Information Collection

Day of Service Application Instructions

IC 223904 under ICR 202602-3045-006 · OMB 3045-0180.

Documents and Forms

Document Name Document Type
Form DOS-2026 Days of Service Grant Application Instructions Day of Service Application Instructions Form and Instruction
DOS-2026 Days of Service Grant Application Instructions DOS Application 2026.docx Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Day of Service Application Instructions	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	DOS-2026	Days of Service Grant Application Instructions	DOS Application 2026.docx	egrants	Yes	Yes	Fillable Fileable

Line of Business: Community and Social Services

Subfunction: Community and Regional Development

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 70	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	70	0	70
Annual IC Time Burden (Hours)	1,400	0	1,400
Annual IC Cost Burden (Dollars)	67,270	66,293	977

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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