Annual Report and Application - States

Help America Vote Act (HAVA) Voting Access Annual Report and Application-States

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Document Name Document Type
Help America Vote Act (HAVA) Voting Access Annual Narrative Report Format & Guidelines.doc Instruction

Information Collection (IC) Details

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:

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 %

	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

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.