Information Collection

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

IC 9841 under ICR 202508-0970-006 · OMB unassigned.

Documents and Forms

Document Name Document Type
Form 1 Carryover Report Form Low Income Home Energy Assistance Program (LIHEAP) Carryover and Reallotment Report Form
GDL_LIHEAP_CORptFullInstrs_FY2025.docx Instruction
1 Carryover Report Form ADMIN_LIHEAP_CORptTemplate_FY2025.docx Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Low Income Home Energy Assistance Program (LIHEAP) Carryover and Reallotment Report	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 45 CFR 96.81

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	1	Carryover Report Form	ADMIN_LIHEAP_CORptTemplate_FY2025.docx		Yes	Yes	Fillable Fileable
Instruction			GDL_LIHEAP_CORptFullInstrs_FY2025.docx		Yes	Yes	Fillable Fileable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 188	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	188	188
Annual IC Time Burden (Hours)	564	564
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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