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

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
supportingstatement - STATES application and annual report 7.27.11.doc	Supporting Statement A	Uploaded 2011-07-27	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
198249	HAVA Annual Report - States	Instruction	New
181496	HAVA Application - States	Instruction	Modified

ICR Details

OMB Control No: 0970-0327	ICR Reference No: 201106-0970-005
Status: Historical Active	Previous ICR Reference No: 200903-0970-005
Agency/Subagency: HHS/ACF	Agency Tracking No:
Title: Help America Vote Act (HAVA) Voting Access Annual Report and Application-States
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 08/18/2011
	Date Received in OIRA: 06/24/2011
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	08/31/2014	36 Months From Approved	08/31/2011
Responses	110	0	55
Time Burden (Hours)	4,070	0	2,750
Cost Burden (Dollars)	6,050	0	0

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Abstract: An annual report is required by Federal Statute (the Help America Vote Act (HAVA) of 2002, Public Law 107-252, Section 261, Payments to States and Local Units of Government, 42.U.S.C. 15421). Each State or Unit of Local Government that receives funding must prepare and submit an annual report at the end of every fiscal year. The report addresses the activities conducted with the funds provided during the year. The information collected from the annual report will be aggregated into an annual profile of how States have utilized the funds and establish best practices for election officials. It will also provide an overview of the State election goals and accomplishments and permit the Administration on Developmental Disabilities to track progress of voting accessibility to monitor grant activities.

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Authorizing Statute(s): PL: Pub.L. 107 - 252 261 Name of Law: Help America Vote Act of 2002
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	76 FR 6140	02/03/2011
30-day Notice:	Federal Register Citation:	Citation Date:
	76 FR 35894	06/20/2011
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 2

table that charts list of burden

IC Title	Form No.	Form Name
HAVA Application - States
HAVA Annual Report - States

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ICR Summary of Burden

table that charts list of burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	110	55	0	0	0	55
Annual Time Burden (Hours)	4,070	2,750	0	0	-1,430	2,750
Annual Cost Burden (Dollars)	6,050	0	0	0	1,925	4,125

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $6,050

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 06/24/2011

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