Low Income Household Water Assistance Program (LIHWAP) Grantee Forecast

Generic for ACF Program Monitoring Activities

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Document Name Document Type
Form 1 Low Income Household Water Assistance Program (LIHWAP) Grantee Forecast Form
Form 1 Low Income Household Water Assistance Program (LIHWAP) Grantee Forecast Form
LIHWAP Forecast Instructions_Submission for Monitoring Generic _1104 cc.docx Instruction
LIHWAP Forecast Instructions_Submission for Monitoring Generic _1104 cc.docx Instruction
1 LIHWAP Forecast LIHWAP Forecast 11.15.22.xlsx Form
1 LIHWAP Forecast LIHWAP Forecast 11.15.22.xlsx Form
LIHWAP Forecast_Submission for Monitoring Generic _1104 cc.docx Monitoring GenIC Submission Form - LIHWAP Grantee Forecast IC Document
LIHWAP Forecast_Submission for Monitoring Generic _1104 cc.docx Monitoring GenIC Submission Form - LIHWAP Grantee Forecast IC Document

Information Collection (IC) Details

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:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	1	LIHWAP Forecast	LIHWAP Forecast 11.15.22.xlsx		Yes	Yes	Fillable Fileable
Instruction			LIHWAP Forecast Instructions_Submission for Monitoring Generic _1104 cc.docx		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: 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 %

	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

Title	Document	Date Uploaded
Monitoring GenIC Submission Form - LIHWAP Grantee Forecast	LIHWAP Forecast_Submission for Monitoring Generic _1104 cc.docx	11/15/2022

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