Information Collection

Low Income Home Energy Assistance Program (LIHEAP) Carryout and Reallotment Report

IC 9841 under ICR 202204-0970-018 · OMB 0970-0106.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0106 can be found here:

Documents and Forms

Document Name Document Type
Form 1 Low Income Home Energy Assistance Program (LIHEAP) Carryout and Reallotment Report Form
GDL_LIHEAP_CORptFullInstrs_FY2022.docx Instruction
GDL_LIHEAP_CORptFullInstrs_FY2022.docx Instruction
1 Carryover Report Form ADMIN_LIHEAP_CORptForRenewal_FY2022.docx Form
1 Carryover Report Form ADMIN_LIHEAP_CORptForRenewal_FY2022.docx Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Low Income Home Energy Assistance Program (LIHEAP) Carryout and Reallotment Report	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 34 CFR 45

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	1	Carryover Report Form	ADMIN_LIHEAP_CORptForRenewal_FY2022.docx		Yes	Yes	Fillable Fileable
Instruction			GDL_LIHEAP_CORptFullInstrs_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: 206	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	206	2	204
Annual IC Time Burden (Hours)	1,442	14	1,428
Annual IC Cost Burden (Dollars)	0	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.