Information Collection

Day of Service Application Instructions

IC 223904 under ICR 202301-3045-005 · OMB 3045-0180.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3045-0180 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form DOS-2023 Day of Service Application Instructions	Form and Instruction
Days of Service Application REDLINED 2020 to 2023.docx	Other-Redlined
Days of Service Application REDLINED 2020 to 2023.docx	Other-Redlined
DOS-2023 Days of Service Grant Application Instructions FY2022 Day of Service New Application Instructions.508.docx	Form and Instruction
DOS-2023 Days of Service Grant Application Instructions FY2022 Day of Service New Application Instructions.508.docx	Form and Instruction

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:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	DOS-2023	Days of Service Grant Application Instructions	FY2022 Day of Service New Application Instructions.508.docx	egrants	Yes	Yes	Fillable Fileable
Other-Redlined			Days of Service Application REDLINED 2020 to 2023.docx		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 %

table that charts list of burden
	Approved	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)	977	977	0

Documents for IC

table that charts IC Documents
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.