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PLAN (first year-FY 2015)
Application Requirements for the Low Income Home Energy Assistance Program (LIHEAP) Model Plan
OMB: 0970-0075
IC ID: 211408
OMB.report
HHS/ACF
OMB 0970-0075
ICR 201708-0970-008
IC 211408
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0075 can be found here:
2024-02-27 - No material or nonsubstantive change to a currently approved collection
2024-01-19 - Reinstatement with change of a previously approved collection
Documents and Forms
Document Name
Document Type
no available documents/forms check other ICs listed under this ICR
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
PLAN (first year-FY 2015)
Agency IC Tracking Number:
OCS
Is this a Common Form?
No
IC Status:
Removed
Obligation to Respond:
Required to Obtain or Retain Benefits
CFR Citation:
45 CFR 96.10
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Federal Enterprise Architecture Business Reference Module
Line of Business:
Community and Social Services
Subfunction:
Social Services
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
210
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
0 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
0
0
-210
0
0
210
Annual IC Time Burden (Hours)
0
0
-420
0
0
420
Annual IC Cost Burden (Dollars)
0
0
0
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.