Low-Income Home Energy Assistance Program (LIHEAP) Household Report

Forms and Documents

Document Name	Status

No forms / supporting documents in this ICR. Check IC Document Collections.

IC Document Collections

IC ID	Document Title	Status
9823	Low-Income Home Energy Assistance Program (LIHEAP) Household Report	Migrated

ICR Details

OMB Control No: 0970-0060	ICR Reference No: 199704-0970-002
Status: Historical Active	Previous ICR Reference No: 199209-0970-001
Agency/Subagency: HHS/ACF	Agency Tracking No:
Title: Low-Income Home Energy Assistance Program (LIHEAP) Household Report
Type of Information Collection: Reinstatement with change of a previously approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 06/18/1997
	Date Received in OIRA: 04/22/1997
Terms of Clearance: This collection is approved on the following conditions: (1) ACF continue to allow grantees flexibility to determine the format in which to submit reports. Note that ACF still may define terms as specified in the information collection package. (2) ACF delete the requested data (item 4) under the Assisted Household Long Form on the basis that the information lacks practical utility. (3) ACF agrees to resolicit comments on the use of poverty levels rather than income levels and report the results to OMB by 5/98.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	06/30/2000	06/30/2000
Responses	183	0	0
Time Burden (Hours)	2,107	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: The data are needed to comply with statutory requirements and congressional requests for data under the Human Services Amendments of 1994 (Pub. L. 103-252). The data will be included as part of the Department's annual LIHEAP report to Congress. The data may be used as possible performance measures under the Government Performance Results Act of 1993. The respondents include States, direct-grant Indian tribes and tribal organizations, and insular areas which receive LIHEAP grants from the Department. The reports provide basic oversight data.

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Authorizing Statute(s): None

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:

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Federal Register Notices & Comments

Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Low-Income Home Energy Assistance Program (LIHEAP) Household Report

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ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	183	0	0	183	0	0
Annual Time Burden (Hours)	2,107	0	0	2,107	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $0

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? Uncollected

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 04/22/1997

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