THE PAPERWORK REDUCTION ACT OF 1995 (Pub. L. 104-13)Use of this model plan is optional. However, the information requested is required in order to receive a Low Income Home Energy Assistance Program (LIHEAP) grant.Public reporting burden for this collection of information is estimated to average 1 hour per response, including the time for reviewing instructions, gathering and maintaining the data needed, and reviewing the collection of information. An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB control number. Section 1 Program Components Program Components, 2605(a), 2605(b)(1) - Assurance 1, 2605(c)(1)(C) 1.1 Check which components you will operate under the LIHEAP program. (Note: You must provide information for each component designated here as requested elsewhere in this plan.) Dates of Operation Start Date End Date Heating assistance 01/20/2026 03/31/2026 Cooling assistance Summer crisis assistance Winter crisis assistance 01/20/2026 03/31/2026 Year-round crisis assistance Weatherization assistance 04/01/2026 09/30/2026 Provide further explanation for the dates of operation, if necessary Kansas elects to run its heating only program starting the day after the Martin Luther King, Jr. holiday (January 20, 2026) and running through the last business day of March 2026. Estimated Funding Allocation, 2604(C), 2605(k)(1), 2605(b)(9), 2605(b)(16) - Assurances 9 and 16 1.2 Estimate what amount of available LIHEAP funds will be used for each component that you will operate: The total of all percentages must add up to 100%. Percentage ( % ) Prior year totals Heating assistance 65.00% 65.00% Cooling assistance 0.00% 0.00% Summer crisis assistance 0.00% 10.00% Winter crisis assistance 10.00% 0.00% Year-round crisis assistance 0.00% 0.00% Weatherization assistance 15.00% 15.00% Carryover to the following federal fiscal year 0.00% 0.00% Administrative and planning costs 10.00% 10.00% Services to reduce home energy needs including needs assessment (Assurance 16) 0.00% 0.00% Used to develop and implement leveraging activities 0.00% 0.00% TOTAL 100.00% 100.00% Tribal grant recipients: direct-grant tribes, tribal organizations, or territories with allotments of $20,000 or less may use for planning and administration up to 20% of the funds payable. Grant recipients that are direct grant tribes, tribal organizations, or territories with allotments over $20,000 may use for planning and administration purposes up to 20% of the first $20,000 (or $4,000) plus 10% of the funds payable that exceeds $20,000. Any administrative costs in excess of these limits must be paid from non-federal sources. Alternate Use of Crisis Assistance Funds, 2605(c)(1)(C) 1.3 The funds reserved for winter crisis assistance that have not been expended by March 15 will be reprogrammed to: Heating assistance Cooling assistance Weatherization assistance Other (specify:) Categorical Eligibility, 2605(b)(2)(A) - Assurance 2, 2605(c)(1)(A), 2605(b)(8A) - Assurance 8 1.4 Do you consider households categorically eligible if at least one household member receives at least one of the following categories of benefits in the left column below? Yes No If you answered "Yes" to question 1.4, you must complete the table below and answer questions 1.5 and 1.6. Heating Cooling Crisis Weatherization TANF Yes No Yes No Yes No Yes No SSI Yes No Yes No Yes No Yes No SNAP Yes No Yes No Yes No Yes No Means-tested Veterans Programs Yes No Yes No Yes No Yes No 1.4a. Provide your definition of categorical eligibility. Please explain how households are categorically eligible (i.e, do all household members need to receive the benefits or just one member, is there a data exchange in place?) and how categorical eligibility streamlines the LIHEAP application process. If a household member receives one of the benefits listed above, they are considered income eligible, and we use the income already verified through that program for the LIEAP case. Kansas has a shared eligibility system, so we have access to the clients TANF and SNAP case as well has an interface with SSA to determine if they receive SSI. 1.5 Do you automatically enroll households without a direct annual application? Yes No If Yes, explain: We auto approve households if they meet certain criteria including age (62+), income type i.e., Social Security that results in fixed income, same address, and vendors from the prior year. Auto approval can only occur for three years after actual submission of an application before another application is required. 1.6 How do you ensure there is no difference in the treatment of categorically eligible households from those not receiving other public assistance when determining eligibility and benefit amounts? Weatherization follows DOE's categorical eligibility. There is no difference in weatherization services or treatment. DCF uses the same calculations for income and benefit amounts across all LIEAP cases. We have aligned LIEAP income to be counted the same way as we do for TANF/SNAP cases as well, so whether we use the income from their TANF/SNAP case or we use the income provided from the LIEAP application (for non-categorical eligible), all income is calculated the same for the LIEAP case. SNAP Nominal Payments 1.7a Do you allocate LIHEAP funds toward a nominal payment for SNAP households? Yes No If you answered "Yes" to question 1.7a, you must provide a response to questions 1.7b, 1.7c, and 1.7d. 1.7b Amount of Nominal Assistance: $0.00 1.7c Frequency of Assistance Once Per Year Once every five years Other - Describe: 1.7d How do you confirm that the household receiving a nominal payment has an energy cost or need? Determination of Eligibility - Countable Income 1.8. In determining a household's income eligibility for LIHEAP, do you use gross income or net income? Gross Income Net Income Other - Describe 1.9. Select all the applicable forms of countable income used to determine a household's income eligibility for LIHEAP Wages Self - Employment Income Contract Income Payments from mortgage or Sales Contracts Unemployment insurance Strike Pay Social Security Administration (SSA ) benefits Including MediCare deduction Excluding MediCare deduction Supplemental Security Income (SSI ) Retirement / pension benefits General Assistance benefits Temporary Assistance for Needy Families (TANF) benefits Loans that need to be repaid Cash gifts Savings account balance One-time lump-sum payments, such as rebates/credits, winnings from lotteries, refund deposits, etc. Jury duty compensation Rental income Income from employment through Workforce Investment Act (WIA) Income from work study programs Alimony Child support Interest, dividends, or royalties Commissions Legal settlements Insurance payments made directly to the insured Insurance payments made specifically for the repayment of a bill, debt, or estimate Veterans Administration (VA) benefits Earned income of a child under the age of 18 Balance of retirement, pension, or annuity accounts where funds cannot be withdrawn without a penalty. Income tax refunds Stipends from senior companion programs, such as VISTA Funds received by household for the care of a foster child Ameri-Corp Program payments for living allowances, earnings, and in-kind aid Reimbursements (for mileage, gas, lodging, meals, etc.) Other If any of the above questions require further explanation or clarification that could not be made in the fields provided, attach a document with said explanation here. 1.10 Do you have an online application process Yes No 1.10a If yes, describe the type of online application (Select all boxes that apply) A PDF version of the application is available online and can be downloaded, filled out and mailed in for processing. A state-wide online application that allows a customer to complete data entry and submit an application electronically for processing. One or more locally available online applications that allows a customer to complete data entry and submit an application electronically for processing. Online application that is also mobile friendly Other, please describe Please include a link(s) to a statewide application, if available: www.dcfapp.kees.ks.gov 1.10b Can all program components be applied for online? Yes No If no, explain which components can and cannot be applied for online. 1.11 Do you have a process for conducting and completing applications by phone Yes No 1.12 Do you or any of your subrecipients require in person appointments in order to apply Yes No If yes, please provide more information regarding why in-person appointments are required and in what circumstances they are required. 1.13 How can applicants submit documentation for verification? Select all that apply: In-person Mail Email Portal application Other, please describe fax Hidden for Section 1

LIEAP Benefits Matrix Benefit Adjustment @ 80% Natural Gas Household Size 1-4 Household Size 5 and Over Natural Gas Household Size 1-4 Household Size 5 and Over House House House House One-Month Utility Modular Trailer Modular Trailer One-Month Utility Modular Trailer Modular Trailer Income Range Mobil Duplex Apt Other Mobil Duplex Apt Other Income Range Mobil Duplex Apt Other Mobil Duplex Apt Other 0 - 899 A 603 452 302 151 689 517 345 172 0 - 899 A 482 362 241 121 551 413 276 138 B 731 548 366 183 836 627 418 209 B 585 439 292 146 669 502 334 167 C 828 621 414 207 948 711 474 237 C 662 497 331 166 758 569 379 190 D 866 650 433 217 991 743 496 248 D 693 520 346 173 793 595 396 198 E 886 665 443 222 1,013 760 507 253 E 709 532 354 177 810 608 405 203 F 886 665 443 222 1,014 761 507 254 F 709 532 354 177 811 608 406 203 G 947 710 474 237 1,084 813 542 271 G 758 568 379 189 867 650 434 217 H 1,042 782 521 261 1,193 895 597 298 H 834 625 417 208 954 716 477 239 I 1,151 863 576 288 1,316 987 658 329 I 921 691 460 230 1,053 790 526 263 J 1,420 1,065 710 355 1,624 1,218 812 406 J 1,136 852 568 284 1,299 974 650 325 900 - 1,199 A 543 407 271 136 620 465 310 155 900 - 1,199 A 434 326 217 109 496 372 248 124 B 658 493 329 164 752 564 376 188 B 526 395 263 132 602 451 301 150 C 745 559 373 186 853 640 427 213 C 596 447 298 149 683 512 341 171 D 779 585 390 195 892 669 446 223 D 624 468 312 156 714 535 357 178 E 797 598 399 199 912 684 456 228 E 638 478 319 159 729 547 365 182 F 797 598 399 199 913 684 456 228 F 638 478 319 159 730 548 365 183 G 852 639 426 213 976 732 488 244 G 682 511 341 170 780 585 390 195 H 938 703 469 234 1,074 805 537 268 H 750 563 375 188 859 644 429 215 I 1,036 777 518 259 1,184 888 592 296 I 829 622 414 207 948 711 474 237 J 1,278 959 639 320 1,462 1,096 731 365 J 1,022 767 511 256 1,169 877 585 292 1,200 - 1,699 A 482 362 241 121 551 413 276 138 1,200 - 1,699 A 386 289 193 96 441 331 220 110 B 585 439 292 146 669 502 334 167 B 468 351 234 117 535 401 268 134 C 662 497 331 166 758 569 379 190 C 530 397 265 132 607 455 303 152 D 693 520 346 173 793 595 396 198 D 554 416 277 139 634 476 317 159 E 709 532 354 177 810 608 405 203 E 567 425 284 142 648 486 324 162 F 709 532 354 177 811 608 406 203 F 567 425 284 142 649 487 324 162 G 758 568 379 189 867 650 434 217 G 606 455 303 152 694 520 347 173 H 834 625 417 208 954 716 477 239 H 667 500 333 167 764 573 382 191 I 921 691 460 230 1,053 790 526 263 I 737 552 368 184 842 632 421 211 J 1,136 852 568 284 1,299 974 650 325 J 909 682 454 227 1,039 780 520 260 1,700 & over A 422 317 211 106 482 362 241 121 1,700 & over A 338 253 169 84 386 289 193 96 B 512 384 256 128 585 439 293 146 B 409 307 205 102 468 351 234 117 C 580 435 290 145 664 498 332 166 C 464 348 232 116 531 398 265 133 D 606 455 303 152 694 520 347 173 D 485 364 242 121 555 416 277 139 E 620 465 310 155 709 532 355 177 E 496 372 248 124 567 425 284 142 F 620 465 310 155 710 532 355 177 F 496 372 248 124 568 426 284 142 G 663 497 331 166 759 569 379 190 G 530 398 265 133 607 455 304 152 H 729 547 365 182 835 626 418 209 H 584 438 292 146 668 501 334 167 I 806 604 403 201 921 691 461 230 I 645 483 322 161 737 553 368 184 J 994 746 497 249 1,137 853 568 284 J 795 596 398 199 909 682 455 227