Survey on Low Income Home Energy Assistance Program (LIHEAP) Information Technology (IT) Solutions

Formative Data Collections for ACF Program Support

Documents and Forms

Document Name Document Type
ADMIN_LIHEAP_PMIWGITSolutionsAssmtTool.docx Other-Survey
ADMIN_LIHEAP_ITSSFormativeSuppStmt_FY2025_fnl May2025.docx SSA Prog Supp GenIC - Survey on LIHEAP IT Solutions IC Document
NOA_OCS - LIHEAP IT Solutions_ProgSupp GenIC_0970-0531_6.9.25.pdf NOA - Survey on LIHEAP IT Solutions IC Document

Information Collection (IC) Details

IC Title:	Survey on Low Income Home Energy Assistance Program (LIHEAP) Information Technology (IT) Solutions	Agency IC Tracking Number:	OCS

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Survey			ADMIN_LIHEAP_PMIWGITSolutionsAssmtTool.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: 51	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Not-for-profit institutions, Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	51	51
Annual IC Time Burden (Hours)	102	102
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
SSA Prog Supp GenIC - Survey on LIHEAP IT Solutions	ADMIN_LIHEAP_ITSSFormativeSuppStmt_FY2025_fnl May2025.docx	08/25/2025
NOA - Survey on LIHEAP IT Solutions	NOA_OCS - LIHEAP IT Solutions_ProgSupp GenIC_0970-0531_6.9.25.pdf	08/25/2025

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