Energy Vendors (largest 5 electric, 5 natural gas, 10 fuel oil, and 10 propane vendors per state - average) - Modules II and III

Low Income Home Energy Assistance Program (LIHEAP) Performance Data Form

OMB: 0970-0449

IC ID: 230203

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Energy Vendors (largest 5 electric, 5 natural gas, 10 fuel oil, and 10 propane vendors per state - average) - Modules II and III
 
No Modified
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 1 LIHEAP Performance Data ADMIN_LIHEAP_OMBSSAtt2Form_FY2021.xlsx Yes Yes Fillable Fileable
Instruction LIHEAP Performance Data Form Instructions – CLEAN.docx Yes Yes Fillable Printable

Community and Social Services Social Services

 

1,530 0
   
Private Sector Businesses or other for-profits
 
   100 %

  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 1,530 0 1,530 0 0 0
Annual IC Time Burden (Hours) 13,005 0 13,005 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
LPDF Pop Up Instructions ADMIN_LIHEAP_LPDFPopupInstrs_FY2021.docx 12/13/2021
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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