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LIHEAP Forms and Funding Applications

Published: April 25, 2012
Audience:
Low Income Home Energy Assistance Program (LIHEAP)
Category:
Prospective Grantees/ Applying for a grant, Guidance, Policies, Procedures

Form

Due Date

Submit To:

   Instructions

AT or IM

Model Plan

September 1

On-Line Data Collection

Application Reminders

 

AT on Model Plans

Household Report – Long Form
 

September 1

On-Line Data Collection

DOC 218KB

AT on Household Report Submission

Household Report – Short Form
 

September 1

On-Line Data Collection

DOC 218KB

AT on Household Report Submission

Leveraging Report Form DOC 67KB

November 30

On-Line Data Collection

 DOC 63KB

AT on Submission of Leveraging Reports

Carryover and Reallotment Report

August 1

On-Line Data Collection

DOC 28KB

AT - DOC 28KB

Quarterly Obligation Estimates--Form ACF-535 XLS 21KB

September 1

On-Line Data Collection

-

LIHEAP Action Transmittal

REACH Model Plan
DOC 79KB)

March 31

On-Line Data Collection

-

AT on REACH

LIHEAP Grantee Survey Form XLS 58KB

December 15

On-Line Data Collection

DOC 92KB

AT on Grantee Survey

Standard Form 425 PDF 108KB

-

Lydia.peele@acf.hhs.gov or On-Line Data Collection 

General Instructions for completing the SF 425

Request OLDC Access - Form and Instructions

LIHEAP Action Transmittal