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pdfU.S. ELECTION ASSISTANCE COMMISSION
2012 Election Administration & Voting Survey
The ongoing process of improving America’s election systems relies in part on having accurate data about the way
Americans cast their ballots. In 2002, Congress chartered the U.S. Election Assistance Commission (EAC) to collect
information on the state of American elections and make it widely available to policy makers, advocates, scholars,
journalists and the general public. Since 2004, the Commission has sponsored a biennial survey as its primary tool
for fulfilling that mission. We are pleased to present the 2012 Election Administration and Voting Survey, and we ask
for your help in making it the most complete and accurate survey in its history.
The questions below ask for information about ballots cast; voter registration; overseas and military voting; Election
Day activities; voting technology; and other important issues. The section concerning the Uniformed and Overseas
Citizens Voting Act (UOCAVA) serves as the EAC’s standardized format for state reporting of UOCAVA voting
information as required by 42 U.S.C. §1973ff-1. States that complete and timely submit this section to the EAC will
fulfill their UOCAVA reporting requirement under 42 U.S.C. §1973ff-1(c). Additionally, EAC is mandated by the
National Voter Registration Act (NVRA) to collection information from states concerning the impact of that statute on
the administration of Federal elections. With this information EAC is required to make a report to Congress and
provide recommendations for the improvement of Federal and State procedures, forms, and other NVRA matters.
States that timely respond to all questions in this survey concerning voter registration related matters will meet their
NVRA reporting requirements under 42 U.S.C. § 1973gg-7 and EAC regulations.
The EAC recognizes the burden that asking for this data places on state and local election officials, and we have
worked to minimize that burden as much as possible.
In advance, we thank you for your cooperation and look forward to answering any questions you might have.
Information supplied by:
Name
Title
Office/Agency name
Address 1
Address 2
City
State
Zip Code
E-mail address
Telephone (area code and number)
OMB Control No. 3265-0006
Extension
Fax number (area code and number)
1
Expiration Date 5/31/2013
Instructions for Completing the 2012 Election Administration & Voting Survey
1. This survey collects information on election administration issues in local election offices (typically counties or townships)
that are responsible for the administration of the November 2012 general election. As such, all data should be reported at the
level of the local jurisdiction. However, the State or Territorial level election office may fill out any or all of the information on
behalf of the local election offices under its jurisdiction.
2. Do not leave items blank - always provide an answer to the question asked using the “Data not available” or “Other”
categories discussed below, if needed.
3. Use the “Data not available” box if the question asks for details that are not required by your state law or the question asks
for information that is not currently collected.
4. You may find it helpful to read an entire section before answering any of the questions in that section.
5. Please attempt to record data according to the categories as they are defined in the question. If your jurisdiction uses a
different data classification scheme (for instance, collects data in such a way that combines two or more categories listed in a
question), you can use the space provided for “Other” to provide numbers and details on these categories. Use as many
“Other” categories as you need to adequately report the relevant statistics for your jurisdiction. If you enter information into the
“Other” field, please use the comments field to provide an explanation for the answer.
In the example below, the jurisdiction does not collect separate statistics on the number of duplicate and rejected registration
forms, but instead has only one number that represents the total number of registration forms that are either duplicated/or
rejected.
EXAMPLE:
A5. In order to evaluate the workflow of your office over the last election cycle, enter the total number of registration
forms your jurisdiction received from all sources during the period from the close of registration for the November
2010 general election until the close of registration for the November 2012 general election. Include here any Election
Day or Same Day registrations, if applicable. Also include any special categories of voters who may have extended
deadlines, such as returning military personnel, if applicable.
A5a.
Total ..........................................................................................
available
5000
Data not
Next, divide the total number of registration application forms received (as entered in A5a) into the following categories.
The amounts should sum to the total provided in A4a.
Data not
available
▼
A5b. New registrations .................................................................................................
4000
............
A5c. Invalid or rejected (other than duplicates) .............................................................
............
A5d. Duplicate of existing registration ..........................................................................
............
A5e. Changes to name, party or within-jurisdiction address change .............................
500
............
A5f. Moved into jurisdiction but was registered elsewhere in the state ..........................
200
............
A5g. Other→ comments: duplicate and invalid registrations combined ........................
300
A5h. Other→ comments: _
..................................................
TOTAL ..........................................................................................................................
OMB Control No. 3265-0006
2
5000
Expiration Date 5/31/2013
SECTION A
VOTER REGISTRATION
EAC is mandated by the National Voter Registration Act (NVRA) to collection information from states concerning the
impact of that statute on the administration of Federal elections. With this information EAC is required to make a
report to Congress and provide recommendations for the improvement of Federal and State procedures, forms, and
other NVRA matters. States that timely respond to all questions in this survey concerning voter registration related
matters will meet their NVRA reporting requirements under 42 U.S.C. § 1973gg-7 and EAC regulations.
Roadmap to Section A:
•
A1, A2 and A3 ask for information about the number of registered voters in your jurisdiction and how you calculate
those statistics.
•
A4 asks for information about registration activity on days in which it was possible for a person to both register and
vote on the same day.
•
A5 asks for information on all registration forms for all types of registration transactions (successful and
unsuccessful) received by your office.
•
A6 asks for the sources of all registration forms (both successful and unsuccessful).
•
A7 asks for the sources of new registrations.
•
A8 asks for the sources of duplicate registrations.
•
A9 asks for the sources of invalid or rejected registrations.
•
A10 asks for information on removal notices sent under NVRA Section 8(d) 2.
•
A11 asks for the number of voters removed from the voter registration rolls and the reason for their removal.
A1. Enter the total number of persons in your jurisdiction who were registered and eligible to vote in the November
2012 general election. Include all persons eligible to vote in the election including special categories of voters with
extended deadlines (such as returning military). Do not include any persons under the age of 18 who may be registered
under a “pre-registration” program.
A1a. Total
.......................
Data not available
A1 Comments
A2. When you report the number of registered voters in your jurisdiction for the November 2012 general election (as in
A1a) do you include both active and inactive voters in the count, or does your jurisdiction only include active
voters? (Select only one)
A2a. Jurisdiction uses both active and inactive registered voters ..............................................................
A2b. Jurisdiction only uses active registered voters ...................................................................................
A2c. Other → comments: ____________________ ...................................................................................
A2 Comments
OMB Control No. 3265-0006
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Expiration Date 5/31/2013
A3. Enter the total number of persons who were registered and eligible to vote in the November 2012 general election
into the following categories. Do not include any persons under the age of 18 who may be registered under a “pre-registration”
program.
Data not
available
▼
A3a. Active .......................................................................................
..........................................
A3b. Inactive ....................................................................................
..........................................
A3 Comments
A4. If your state’s laws allowed any voters to register and then to vote on the same day, enter the total number of
registration forms received on those days in which it was possible to both register for and vote in the November
2012 general election on the same day. This question includes jurisdictions in states that have formal Election Day
Registration or Same Day Registration and those states that have other situations that provide Election Day Registration or
Same Day Registration. This question includes jurisdictions in states that permit Election Day Registration for voting for
office of President, such as Connecticut and Rhode Island.
A4a. Total new Same Day registrations…
...........................
…………………………………………………………………………………………………………………..
Data not available
Not applicable
A4b. Are the numbers you provided for question A4a because your state allows Election Day Registration or Same
Day Registration for all voters, or does your answer come from a difference circumstance?
…..Yes, our state has Election Day Registration or Same Day Registration.
…. No, our state does not have formal Election Day Registration or Same Day Registration, but some voters were able to
register and vote on the same day for the 2012 election.
…. Other comments: ________________________________
…. Not applicable.
A4 Comments
OMB Control No. 3265-0006
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Expiration Date 5/31/2013
A5. In order to evaluate the workflow of your office over the last election cycle, enter the total number of forms your
jurisdiction received from all sources during the period from the close of registration for the November 2010 general
election until the close of registration for the November 2012 general election. Include any forms that were processed,
such as changes to name, party or address, duplicates, or pre-registrations. Include here any Election Day or Same Day
registrations, if applicable. Also include any special categories of voters who may have extended deadlines such as returning
military personnel, if applicable.
A5a. Total ........................................................................................
available
Data not
Next, divide the total number of registration application forms received (as entered in A5a) into the following
categories. The amounts should sum to the total provided in A5a.
Data not available
▼
A5b. New valid registrations (excluding pre-registrations of persons under 18) ...
..................
A5c. New “pre” registrations of persons under age 18 ........................................
..................
A5d. Duplicate of existing valid registration ..........................................................
..................
A5e. Invalid or rejected (other than duplicates) ....................................................
..................
A5f. Changes to name, party or within-jurisdiction address change ....................
..................
A5g. Address changes that cross jurisdiction borders ..........................................
..................
A5h. Other → comments: ____________________............................................
A5i. Other → comments: ____________________ ............................................
A5j. Other → comments: ____________________ ............................................
A5k. Other → comments: ____________________ ............................................
A5l. Other → comments: ____________________ ............................................
TOTAL .............................................................................................................
A5a
A5 Comments
OMB Control No. 3265-0006
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Expiration Date 5/31/2013
A6a through
A7a through
A8a through
A9a through
A6o: Divide the total number of all registration forms received (as entered in A5a) into the following sources.
A7o: Divide the total number of new registration forms received (as entered in A5b) into the following sources.
A8o: Divide the total number of duplicate registration forms received (as entered in A5d) into the following sources.
A9o: Divide the total number of invalid or rejected registration forms (as entered in A5e) received into the following sources.
(from A5a)
*Sub-question “e” should include all forms handled through the
public assistance agency process (i.e., paper, online).
A6. Total forms
received
NA
▼
a.
Individual voters submitting applications by mail, fax, or email ................
b.
Individual voters registering in person at the election/registrar’s office ................................
c.
Individual voters submitting registration forms via the Internet .................
d.
Motor vehicle offices or other offices that issue drivers licenses ................................
e.
*
(from A5b)
A7. New
registrations
NA
▼
(from A5d)
A8. Duplicate of
existing
registrations
NA
▼
(from A5e)
A9. Invalid or
rejected
NA
▼
Public assistance offices mandated as registration sites under NVRA ................................
f.
State funded agencies primarily serving persons with disabilities ................................
g.
Armed forces recruitment offices..............................................................
h.
Other agencies designated by the State not mandated by NVRA ................................
i.
Registration drives from advocacy groups or political parties ..................
j.
Other → comments: _______________________________ .................
k.
Other → comments: _______________________________ ...............
l.
Other → comments: ______________________________ ...............
m. Other → comments: _______________________________ ...............
n.
Other → comments: ______________________________ ...............
o.
Other → comments: _______________________________ ...............
TOTAL.............................................................................................................
OMB Control No. 3265-0006
A5a
A5b
6
Expiration Date 5/31/2013
A5d
A5e
A6, A7, A8, and A9 Comments
A10. Enter the total number of confirmation notices sent to voters in the period between the close of registration for the
November 2010 general election and the close of registration for the November 2012 general election, because the
person had not voted or appeared to vote in the two previous federal elections (per NVRA Section 8 (d) (2)).
A10a. Total
................. …
Data not available
Next, divide the total number of confirmation notices mailed (as entered in A10a) into the following categories. The
amounts should sum to the total provided in A10a.
Data not available
▼
A10b. Received back from voters confirming registration ...............................................
.......
A10c. Received back confirming registration should be invalidated ................................
.......
A10d. Returned back as undeliverable............................................................................
.......
A10e. Status unknown (neither received confirmation nor returned undeliverable) .........
.......
A10f. Other → comments: ____________________.....................................................
A10g. Other → comments: ____________________.....................................................
A10h. Other → comments: ____________________.....................................................
TOTAL ........................................................................................................................
A10a
A10 Comments
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Expiration Date 5/31/2013
A11. Enter the total number of voters removed from the voter registration rolls in your jurisdiction in the period between
the close of registration for the November 2010 general election and the close of registration for the November 2012
general election. Note this question asks for those ineligible to vote, not merely those moved into an “inactive” status.
A11a. Total
........... ….
Data not available
Next, divide the total number of voters removed (as entered in A11a) into the following categories. The amounts
should sum to the total provided in A11a.
Data not available
▼
A11b. Moved outside jurisdiction ..........................................................................
..................
A11c. Death..........................................................................................................
..................
A11d. Disqualifying felony conviction ...................................................................
..................
A11e. Failure to respond to notice sent and failure to vote in the two most recent
federal elections .........................................................................................
..................
A11f. Declared mentally incompetent ...................................................................
..................
A11g. Voter requested to be removed for reasons other than felony conviction,
..................
mental status, or moved outside jurisdiction ..............................................
A11h. Other → comments: ____________________..........................................
A11i. Other → comments: ____________________ ..........................................
A11j. Other → comments: ____________________ ..........................................
A11k. Other → comments: ____________________ ..........................................
TOTAL .............................................................................................................
A11a
A11 Comments
OMB Control No. 3265-0006
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Expiration Date 5/31/2013
SECTION B
UNIFORMED & OVERSEAS CITIZENS ABSENTEE VOTING ACT (UOCAVA)
Section B serves as the EAC’s standardized format for the state reporting of UOCAVA voting information as
required by 42 U.S.C. §1973ff-1. States that complete and timely submit this section to the EAC will fulfill their
UOCAVA reporting requirement under 42 U.S.C §1973ff-1(c).
Pursuant UOCAVA, this section collects various data elements needed to determine: (1) the combined number of
absentee ballots transmitted to UOCAVA voters; (2) the combined number of ballots returned by UOCAVA voters;
and (3) the combined number of returned ballots cast by UOCAVA voters (the number of cast ballots is practically
determined by collecting data concerning the total votes counted and rejected).
Roadmap to Section B:
•
B1 and B2 ask for information about the number and type of UOCAVA absentee ballots transmitted.
•
B3 asks for the number and type of all UOCAVA ballots returned and submitted for counting.
•
B4, B5, B6, and B7 asks for information on the type of UOCAVA ballot returned by type of UOCAVA voter.
•
B8 asks for the number and type of all UOCAVA ballots counted.
•
B9, B10, B11, and B12 asks for information on the type of UOCAVA ballot counted by type of UOCAVA voter.
•
B13 asks for the number and type of all UOCAVA ballots rejected.
•
B14 asks for information on reasons why UOCAVA ballots were rejected.
•
B15, B16, B17, and B18 asks for information on the type of UOCAVA ballot rejected by type of UOCAVA voter.
B1. Enter the total number of absentee ballots transmitted to UOCAVA voters for the November 2012 general election.
B1a. Total
................... …
Data not available
Next, divide the total number of absentee ballots transmitted to UOCAVA voters (as entered in B1a) into the
following categories. The amounts should sum to the total provided in B1a.
Data not available
▼
B1b. Uniformed services voters – domestic or foreign .........................................
..................
B1c. Non-military/civilian overseas voters ............................................................
..................
B1d. Other → comments: ____________________ ...........................................
B1e. Other → comments: ____________________ ...........................................
TOTAL .............................................................................................................
B1a
B1 Comments
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Expiration Date 5/31/2013
B2. Of the UOCAVA absentee ballots transmitted (as entered in B1a) how many were:
Data not available
▼
B2a. ......................................................................................................................
..................
B2b. Returned as undeliverable ..........................................................................
..................
B2c. Spoiled or replaced ballots ...........................................................................
..................
B2d. Status unknown (neither returned undeliverable nor returned from voter) ...
..................
B2e. Other → comments: ____________________ ...........................................
B2f. Other → comments: ____________________............................................
B2g. Other → comments: ____________________ ...........................................
TOTAL .............................................................................................................
B1a
B2 Comments
B3. Enter the total number of all UOCAVA ballots (including regular UOCAVA absentee ballots and Federal Write-in
Absentee Ballots (FWAB)) returned by UOCAVA voters and submitted for counting for the November 2012 general
election. Please include both those ballots that were later counted and those that were rejected. Do not include ballots that
were returned undeliverable.
B3a. Total
.................... …..
Data not available
B3 Comments
OMB Control No. 3265-0006
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Expiration Date 5/31/2013
B4a through B4c. Divide the total number of UOCAVA ballots returned by UOCAVA voters and submitted for counting
(as entered in B3) into each category of UOCAVA voter below.
Next, for each type of UOCAVA voter, enter the number of:
•
B5a through B5c: Regular UOCAVA absentee ballots returned and submitted for counting.
•
B6a through B6c: FWAB returned and submitted for counting.
•
B7a through B7c: Other type of ballots returned and submitted for counting.
Of the total UOCAVA ballots returned (as entered in B3),
how many were ballots of each of the following ballot types:
B4. All UOCAVA
ballots
NA
▼
B5. Absentee
ballots
NA
▼
B6. FWAB
NA
▼
B7. Other type of
ballot →
NA
▼
Type of UOCAVA voter:
a. Uniformed services voters – domestic or
foreign
b. Non-military/civilian overseas voters ................................
c. Other type of voter→ ................................................................
comments:
TOTAL
B3
B4, B5, B6, and B7 Comments
B8. Enter the total number of all UOCAVA ballots (including regular UOCAVA absentee ballots and FWAB) counted in
the November 2012 general election.
B8a. Total
…………………..
Data not available
B8 Comments
OMB Control No. 3265-0006
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Expiration Date 5/31/2013
B9a through B9c. Divide the total number of UOCAVA ballots counted (as entered in B8) into each category of
UOCAVA voter below.
Next, for each type of UOCAVA voter, enter the number of:
•
B10a through B10c: Regular UOCAVA absentee ballots counted.
•
B11a through B11c: FWAB counted.
•
B12a through B12c: Other type of ballots counted.
Of the total UOCAVA ballots counted (as entered in B8),
how many were ballots of each of the following ballot types:
B9. All
UOCAVA
ballots
NA
▼
B10. Absentee
ballots
NA
▼
B11. FWAB
NA
▼
B12. Other type
of ballot →
NA
▼
Type of UOCAVA voter:
a.
Uniformed services voters – domestic or
foreign ................................................................
b.
Non-military/civilian overseas voters ................................
c.
Other type of voter → ...............................................................
comments: _________________________
B8
TOTAL .........................................................................................
B9, B10, B11 and B12 Comments
B13. Enter the total number of UOCAVA ballots (including regular UOCAVA absentee ballots and FWAB) rejected in
the November 2012 general election.
B13a. Total
………….…….……
Data not available
B13 Comments
OMB Control No. 3265-0006
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Expiration Date 5/31/2013
B14. Please divide the total number of all UOCAVA ballots rejected (as entered in B13a) into the following
categories indicating the reason the absentee ballots were rejected. The amounts should sum to the total provided in
B13a.
Data not available
▼
B14a. Ballot not received on time/missed deadline. ..............................................
.................
B14b. Problem with voter signature.......................................................................
.................
B14c. Ballot lacked a postmark .............................................................................
.................
B14d. Other → comments: ________________________________ ..................
B14e. Other → comments: ________________________________...................
B14f. Other → comments: ________________________________ ..................
TOTAL ...................................................................................................................
B13a
B14 Comments
B15a through B15c. Divide the total number of UOCAVA ballots rejected (as entered in B13) into each category of
UOCAVA voter below.
Next, for each type of UOCAVA voter, enter the number of:
•
B16a through B16c: Regular UOCAVA absentee ballots rejected.
•
B17a through B17c: FWAB rejected.
•
B18a through B18c: Other type of ballots rejected.
Of the total UOCAVA ballots rejected (as entered in B13),
how many were ballots of each of the following ballot types:
B15. All
B18. Other type of
UOCAVA
B16. Absentee
B17. FWAB
ballot →
ballots
ballots
NA
NA
NA
NA
▼
▼
▼
▼
Type of UOCAVA voter:
a. Uniformed services voters – domestic or
foreign ................................................................
b. Non-military/civilian overseas voters ................................
c. Other type of voter → ................................................................
comments ____________________________
B13
TOTAL ................................................................................................
B15, B16, B17, and B18 Comments
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Expiration Date 5/31/2013
SECTION C
Domestic Civilian Absentee Ballots
Roadmap to Section C.
•
C1 asks for information about absentee ballots transmitted and the status of the transmitted ballots.
•
C2 and C3 ask for information on any voters who may be registered as permanent absentee voters.
•
C4 asks for information on the status of absentee ballots returned and submitted for counting.
•
C5 asks for information on the reasons absentee ballots were rejected.
C1. Enter the total number of domestic civilian absentee ballots transmitted to voters for the November 2012 general
election. Do not include absentee ballots transmitted to UOCAVA voters
C1a. Total
.................... ….
Data not available
Next, divide the total number of absentee ballots transmitted to voters (as entered in C1a) into the following
categories. The amounts should sum to the total provided in C1a.
Data not available
▼
C1b. Returned by voters and submitted for counting (include both
those that were later counted and those that were rejected) ........................
.................
C1c. Returned as undeliverable ...........................................................................
.................
C1d. Spoiled or replaced ballots ...........................................................................
.................
C1e. Status unknown (neither returned undeliverable nor returned from voter) ....
.................
C1f. Other → comments: ____________________ ............................................
C1g. Other → comments: ____________________ ............................................
C1h. Other → comments: ____________________ ............................................
TOTAL .............................................................................................................
C1a
C1 Comments
C2. Does your jurisdiction have a permanent absentee voter registration list in which voters may apply to receive an
absentee (or mail) ballot for subsequent elections without further application? Do not include UOCAVA voters.
....... Yes → Continue to question C3.
....... No → Skip to question C4.
C2 Comments
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Expiration Date 5/31/2013
C3. Of the total number of domestic civilian absentee ballots transmitted (as entered in C1) how many ballots were
sent to voters in your jurisdiction because they appear on a permanent absentee (or mail) ballot voter
registration list?
Total
............................. …..
Data not available
C3 Comments
C4. Of the total number of absentee ballots returned by voters and submitted for counting (as entered in C1b) how
many ballots were:
Data not available
▼
C4a. Counted in the November 2012 general election ..........................................
.................
C4b. Rejected in the November 2012 general election .........................................
.................
C4c. Other → comments: ____________________ ............................................
C4d. Other → comments: ____________________ ............................................
TOTAL .............................................................................................................
C1b
C4 Comments
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Expiration Date 5/31/2013
C5. Please divide the total number of domestic civilian absentee ballots rejected (as entered in C4b) into the following
categories indicating the reason why the absentee ballots were rejected. The amounts should sum to the total
provided in C4b.
Data not available
▼
C5a. Ballot not received on time/missed deadline. ................................................
.................
C5b. No voter signature.........................................................................................
.................
C5c. No witness signature .....................................................................................
.................
C5d. Non-matching signature ................................................................................
.................
C5e. No election official’s signature on ballot ........................................................
.................
C5f. Ballot returned in an unofficial envelope ........................................................
.................
C5g. Ballot missing from envelope ........................................................................
.................
C5h. Envelope not sealed .....................................................................................
.................
C5i. No resident address on envelope...................................................................
.................
C5j. Multiple ballots returned in one envelope. ......................................................
.................
C5k. Voter deceased. ............................................................................................
.................
C5l. Voter already voted in person ........................................................................
.................
C5m. First-time voter without proper identification ................................................
.................
C5n. No ballot application on record......................................................................
.................
C5o. Other → comments: ________________________________ ....................
C5p. Other → comments: ________________________________ ....................
C5q. Other → comments: ________________________________ ....................
C5r. Other → comments: ________________________________ ....................
C5s. Other → comments: ________________________________.....................
C5t. Other → comments: ________________________________ ....................
C5u. Other → comments: ________________________________ ....................
C5v. Other → comments: ________________________________.....................
TOTAL .............................................................................................................
C4b
C5 Comments
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Expiration Date 5/31/2013
SECTION D
Election Administration
•
D1 asks for information on the number of precincts in your jurisdiction
•
D2 asks for information on the number and type of polling places in your jurisdiction
•
D3, D4, and D5 ask for information on poll workers utilized in the November 2012 general election.
D1. Enter the total number of precincts in your jurisdictions for the November 2012 general election.
D1a. Total
...................... …..
Data not available
D1 Comments
D2. Enter the total number of physical polling places in your jurisdiction for the November 2012 general election.
Please include physical polling places in operation on Election Day and physical polling places in operation before
Election Day (such as early vote centers).
D2a. Total
...................... ….
Data not available
Next, divide the total physical polling places in your jurisdiction (as entered in D2a) into the following categories.
The amounts should sum to the total provided in D2a. If you do not include election offices in your count of polling places,
enter 0.
Data not available
▼
Election Day voting
D2b. Physical polling places other than election offices ........................................
.................
D2c. Election offices ..............................................................................................
.................
D2d. Other → comments: ________________________________ ....................
Early voting
D2e. Physical polling places other than election offices ........................................
.................
D2f. Election offices ..............................................................................................
.................
D2g. Other → comments: ________________________________ ....................
TOTAL ..........................................................................................................................
D2a
D2 Comments
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Expiration Date 5/31/2013
D3. Enter the total number of poll workers used in your jurisdiction for the November 2012 general election.
•
Poll workers may include election judges, booth workers, wardens, commissioners, or other similar terms that refer to
persons who verify the identity of a voter; assist the voter with signing the register, affidavits or other documents
required to cast a ballot; assist the voter by providing the voter with a ballot or setting up the voting machine for the
voter; and serving other functions as dictated by State law.
•
Include all people recruited specifically for the purposes of working at physical polling places in operation on and/or
before Election Day, but, do not include observers stationed at the polling places or regular office staff.
D3a. Total
................... ….
Data not available
D3 Comments
D4. If your jurisdiction has data on the ages of its poll workers (for example, from voter registration records, payroll
records or from poll worker applications), enter the total number of poll workers in each age category.
D4a. Under 18 years old .......................................................................................
D4b. 18 to 25 ........................................................................................................
D4c. 26 to 40 .........................................................................................................
D4d. 41 to 60.........................................................................................................
D4e. 61 to 70 .........................................................................................................
D4f. 71 years old and over ....................................................................................
Data not available
D4 Comments
D5. How difficult or easy was it for your jurisdiction to obtain a sufficient number of poll workers for the November
2012 general election?
....... Very difficult
....... Somewhat difficult
....... Neither difficult nor easy
....... Somewhat easy
....... Very easy
....... Not enough information to answer
D5 Comments
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Expiration Date 5/31/2013
SECTION E
Provisional Ballots
•
E1 asks for the information on the number and status of provisional ballots submitted.
•
E2 asks for the information on reasons why provisional ballots were rejected.
E1. Enter the total number of voters who submitted provisional ballots in the November 2012 general election.
E1a.Total
....................... ….
Data not available
Next, divide the total number of voters who submitted provisional ballots in the November 2012 general election (as
entered in E1) into the following categories.
Data not available
▼
E1b. Counted the full ballot ...................................................................................
E1c. Counted part of the ballot ..............................................................................
E1d. Rejected ballot ..............................................................................................
E1e. Other → comments: ____________________.............................................
E1f. Other → comments: ____________________ .............................................
TOTAL .............................................................................................................
E1a
E1 Comments
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Expiration Date 5/31/2013
E2. Please divide the total number of provisional ballots rejected (as entered in E1d) into the following categories
indicating the reason the provision ballots were rejected. The amounts should sum to the total provided in E1d.
Data not available
▼
E2a. Voter not registered in the state ....................................................................
E2b. Voter registered in state but attempted to vote in the wrong jurisdiction .......
E2c. Voter registered in state but attempted to vote in the wrong precinct ............
E2d. Failure to provide sufficient identification ......................................................
E2e. Envelop and/or ballot was incomplete and/or illegible ...................................
E2f. Ballot missing from envelope .........................................................................
E2g. No signature ..................................................................................................
E2h. Non-matching signature ................................................................................
E2i. Voter already voted ........................................................................................
E2j. Other → comments: ________________________________ ...................
E2k. Other → comments: ________________________________ ...................
E2l. Other → comments: ________________________________ ...................
E2m. Other → comments: ________________________________...................
E2n. Other → comments: ________________________________...................
E2o. Other → comments: ________________________________...................
E2p. Other → comments: ________________________________...................
TOTAL ...................................................................................................................
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Ed1
Expiration Date 5/31/2013
SECTION F
Election Day Activities
•
F1 and F2 ask for turnout figures for the November 2012 general election and the source used to arrive at this
number.
•
F3 asks for the number of first time voters who registered to vote by mail and, under HAVA 303(b), were required to
provide identification in order to vote.
•
F4 asks for information on electronic poll books or electronic lists of voters that may have been used.
•
F5 and F6 ask for information on printed poll books or printed lists of voters that may have been used.
•
F7 asks for the type of primary voting equipment used.
•
F8 solicits any additional comments jurisdictions may wish to share regarding their Election Day experiences.
F1. Enter the total number of people in your jurisdiction who participated in the November 2012 general election.
Include all type of voters (civilian and military) by all types of ballots. Include rejected provisional ballots only if your
jurisdiction credits the person’s vote history even though the provisional ballot was rejected.
F1a. Total
........................ ….
Data not available
Next, divide the total number people who participated in the November 2012 general election (as entered in F1a)
into the following categories. The amounts should sum to the total provided in F1a.
Data not available
▼
F1b. Voted at a physical polling place on Election Day (not including provisional ballots
or absentee ballots dropped off at the polls). .........................................................
F1c. UOCAVA voters who voted via absentee or FWAB (as in B) ........................
F1d. Voted using a domestic civilian absentee ballot (as in C1b) ..........................
F1e. Voted using a provisional ballot (as in E1).....................................................
F1f. Voted at an early vote center (as in D2e,f,g)…………………………………….
F1g. Voted by mail in a vote by mail jurisdiction ....................................................
F1h. Other → comments: ____________________.............................................
F1i. Other → comments: ____________________ .............................................
F1j. Other → comments: ____________________ .............................................
TOTAL .............................................................................................................
F1a
F1 Comments
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Expiration Date 5/31/2013
F2. Indicate the source used to arrive at the total number of voters entered in F1a. (Select only one source.)
....... Number of voters checked off by poll workers or who signed poll books at physical polling places plus the
number of UOCAVA and other absentee or early voters.
....... Number of ballots counted at precincts and/or at a central location (including UOCAVA and other absentee or
early vote ballots)
....... Number of voters generated after "vote history" has been added.
....... Number of votes cast for the highest office on the ballot.
....... Other:→ comments: ________________________________
F2 Comments
F3. HAVA 303(b) states that all first-time voters in a State who registered to vote by mail are required to provide
identification in order to vote and have their ballot counted. Enter the number of voters who provided
identification and were able to vote in the November 2012 general election in your jurisdiction.
Total
………..
Data not available ………..
Not applicable
F3 Comments
F4. Were electronic poll books or electronic lists of voters used at the polling place for the November 2012 general
election in your jurisdiction to (select either Yes or No for each item):
Yes
No
a. Sign voters in .......................................................................
b. Update voter history .............................................................
c. Look up polling places..........................................................
d. Other → comments: _____________________________ .
e. Information unavailable ........................................................
F4 Comments
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Expiration Date 5/31/2013
F5. Did your jurisdiction use printed lists of registered voters at the polls in the November 2012 Federal general
election?
Yes ............................................
→ Continue to F6
No ..............................................
→ Skip to F7
Information unavailable ..............
→ Skip to F7
F5 Comments
F6. Did your state print and ship the printed poll books to your local jurisdiction or did your jurisdiction arrange for
the printing of the poll books? (Select only one.)
State printed poll books and shipped to jurisdiction ......................................
Jurisdiction arranged for printing of poll books .............................................
Combination of printing by the state and local jurisdiction ...........................
Information unavailable ................................................................................
F6 Comments
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Expiration Date 5/31/2013
F7. Enter information on the number and type of voting equipment used for the 2012 November general election. Then, for each type of voting equipment,
please identify how the machines were used in the voting process and where the ballots from that machine type were tallied. Do not include backup systems
that were not actually used.
Type of Equipment
Number
used
Make
Model
Version
Vendor
Machine use (select all that apply)
Location of Vote Tally
(select all that apply)
A Central Location
F7a. Direct Recording
Electronic (DRE)
(Not Equipped with Voter
Verified Paper Audit Trail
(VVPAT))
In-Precinct regular ballot voting
Precinct/Polling Place
Not Available
A Central Location
Special Device accessible to disabled voters
Precinct/Polling Place
Not Available
A Central Location
Provisional Ballot voting
Precinct/Polling Place
Not Available
Not
Available
Not
Available
Not
Available
Not
Available
Not
Available
A Central Location
Early Vote Site voting
Precinct/Polling Place
Not Available
Not Available
A Central Location
F7b. Direct Recording
Electronic (DRE)
(Equipped with VVPAT)
In-Precinct regular ballot voting
Precinct/Polling Place
Not Available
A Central Location
Special Device accessible to disabled voters
Precinct/Polling Place
Not Available
A Central Location
Provisional Ballot voting
Precinct/Polling Place
Not Available
Not
Available
Not
Available
Not
Available
Not
Available
Not
Available
A Central Location
Early Vote Site voting
Precinct/Polling Place
Not Available
Not Available
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Type of Equipment
Number
used
Make
Model
Version
Vendor
F7c. Electronic system
that prints voter choices
on an optical scan ballot
(hybrid of a DRE and an
optical scan system)
Machine use (select all that apply)
Location of Vote Tally
(select all that apply)
A Central Location
In-Precinct regular ballot voting
Precinct/Polling Place
Not Available
A Central Location
Special Device accessible to disabled voters
Precinct/Polling Place
Not Available
A Central Location
Provisional Ballot voting
Precinct/Polling Place
Not Available
A Central Location
Early Vote Site voting
Not
Available
Not
Available
Not
Available
Not
Available
Not
Available
Precinct/Polling Place
Not Available
Not Available
F7d. Optical/Digital Scan
A Central Location
In-Precinct regular ballot voting
Number of
counters:
Precinct/Polling Place
Not Available
A Central Location
______
Special Device accessible to disabled voters
Precinct/Polling Place
Not Available
A Central Location
Provisional Ballot voting
Precinct/Polling Place
Not Available
Number of
booths:
______
A Central Location
Early Vote Site voting
Precinct/Polling Place
Not Available
Not
Available
OMB Control No. 3265-0006
Absentee
Not
Available
Not
Available
Not
Available
Not
Available
25
Not Available
Expiration Date 5/31/2013
A Central Location
Not Available
Type of Equipment
Number
used
Make
Model
Version
Vendor
Machine use
(select all that apply)
Location of Vote Tally
(select all that apply)
A Central Location
F7e. Punch Card
In-Precinct regular ballot voting
Precinct/Polling Place
Not Available
Number of
counters:
A Central Location
Special Device accessible to disabled voters
______
Precinct/Polling Place
Not Available
A Central Location
Provisional Ballot voting
Number of
booths:
Precinct/Polling Place
Not Available
A Central Location
Early Vote Site voting
______
Precinct/Polling Place
Not Available Place
Not
Available
Absentee
Not
Available
Not
Available
Not
Available
Not
Available
A Central Location
Not Available
Not Available
A Central Location
F7f. Lever
In-Precinct regular ballot voting
Precinct/Polling Place
Not Available
A Central Location
Special Device accessible to disabled voters
Precinct/Polling Place
Not Available
A Central Location
Early Vote Site voting
Not
Available
OMB Control No. 3265-0006
Not
Available
Not
Available
Not
Available
Not
Available
26
Precinct/Polling Place
Not Available
Not Available
Expiration Date 5/31/2013
Type of Equipment
Number
used
Make
Model
Version
Vendor
Machine use
(select all that apply)
Location of Vote Tally
(select all that apply)
A Central Location
In-Precinct regular ballot voting
F7g. Hand-counted
paper ballots (not optical
scan system)
Precinct/Polling Place
Not Available Place
A Central Location
Number of
booths:
Special Device accessible to disabled voters
______
Provisional Ballot voting
Precinct/Polling Place
Not Available Place
A Central Location
Precinct/Polling Place
Not Available Place
A Central Location
Not
Available
Early Vote Site voting
Precinct/Polling Place
Not Available
Absentee
A Central Location
Not Available
Not Available
A Central Location
F7h. Other
In-Precinct regular ballot voting
Precinct/Polling Place
Not Available
A Central Location
Special Device accessible to disabled voters
Precinct/Polling Place
Not Available
A Central Location
Provisional Ballot voting
Precinct/Polling Place
Not Available
A Central Location
Early Vote Site voting
Precinct/Polling Place
Not Available Place
Absentee
Not
Available
Not
Available
Not
Available
Not
Available
Not
Available
Not Available
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Expiration Date 5/31/2013
A Central Location
Not Available
Type of Equipment
Number
used
Make
Model
Version
Vendor
Machine use
(select all that apply)
Location of Vote Tally
(select all that apply)
A Central Location
F7i. Other
In-Precinct regular ballot voting
Precinct/Polling Place
Not Available
A Central Location
Special Device accessible to disabled voters
Precinct/Polling Place
Not Available
A Central Location
Provisional Ballot voting
Precinct/Polling Place
Not Available
A Central Location
Early Vote Site voting
Precinct/Polling Place
Not Available Place
Absentee
Not
Available
Not
Available
Not
Available
Not
Available
Not
Available
A Central Location
Not Available
Not Available
F8. The U.S. Election Assistance Commission welcomes any general comments the jurisdiction may wish to share regarding its Election Day experiences
(e.g., problems with voting system anomalies*, recounts, staffing, challenges to eligibility, long lines, etc.), or note worthy success in administering the
November 2012 general election. Please feel free to attach additional pages as necessary.
* An anomaly is defined as an irregular or inconsistent action or response from the voting system or system component resulting in some disruption to the election
process. Incidents resulting from administrator error or procedural deficiencies are not considered anomalies for purposes of this survey question (EAC Voting Systems
Testing and Certification Program Manual).
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Expiration Date 5/31/2013
END OF SURVEY
THANK YOU FOR RESPONDING TO THIS SURVEY
* This information collection is required for the U.S. Election Assistance Commission (EAC) to meet its statutory requirements under the Help America Vote Act
(HAVA) of 2002 (42 U.S.C. 15301), the National Voter Registration Act (NVRA) (42 U.S.C. 1973gg-1 et seq.), and the Uniformed and Overseas Citizens Absentee
Voters Act (UOCAVA) (42 U.S.C. 1973ff-1). Respondent’s obligation to reply to this information collection is mandatory as required under NVRA (42 U.S.C. 1973gg-1
et seq.) and UOCAVA (42 U.S.C. 1973ff-1); respondents include the 50 States, the District of Columbia, and the U.S. Territories. This information will be made publicly
available on the EAC Web site (http://www.eac.gov). According to the Paperwork Reduction Act of 1995, an agency may not conduct or sponsor, and a person is not
required to respond to, a collection of information unless it displays a valid Office of Management and Budget (OMB) control number. The valid OMB control number
for this information collection is OMB Control No. 3265-0006 (expires 5/31/2013). The time required to complete this information collection is estimated to average 88
hours per State response. This estimate includes the time for reviewing the instructions, gathering information, and completing the form. Comments regarding this burden
estimate should be sent the U.S. Election Assistance Commission – 2012 Election Administration and Voting Survey, 1201 New York Avenue, Suite 300, Washington,
DC 20005.
OMB Control No. 3265-0006
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| File Type | application/pdf |
| File Title | Microsoft Word - 2012 Election Administration and Voting Survey_Draft |
| Author | ShellyAnderson |
| File Modified | 2011-12-14 |
| File Created | 2011-12-14 |