Information Collection

Day of Service Application Instructions

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

Documents and Forms

Documents and forms in this information collection
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

IC Title:

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-2026			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 %

table that charts list of burden
	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

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.

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