2024-28152. Proposed Information Collection Activity; Low Income Home Energy Assistance Program (LIHEAP) Performance Data Form (Office of Management and Budget #0970-0449)

Annual Burden Estimates

LIHEAP performance data form	Total number of respondents	Annual number of responses per respondent	Average burden hours per response	Annual burden hours
State Grant Recipients—Module I	51	1	30	1,530
State Grant Recipients—Modules II and III	51	1	158.6	8,088.6
Sub-Grant Recipients (in States with sub-grant recipient managed systems)—Modules II and III	100	1	6.3	630
Energy Vendors (largest 5 electric, 5 natural gas, 10 fuel oil, and 10 propane vendors per State-average)—Modules II and III	1,530	1	8.5	13,005