Information Collection

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

IC 277219 under ICR 202508-0970-009 · OMB 0970-0531.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0531 can be found here:

Documents and Forms

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

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:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Survey					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: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	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

table that charts IC Documents
Title	Document	Date Uploaded
SSA Prog Supp GenIC - Survey on LIHEAP IT Solutions		08/25/2025
NOA - Survey on LIHEAP IT Solutions		08/25/2025

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

Something went wrong when downloading this file. If you have any questions, please send an email to [email protected].