LIHEAP Performance Data Form - Part II Performance Measures

LIHEAP Performance Measures

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0449 can be found here:

Documents and Forms

Document Name Document Type
Form 1 LIHEAP Performance Data Form - Part II Performance Measures Form
LIHEAP Performance Data Form Instructions (6 4 14) DRAFT.docx Instruction
1 Performance Data Form Performance Data Form DRAFT 6 4 14.xlsx Form

Information Collection (IC) Details

IC Title:	LIHEAP Performance Data Form - Part II Performance Measures	Agency IC Tracking Number:	OCS

Is this a Common Form? No		IC Status: Removed

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	1	Performance Data Form	Performance Data Form DRAFT 6 4 14.xlsx		Yes	Yes	Fillable Printable
Instruction			LIHEAP Performance Data Form Instructions (6 4 14) DRAFT.docx		Yes	Yes	Fillable Printable

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 %

	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	-51	51
Annual IC Time Burden (Hours)	-5,100	5,100
Annual IC Cost Burden (Dollars)	-5,000,000	5,000,000

Documents for IC

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.