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Federal forms, ICRs, and supporting documents

Information Collection Request

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

ICR 202508-0970-006 · OMB unassigned · Active

Forms and Documents
DocumentTypeStatusAvailability
Form 1 Carryover Report Form Form Modified Available
ADMIN_LIHEAP_CORptOMBSS_FY2025_fnl.docx Supporting Statement A Uploaded 2025-08-14 Available
IC Document Collections
IC IDCollectionTypeStatusForm
9841 Low Income Home Energy Assistance Program (LIHEAP) Carryover and Reallotment Report Form ModifiedCarryover Report Form
9841 Low Income Home Energy Assistance Program (LIHEAP) Carryover and Reallotment Report Instruction Modified
ICR Details
0970-0106 202508-0970-006
Active 202407-0970-004
HHS/ACF OCS
Low Income Home Energy Assistance Program (LIHEAP) Carryout and Reallotment Report
Reinstatement with change of a previously approved collection   No
Regular
Approved without change 09/22/2025
Retrieve Notice of Action (NOA) 08/19/2025
  Inventory as of this Action Requested Previously Approved
09/30/2028 36 Months From Approved
188 0 0
564 0 0
0 0 0
The federal Low Income Home Energy Assistance Program (LIHEAP) statute requires the Department of Health and Human Services (HHS) to collect data annually from all LIHEAP grant recipients regarding the status of obligated and unobligated funding (42 U.S.C. § 8626). The Administration for Children and Families (ACF), which is the agency in HHS that administers LIHEAP, shall not make payment to a grant recipient for a fiscal year (FY) unless the grant recipient has complied with this reporting requirement with respect to the prior fiscal year. The amount held available from a prior FY may not exceed 10% of the funds awarded for that FY [42 U.S.C. § 826(b)(2)(B)]. Funds exceeding 10% shall be reallotted in the following FY to all LIHEAP grant recipients [42 U.S.C. § 8626(b)(1)(C)]. ACF collects the amounts of unobligated funding from LIHEAP grant recipients on the LIHEAP Carryover and Reallotment Report (CRR). According to HHS block grant regulations at 45 CFR § 96.81, the CRR must contain the following information: (1) The amount of funds that the grant recipient requests to hold available for obligation in the following fiscal year, not to exceed 10% of the funds payable to the grant recipient; (2) a statement of the reasons that this amount to remain available will not be used in the fiscal year for which it was allotted; (3) a description of the types of assistance to be provided with the amount held available; and (4) the amount of funds, if any, to be subject to reallotment. The form as approved includes three lines that cover unobligations from the following sources: (1) regular LIHEAP funds, including those reallotted from the prior year; (2) supplemental funds from the Infrastructure Investment and Jobs Act (IIJA) [Public Law (Pub. L.) 117-58]; and (3) supplemental funds from other sources. The proposed changes include the addition of three lines covering awards from the same sources and minor updates to numbering and wording.
PL: Pub.L. 117 - 58 TITLE VII Name of Law: Infrastructure Investment and Jobs Act
   PL: Pub.L. 117 - 2 2911 Name of Law: American Rescue Plan Act of 2021 (ARPA)
   PL: Pub.L. 97 - 35 2607(b) Name of Law: Omnibus Ronconciliation Act of 1981
   US Code: 42 USC 8626(b)(2)(B) Name of Law: Omnibus Ronconciliation Act of 1981
  
None
Not associated with rulemaking
  90 FR 25048 06/13/2025
90 FR 40367 08/19/2025
No
1
IC Title Form No. Form Name
Low Income Home Energy Assistance Program (LIHEAP) Carryover and Reallotment Report 1 Carryover Report Form
  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 188 0 0 188 0 0
Annual Time Burden (Hours) 564 0 0 564 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
This request is for an extension with minor changes to the most recently approved report and instructions. The estimated number of respondents has been updated reflect the expected number of submitting parties, resulting in an overall increase in the estimated annual burden hours.
$21,717
No
    No
    No
No
No
No
Yes
Molly Buck 202 205-4724 [email protected]
  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.
08/19/2025