following FY to all LIHEAP grant recipients [42 U.S.C. § 8626(b)(1)(C)]. ACF collects the amounts of unobligated funding from LIHEAP grant recipients on the LIHEAP Carryover and Reallotment Report (CRR). According to HHS block grant regulations at 45 CFR § 96.81, the CRR must contain the following information: (1) The amount of funds that the grant recipient requests to hold available for obligation in the following fiscal year, not to exceed 10% of the funds payable to the grant recipient; (2) a statement of the reasons that this amount to remain available will not be used in the fiscal year for which it was allotted; (3) a description of the types of assistance to be provided with the amount held available; and (4) the amount of funds, if any, to be subject to reallotment. The form as approved includes three lines that cover unobligations from the following sources: (1) regular LIHEAP funds, including those reallotted from the prior year; (2) supplemental funds from the Infrastructure Investment and Jobs Act (IIJA) [Public Law (Pub. L.) 117-58]; and (3) supplemental funds from other sources. The proposed changes include the addition of three lines covering awards from the same sources and minor updates to numbering and wording.

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Authorizing Statute(s): PL: Pub.L. 117 - 58 TITLE VII Name of Law: Infrastructure Investment and Jobs Act
   PL: Pub.L. 117 - 2 2911 Name of Law: American Rescue Plan Act of 2021 (ARPA)
   PL: Pub.L. 97 - 35 2607(b) Name of Law: Omnibus Ronconciliation Act of 1981
   US Code: 42 USC 8626(b)(2)(B) Name of Law: Omnibus Ronconciliation Act of 1981
  

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:
	90 FR 25048	06/13/2025
30-day Notice:	Federal Register Citation:	Citation Date:
	90 FR 40367	08/19/2025
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
Low Income Home Energy Assistance Program (LIHEAP) Carryover and Reallotment Report	1	Carryover Report 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	188	0	0	188	0	0
Annual Time Burden (Hours)	564	0	0	564	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

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

Burden Reduction Due to:

Short Statement: This request is for an extension with minor changes to the most recently approved report and instructions. The estimated number of respondents has been updated reflect the expected number of submitting parties, resulting in an overall increase in the estimated annual burden hours.

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Annual Cost to Federal Government: $21,717

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? Yes

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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: 08/19/2025

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