Information Collection

Low Income Household Water Assistance Program (LIHWAP) Grantee Forecast

IC 262709 under ICR 202604-0970-003 · OMB 0970-0558.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0558 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 LIHWAP Forecast Low Income Household Water Assistance Program (LIHWAP) Grantee Forecast	Form
LIHWAP Forecast Instructions_Submission for Monitoring Generic _Clean.docx	Instruction
1 LIHWAP Forecast Updated July 2023_LIHWAP Forecast_FY2023 (Not 508-compliant).xlsx	Form
LIHWAP Forecast_Submission for Monitoring Generic _1104 cc.docx Monitoring GenIC Submission Form - LIHWAP Grantee Forecast	IC Document
NOA_NonSub Chg_LIHWAP Grantee Forecast_0970-0558_8.1.23.pdf NOA NonSub Change - LIHWAP Grantee Forecast (Dates)	IC Document
NOA_LIHWAP Grantee Forecast_0970-0558_1.30.23.pdf NOA - LIHWAP Grantee Forecast	IC Document

IC Title:

Low Income Household Water Assistance Program (LIHWAP) Grantee Forecast

Agency IC Tracking Number:

OCS

IC Status: Unchanged

Obligation to Respond: Mandatory

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
Form	1				Yes	Yes	Fillable Fileable
Instruction					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: 152

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	Previously Approved
Annual Number of Responses for this IC	152	152
Annual IC Time Burden (Hours)	304	304
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Monitoring GenIC Submission Form - LIHWAP Grantee Forecast		10/05/2023
NOA NonSub Change - LIHWAP Grantee Forecast (Dates)		10/05/2023
NOA - LIHWAP Grantee Forecast		10/05/2023

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

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