Information Collection

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

IC 277219 under ICR 202611-0970-004 · OMB 0970-0531.

Documents and Forms

Documents and forms in this information collection
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

IC Title:

Agency IC Tracking Number:

OCS

IC Status: Modified

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	Previously Approved
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.

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