Information Collection

2024-2025 LIHEAP RECS Data Match

IC 220917 under ICR 202604-0970-011 · OMB 0970-0486.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 2024-2025 LIHEAP RECS Data Match 2024-2025 LIHEAP RECS Data Match	Form
COMM_LIHEAP_RECSDataMatchAT_FY2024_OMB Apr 2026.docx	Instruction
1 2024-2025 LIHEAP RECS Data Match COMM_LIHEAP_RECSDataMatchDataSpecs_States_FY2024_OMB Apr 2026.docx	Form

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

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 Printable
Instruction					Yes	Yes	Printable Only

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: State, Local, and Tribal Governments

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)	816	816
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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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