Information Collection Request
Low Income Home Energy Assistance Program (LIHEAP) Performance Data Form
ICR 202503-0970-011 · OMB 0970-0449 · Received in OIRA
Forms and Documents
| Document | Type | Status | Availability |
|---|---|---|---|
 Form 1 Energy Vendors (largest 5 electric, 5 natural gas, 10 fuel oil, and 10 propane vendors per state - average) - Modules II and III |
Form | Modified | Repair queued |
| Form 1 Sub-Grant Recipients (in states with sub-grant recipient managed systems) - Modules II and III |
Form | Modified | Repair queued |
| Form 1 State Grant Recipients - Modules II and III |
Form | Modified | Repair queued |
| Form 1 State Grant Recipients - Module I |
Form | Modified | Missing upstream |
 ADMIN_LIHEAP_Att1StatutoryLanguage_FY2024toFY2026 (002).docx |
Supplementary Document | Uploaded 2025-03-19 | Repair queued |
| ADMIN_LIHEAP_LPDFOMBSupStmt_States_FY2024toFY2026.docx |
Supporting Statement A | Uploaded 2025-03-18 | Repair queued |
IC Document Collections
| IC ID | Collection | Type | Status | Form |
|---|---|---|---|---|
| 230203 |  Energy Vendors (largest 5 electric, 5 natural gas, 10 fuel oil, and 10 propane vendors per state - average) - Modules II and III |
Form | Modified | |
| 230202 | Sub-Grant Recipients (in states with sub-grant recipient managed systems) - Modules II and III |
Form | Modified | |
| 230201 | State Grant Recipients - Modules II and III |
Form | Modified | |
| 230200 | State Grant Recipients - Module I |
Form | Modified |
ICR Details
| Status | Received in OIRA |
|---|---|
| Agency/Subagency | HHS/ACF |
| OMB Control No | 0970-0449 |
| Type of Information Collection | Reinstatement with change of a previously approved collection |
| Previous ICR Reference No | 202112-0970-006 |
| Agency Tracking No | OCS |
| Date Submitted to OIRA | 1969-12-31 |
| Requested Expiration Date | 1969-12-31 |