THIS FORM IS USED BY THOSE PERSONS
COVERED BY THE FVAA OF 1955 AND THE OCVRA OF 1975 AS A SIMULTANEOUS
APPLICATION FORM FOR REGISTRATION AND ABSENTEE BALLOT. THERE ARE
APPROXIMATELY 5-6 MILLION OF THESE ABSENTE VOTERS. THE FORM IS SENT
BY THE VOTER DIRECTLY TO LOCAL ELECTION OFFICIALS. THIS INFORMATION
IS NOT REQUIRED BY OR FURNISHED TO THE DOD.
On behalf of this Federal agency, I certify that
the collection of information encompassed by this request complies
with 5 CFR 1320.9 and the related provisions of 5 CFR
1320.8(b)(3).
The following is a summary of the topics, regarding
the proposed collection of information, that the certification
covers:
(i) Why the information is being collected;
(ii) Use of information;
(iii) Burden estimate;
(iv) Nature of response (voluntary, required for a
benefit, or mandatory);
(v) Nature and extent of confidentiality; and
(vi) Need to display currently valid OMB control
number;
If you are unable to certify compliance with any of
these provisions, identify the item by leaving the box unchecked
and explain the reason in the Supporting Statement.