Quarterly Performance and Management Report for LIHWAP (FY 2022)

Low Income Household Water Assistance Program (LIHWAP) Reports

Documents and Forms

Document Name Document Type
Form FY22 Quarterly Performance and Management Report for LIHWAP (FY 2022) Form
1a. LIHWAP_Quarterly_Report_Instructions_FY2022.docx Instruction
1a. LIHWAP_Quarterly_Report_Instructions_FY2022.docx Instruction
FY22 LIHWAP Quarterly Report FY22 1b. rpt_lihwap_quarterly-report_fy2022_LOCKED_REVISED_v4.xlsx Form
FY22 LIHWAP Quarterly Report FY22 1b. rpt_lihwap_quarterly-report_fy2022_LOCKED_REVISED_v4.xlsx Form

Information Collection (IC) Details

IC Title:	Quarterly Performance and Management Report for LIHWAP (FY 2022)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Unchanged

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	FY22	LIHWAP Quarterly Report FY22	1b. rpt_lihwap_quarterly-report_fy2022_LOCKED_REVISED_v4.xlsx		Yes	Yes	Fillable Fileable
Instruction			1a. LIHWAP_Quarterly_Report_Instructions_FY2022.docx		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: 157	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Farms, Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	628	628
Annual IC Time Burden (Hours)	8,164	8,164
Annual IC Cost Burden (Dollars)	0	0

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.