Information Collection

Annual Report and Application - States

IC 181496 under ICR 200903-0970-005 · OMB 0970-0327.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0327 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Help America Vote Act (HAVA) Voting Access Annual Narrative Report Format & Guidelines.doc	Instruction

IC Title:

Annual Report and Application - States

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 11 CFR D 42 USC (To search for a specific CFR, visit the Code of Federal Regulations.)

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
Instruction			Help America Vote Act (HAVA) Voting Access Annual Narrative Report Format & Guidelines.doc		No	No	Paper Only

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 55

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	55	0	55
Annual IC Time Burden (Hours)	2,750	1,430	1,320
Annual IC Cost Burden (Dollars)	0	0	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.