Information Collection

Field Anomaly Reporting

IC 45347 under ICR 200609-3265-002 · OMB 3265-0004.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3265-0004 can be found here:

Documents and Forms

Document Name Document Type
Form EAC 003C Field Anomaly Reporting Form and Instruction
EAC 003C Voting System Anomaly Reporting Form Voluntary Anomaly Reporting Form 1.1.pdf www.eac.gov Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Field Anomaly Reporting	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

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	EAC 003C	Voting System Anomaly Reporting Form	Voluntary Anomaly Reporting Form 1.1.pdf	www.eac.gov	Yes	Yes	Fillable Fileable Signable

Line of Business: General Government

Subfunction: Executive Functions

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 41	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 75 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	41	41
Annual IC Time Burden (Hours)	82	82
Annual IC Cost Burden (Dollars)	2,050	2,050

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.