LIHEAP Forms and Funding Applications

Publication Date: April 25, 2012

All forms for LIHEAP must be submitted through the On-Line Data Collection (OLDC) System Visit disclaimer page
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Form

Due Date

   Instructions

Guidance

Model Plan

September 1

 -

LIHEAP Action Transmittal 2020-04

Household Report — Long Form (for state and territory grantees)

Estimates:
November 30

Final:
December 31

Instructions for the Household Report - Long Form

LIHEAP Action Transmittal 2020-06

Household Report — Short Form (for tribal grantees)

Estimates:
November 30

Final:
December 31

Instructions for the Household Report - Short Form

LIHEAP Action Transmittal 2020-06

Carryover and Reallotment Report

Estimates:
October 30

Final:
December 31

Instructions for the FY 2020 Carryover and Reallotment Report

LIHEAP Action Transmittal 2020-05

LIHEAP Performance Data Form

January 31, 2021

Instructions for the Performance Data Form

LIHEAP Action Transmittal 2020-07

Federal Financial Report 

December 31

-

-

Leveraging Report

N/A

-

-
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