| OMB #: 0970-0558 Expiration Date: 11/30/2023 |
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| Section I. Current Expenditures | |||||||||||||||
| CAA Award | CAA Award Spent | CAA Award Remaining | ARPA Award | ARPA Award Spent | ARPA Award Remaining | Total LIHWAP Amount Spent | Total Percent Spent as of [insert date] | Avg burn through rate per month | Total amount leftover at current rate | ||||||
| Section II. CAA Forecasted Expenditures (forecast the remaining portion of LIHWAP funding only) |
CAA | ||||||||||||||
| January 2023 | February 2023 | March 2023 | April 2023 | May 2023 | June 2023 | July 2023 | August 2023 | September 2023 | October 2023 | November 2023 | December 2023 | January 2024 | February 2024 | March 2024 | Total |
| $- | |||||||||||||||
| Section III. ARPA Forecasted Expenditures (forecast the remaining portion of LIHWAP funding only) |
ARPA | ||||||||||||||
| January 2023 | February 2023 | March 2023 | April 2023 | May 2023 | June 2023 | July 2023 | August 2023 | September 2023 | October 2023 | November 2023 | December 2023 | January 2024 | February 2024 | March 2024 | Total |
| $- | |||||||||||||||
| Remarks: | |||||||||||||||
| PAPERWORK REDUCTION ACT OF 1995 (Pub. L. 104-13) STATEMENT OF PUBLIC BURDEN: The purpose of this information collection is to gain an understanding of the expenditure rate at which LIHWAP grant recipients intend to obligate the remining portions of their LIHWAP budget in order to forecast the potential for LIHWAP funds to remain unobligated at the end of the no cost extension period, March 31, 2024. The Office of Community Services will use this information to target training and technical assistance and to implement procedures that support the maximum amount of LIHWAP funding being spent on benefit payments for eligible households. Public reporting burden for this collection of information is estimated to average two hours per grantee, including the time for reviewing instructions, gathering and maintaining the data needed, and reviewing the collection of information. This is a mandatory collection of information under the authority of the American Rescue Plan Act of 2021 and the Consolidated Appropriations Act of 2021. An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information subject to the requirements of the Paperwork Reduction Act of 1995, unless it displays a currently valid OMB control number. The OMB # is 0970-0558 and the expiration date is 11/23/2023. If you have any comments on this collection of information, please contact Olivia Barfield, Program Specialist, olivia.barfield@acf.hhs.gov. | |||||||||||||||
| File Type | application/vnd.openxmlformats-officedocument.spreadsheetml.sheet |
| File Modified | 0000-00-00 |
| File Created | 0000-00-00 |