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DEO LIHEAP Policies and Procedures Manual Page 59

Part 1500 -- Quarterly and Annual Reporting .01 LIHEAP Annual Household Report This report is currently collected via an Excel spreadsheet. It is due by November 15 of each year. Subrecipients must report out on the following information: A. Total number of assisted households B. Total number of unduplicated assisted households C. Total number of assisted households per poverty category (under 50%, over 50% but less than 75%, at least 75% but no more than 100%, over 100% but no more than 125%, over 125%- but no more than 150%, over 150%) D. Total number of assisted households per demographic (60 years or older, disabled, child 5 and under) E. Total number of assisted households with children 2 years or younger and children 3-5 years F. Number of Applicant Households per poverty category .02 LIHEAP Annual Performance Measures Report A. This report is currently collected via an Excel spreadsheet and is NEW data that subrecipients must begin collecting as of the first day of the new Federal Fiscal Year (October 1st), to be first reported on an annual basis by November 15th after the end of that Federal Fiscal Year. Subrecipients must report out on the following information for each household served: 1. Client name and customer name on the account (if not the client) 2. Service address 3. Total annual LIHEAP benefit per household 4. Total average annual income per household 5. Vendor name 6. Utility account number 7. Waiver signed by client and/or customer of record 8. If LIHEAP prevented disconnection 9. If LIHEAP restored energy already disconnected