DEPARTMENT OF HEALTH AND HUMAN SERVICES
Administration for Children and Families
Submission for OMB Review; Comment Request
Title:
LIHEAP Quarterly Allocation Estimates, Form ACF–535.
OMB No.:
0970–0037.
Description:
The LIHEAP Quarterly Allocation Estimates, ACF Form-535 is a one-page form that is sent to 50 State grantees and to the District of Columbia. It is also sent to Tribal Government grantees that receive over $1 million annually for the Low Income Home Energy Assistance Program (LIHEAP). Grantees are asked to complete and submit the form in the 4th quarter of each year. The data collected on the form are grantees' estimates of obligations they expect to make each quarter for the upcoming fiscal year for the LIHEAP program. This is the only method used to request anticipated distributions of the grantees' LIHEAP funds. The information is used to develop apportionment requests to OMB and to make grant awards based on grantees' anticipated needs. Information collected on this form is not available through any other Federal source. Submission of the form is voluntary.
Respondents:
State Governments, and Tribal Governments that receive over $1 million annually, and the District of Columbia.
Annual Burden Estimates
Instrument
Number of respondents
Number of responses per respondent
Average burden hours per response
Total burden hours
LIHEAP Quarterly Allocation Estimates, Form ACF–535
52
1
.25
13
Estimated Total Annual Burden Hours:
13.
Additional Information:
Copies of the proposed collection may be obtained by writing to the Administration for Children and Families, Office of Planning, Research and Evaluation, 370 L'Enfant Promenade SW., Washington, DC 20447, Attn: ACF Reports Clearance Officer. All requests should be identified by the title of the information collection. Email address:
infocollection@acf.hhs.gov.
OMB Comment:
OMB is required to make a decision concerning the collection of information between 30 and 60 days after publication of this document in the
Federal Register
. Therefore, a comment is best assured of having its full effect if OMB receives it within 30 days of publication. Written comments and recommendations for the proposed information collection should be sent directly to the following: Office of Management and Budget, Paperwork Reduction Project, Email:
OIRA_SUBMISSION@OMB.EOP.GOV
, Attn: Desk Officer for the Administration for Children and Families.
Robert Sargis,
Reports Clearance Officer.