Quarterly Performance and Management Report for LIHWAP (FY 2022)

Low Income Household Water Assistance Program (LIHWAP) Reports

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0578 can be found here:

Documents and Forms

Document Name Document Type
Form FY22 Quarterly Performance and Management Report for LIHWAP (FY 2022) Form
1a. LIHWAP_Quarterly_Report_Instructions_FY2022.docx Instruction
1a. LIHWAP_Quarterly_Report_Instructions_FY2022.docx Instruction
FY22 LIHWAP Quarterly Report FY22 1b. rpt_lihwap_quarterly-report_fy2022_LOCKED_REVISED_v4.xlsx Form
FY22 LIHWAP Quarterly Report FY22 1b. rpt_lihwap_quarterly-report_fy2022_LOCKED_REVISED_v4.xlsx Form

Information Collection (IC) Details

IC Title:	Quarterly Performance and Management Report for LIHWAP (FY 2022)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	FY22	LIHWAP Quarterly Report FY22	1b. rpt_lihwap_quarterly-report_fy2022_LOCKED_REVISED_v4.xlsx		Yes	Yes	Fillable Fileable
Instruction			1a. LIHWAP_Quarterly_Report_Instructions_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: 157	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Farms

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	628	628
Annual IC Time Burden (Hours)	8,164	8,164
Annual IC Cost Burden (Dollars)	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.