Information Collection Request

Day of Service Grant Application Instructions (MLK & 9/11)

ICR 202602-3045-006 · OMB 3045-0180 · Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form DOS-2026 Days of Service Grant Application Instructions Form and Instruction Modified Repair queued
Form DOS-2026 Days of Service Grant Application Instructions Form and Instruction Modified Available
30-Day_DOS_91 FR 15975.pdf Supplementary Document Uploaded 2026-03-31 Repair queued
30-Day_DOS_91 FR 15975.pdf Supplementary Document Uploaded 2026-03-31 Available
60-Day Days of Service_2026.pdf Supplementary Document Uploaded 2026-03-31 Repair queued
60-Day Days of Service_2026.pdf Supplementary Document Uploaded 2026-03-31 Available
Day of Service Authorizing Language.pdf Supplementary Document Uploaded 2019-11-27 Repair queued
Day of Service Authorizing Language.pdf Supplementary Document Uploaded 2019-11-27 Available
DOS SSA_2026_Final_Updated.docx Supporting Statement A Uploaded 2026-09-02 Repair queued
DOS SSA_2026_Final.docx Supporting Statement A Uploaded 2026-03-31 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
223904 Day of Service Application Instructions Form and Instruction ModifiedDays of Service Grant Application Instructions
223904 Day of Service Application Instructions Form and Instruction ModifiedDays of Service Grant Application Instructions
223904 Day of Service Application Instructions Form and Instruction Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
09/30/2028 03/31/2028 09/30/2026
70 0 70
1,400 0 1,400
67,270 0 977





Reginfo record details
1
table that charts list of burden
IC Title Form No. Form Name
Day of Service Application Instructions DOS-2026

table that charts list of burden
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 70 70 0 0 0 0
Annual Time Burden (Hours) 1,400 1,400 0 0 0 0
Annual Cost Burden (Dollars) 67,270 977 0 0 66,293 0


Reginfo record details
  No