Low Income Household Water Assistance Program (LIHWAP) Water Landscape and Equity Research

Formative Data Collections for ACF Program Support

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0531 can be found here:

Documents and Forms

Document Name Document Type
Survey_PDF_12232022_2.pdf Other-Survey
TTA_LIHWAP_WSP Interview Questions_12142022.docx Other-Interview Script
TTA_LIHWAP_SSA - Formative for ACF Program Support_12272022_final.docx Supporting Statement A IC Document
TTA_LIHWAP_SSB - Formative for ACF Program Support_12272022_final.docx Supporting Statement B IC Document

Information Collection (IC) Details

IC Title:	Low Income Household Water Assistance Program (LIHWAP) Water Landscape and Equity Research	Agency IC Tracking Number:

IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Survey			Survey_PDF_12232022_2.pdf		Yes	Yes	Fillable Fileable
Other-Interview Script			TTA_LIHWAP_WSP Interview Questions_12142022.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: 580	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Previously Approved
Annual Number of Responses for this IC	580	580
Annual IC Time Burden (Hours)	290	290
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Supporting Statement A	TTA_LIHWAP_SSA - Formative for ACF Program Support_12272022_final.docx	02/22/2023
Supporting Statement B	TTA_LIHWAP_SSB - Formative for ACF Program Support_12272022_final.docx	02/22/2023

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