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Federal forms, ICRs, and supporting documents

Information Collection Request

Low Income Home Energy Assistance Program (LIHEAP) Leveraging Report

ICR 200005-0970-001 · OMB 0970-0121 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC IDCollectionTypeStatusForm
9856 Low Income Home Energy Assistance Program (LIHEAP) Leveraging Report Form Migrated
ICR Details
0970-0121 200005-0970-001
Historical Active 199612-0970-001
HHS/ACF
Low Income Home Energy Assistance Program (LIHEAP) Leveraging Report
Reinstatement with change of a previously approved collection   No
Regular
Approved without change 07/05/2000
Retrieve Notice of Action (NOA) 05/10/2000
  Inventory as of this Action Requested Previously Approved
07/31/2003 07/31/2003
70 0 0
2,660 0 0
0 0 0
This information is needed to carry out statutory requirements for administering the LIHEAP leveraging incentive program--to determine countability and valuation of grantees' leveraging home energy resources, and to determine grantees' share of leveraging incentive funds. Respondents are states, Indian tribes and tribal organizations, and territories. Participation in the leveraging incentive program is voluntary.
None
None
No
1
IC Title Form No. Form Name
Low Income Home Energy Assistance Program (LIHEAP) Leveraging Report ACF-119
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 70 0 0 70 0 0
Annual Time Burden (Hours) 2,660 0 0 2,660 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
No
$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected
  No
On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
05/10/2000