Information Collection

Help America Vote Act (HAVA)

IC 9761 under ICR 201105-0960-004 · OMB 0960-0706.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0706 can be found here:

Documents and Forms

Document Name Document Type
0960-0706 HAVA screenshots.doc N/A; completed by States Other-screen shot

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Help America Vote Act (HAVA)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

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
Other-screen shot			0960-0706 HAVA screenshots.doc	N/A; completed by States	Yes	Yes	Fillable Fileable Signable

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 48	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	2,352,204	2,352,204
Annual IC Time Burden (Hours)	78,407	78,407
Annual IC Cost Burden (Dollars)	3,415,400	3,415,400

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.