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Voter Registration Application
National Voter Registration Act (NVRA) Regulations for Voter Registration Application
OMB: 3265-0015
IC ID: 248949
OMB.report
EAC
OMB 3265-0015
ICR 202111-3265-001
IC 248949
( )
Documents and Forms
Document Name
Document Type
Form 1
Voter Registration Application
Form and Instruction
1 English Form
Federal_Voter_Registration_ENG_0.pdf
www.eac.gov/sites/default/files/eac_assets/1/6/Federal_Voter_Registration_ENG_0.pdf
Form and Instruction
1 English Form
Federal_Voter_Registration_ENG.pdf
www.eac.gov/sites/default/files/eac_assets/1/6/Federal_Voter_Registration_ENG_0.pdf
Form and Instruction
2 Amharic Form
Federal_Voter_Registration_AMH.pdf
www.eac.gov/sites/default/files/eac_assets/1/6/Federal_Voter_Registration_AMH.pdf
Form and Instruction
2 Amharic Form
Federal_Voter_Registration_AMH.pdf
www.eac.gov/sites/default/files/eac_assets/1/6/Federal_Voter_Registration_AMH.pdf
Form and Instruction
3 Arabic Form
Federal_Voter_Registration_ARA.pdf
www.eac.gov/sites/default/files/eac_assets/1/6/Federal_Voter_Registration_ARA.pdf
Form and Instruction
3 Arabic Form
Federal_Voter_Registration_ARA.pdf
www.eac.gov/sites/default/files/eac_assets/1/6/Federal_Voter_Registration_ARA.pdf
Form and Instruction
4 Bengali Form
Federal_Voter_Registration_BEN.pdf
www.eac.gov/sites/default/files/eac_assets/1/6/Federal_Voter_Registration_BEN.pdf
Form and Instruction
4 Bengali Form
Federal_Voter_Registration_BEN.pdf
www.eac.gov/sites/default/files/eac_assets/1/6/Federal_Voter_Registration_BEN.pdf
Form and Instruction
5 Chinese Form
Federal_Voter_Registration_CHS.pdf
www.eac.gov/sites/default/files/eac_assets/1/6/Federal_Voter_Registration_CHS.pdf
Form and Instruction
5 Chinese Form
Federal_Voter_Registration_CHS.pdf
www.eac.gov/sites/default/files/eac_assets/1/6/Federal_Voter_Registration_CHS.pdf
Form and Instruction
6 French Form
Federal_Voter_Registration_FRC.pdf
www.eac.gov/sites/default/files/eac_assets/1/6/Federal_Voter_Registration_FRC.pdf
Form and Instruction
6 French Form
Federal_Voter_Registration_FRC.pdf
www.eac.gov/sites/default/files/eac_assets/1/6/Federal_Voter_Registration_FRC.pdf
Form and Instruction
7 Haitian Creole Form
Federal_Voter_Registration_CRE.pdf
www.eac.gov/sites/default/files/eac_assets/1/6/Federal_Voter_Registration_CRE.pdf
Form and Instruction
7 Haitian Creole Form
Federal_Voter_Registration_CRE.pdf
www.eac.gov/sites/default/files/eac_assets/1/6/Federal_Voter_Registration_CRE.pdf
Form and Instruction
8 Hindi Form
Federal_Voter_Registration_HIN.pdf
www.eac.gov/sites/default/files/eac_assets/1/6/Federal_Voter_Registration_HIN.pdf
Form and Instruction
8 Hindi Form
Federal_Voter_Registration_HIN.pdf
www.eac.gov/sites/default/files/eac_assets/1/6/Federal_Voter_Registration_HIN.pdf
Form and Instruction
9 Japanese Form
Federal_Voter_Registration_JPN.pdf
www.eac.gov/sites/default/files/eac_assets/1/6/Federal_Voter_Registration_JPN.pdf
Form and Instruction
9 Japanese Form
Federal_Voter_Registration_JPN.pdf
www.eac.gov/sites/default/files/eac_assets/1/6/Federal_Voter_Registration_JPN.pdf
Form and Instruction
10 Khmer Form
Federal_Voter_Registration_KHM.pdf
www.eac.gov/sites/default/files/eac_assets/1/6/Federal_Voter_Registration_KHM.pdf
Form and Instruction
10 Khmer Form
Federal_Voter_Registration_KHM.pdf
www.eac.gov/sites/default/files/eac_assets/1/6/Federal_Voter_Registration_KHM.pdf
Form and Instruction
11 Korean Form
Federal_Voter_Registration_KOR.pdf
www.eac.gov/sites/default/files/eac_assets/1/6/Federal_Voter_Registration_KOR.pdf
Form and Instruction
11 Korean Form
Federal_Voter_Registration_KOR.pdf
www.eac.gov/sites/default/files/eac_assets/1/6/Federal_Voter_Registration_KOR.pdf
Form and Instruction
12 Navajo Form
Federal_Voter_Registration_NAV.pdf
www.eac.gov/sites/default/files/eac_assets/1/6/Federal_Voter_Registration_NAV.pdf
Form and Instruction
12 Navajo Form
Federal_Voter_Registration_NAV.pdf
www.eac.gov/sites/default/files/eac_assets/1/6/Federal_Voter_Registration_NAV.pdf
Form and Instruction
13 Polish Form
Federal_Voter_Registration_POL.pdf
www.eac.gov/sites/default/files/eac_assets/1/6/Federal_Voter_Registration_POL.pdf
Form and Instruction
13 Polish Form
Federal_Voter_Registration_POL.pdf
www.eac.gov/sites/default/files/eac_assets/1/6/Federal_Voter_Registration_POL.pdf
Form and Instruction
14 Portuguese Form
Federal_Voter_Registration_POR.pdf
www.eac.gov/sites/default/files/eac_assets/1/6/Federal_Voter_Registration_POR.pdf
Form and Instruction
14 Portuguese Form
Federal_Voter_Registration_POR.pdf
www.eac.gov/sites/default/files/eac_assets/1/6/Federal_Voter_Registration_POR.pdf
Form and Instruction
15 Russian Form
Federal_Voter_Registration_RUS.pdf
www.eac.gov/sites/default/files/eac_assets/1/6/Federal_Voter_Registration_RUS.pdf
Form and Instruction
15 Russian Form
Federal_Voter_Registration_RUS.pdf
www.eac.gov/sites/default/files/eac_assets/1/6/Federal_Voter_Registration_RUS.pdf
Form and Instruction
16 Somali Form
Federal_Voter_Registration_SOM.pdf
www.eac.gov/sites/default/files/eac_assets/1/6/Federal_Voter_Registration_SOM.pdf
Form and Instruction
16 Somali Form
Federal_Voter_Registration_SOM.pdf
www.eac.gov/sites/default/files/eac_assets/1/6/Federal_Voter_Registration_SOM.pdf
Form and Instruction
17 Spanish Form
Federal_Voter_Registration_SPA.pdf
www.eac.gov/sites/default/files/eac_assets/1/6/Federal_Voter_Registration_SPA.pdf
Form and Instruction
17 Spanish Form
Federal_Voter_Registration_SPA.pdf
www.eac.gov/sites/default/files/eac_assets/1/6/Federal_Voter_Registration_SPA.pdf
Form and Instruction
18 Tagalog
Federal_Voter_Registration_TAG.pdf
www.eac.gov/sites/default/files/eac_assets/1/6/Federal_Voter_Registration_TAG.pdf
Form and Instruction
18 Tagalog
Federal_Voter_Registration_TAG.pdf
www.eac.gov/sites/default/files/eac_assets/1/6/Federal_Voter_Registration_TAG.pdf
Form and Instruction
19 Vietnamese Form
Federal_Voter_Registration_VIE.pdf
www.eac.gov/sites/default/files/eac_assets/1/6/Federal_Voter_Registration_VIE.pdf
Form and Instruction
19 Vietnamese Form
Federal_Voter_Registration_VIE.pdf
www.eac.gov/sites/default/files/eac_assets/1/6/Federal_Voter_Registration_VIE.pdf
Form and Instruction
20 Yup'ik Form
Federal_Voter_Registration_YPK.pdf
www.eac.gov/sites/default/files/eac_assets/1/6/Federal_Voter_Registration_YPK.pdf
Form and Instruction
20 Yup'ik Form
Federal_Voter_Registration_YPK.pdf
www.eac.gov/sites/default/files/eac_assets/1/6/Federal_Voter_Registration_YPK.pdf
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Voter Registration Application
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
Form and Instruction
1
English Form
Federal_Voter_Registration_ENG.pdf
https://www.eac.gov/sites/default/files/eac_assets/1/6/Federal_Voter_Registration_ENG_0.pdf
Yes
No
Fillable Printable
Form and Instruction
2
Amharic Form
Federal_Voter_Registration_AMH.pdf
https://www.eac.gov/sites/default/files/eac_assets/1/6/Federal_Voter_Registration_AMH.pdf
Yes
No
Fillable Printable
Form and Instruction
3
Arabic Form
Federal_Voter_Registration_ARA.pdf
https://www.eac.gov/sites/default/files/eac_assets/1/6/Federal_Voter_Registration_ARA.pdf
Yes
No
Fillable Printable
Form and Instruction
4
Bengali Form
Federal_Voter_Registration_BEN.pdf
https://www.eac.gov/sites/default/files/eac_assets/1/6/Federal_Voter_Registration_BEN.pdf
Yes
No
Fillable Printable
Form and Instruction
5
Chinese Form
Federal_Voter_Registration_CHS.pdf
https://www.eac.gov/sites/default/files/eac_assets/1/6/Federal_Voter_Registration_CHS.pdf
Yes
No
Fillable Printable
Form and Instruction
6
French Form
Federal_Voter_Registration_FRC.pdf
https://www.eac.gov/sites/default/files/eac_assets/1/6/Federal_Voter_Registration_FRC.pdf
Yes
No
Fillable Printable
Form and Instruction
7
Haitian Creole Form
Federal_Voter_Registration_CRE.pdf
https://www.eac.gov/sites/default/files/eac_assets/1/6/Federal_Voter_Registration_CRE.pdf
Yes
No
Fillable Printable
Form and Instruction
8
Hindi Form
Federal_Voter_Registration_HIN.pdf
https://www.eac.gov/sites/default/files/eac_assets/1/6/Federal_Voter_Registration_HIN.pdf
Yes
No
Fillable Printable
Form and Instruction
9
Japanese Form
Federal_Voter_Registration_JPN.pdf
https://www.eac.gov/sites/default/files/eac_assets/1/6/Federal_Voter_Registration_JPN.pdf
Yes
No
Fillable Printable
Form and Instruction
10
Khmer Form
Federal_Voter_Registration_KHM.pdf
https://www.eac.gov/sites/default/files/eac_assets/1/6/Federal_Voter_Registration_KHM.pdf
Yes
No
Fillable Printable
Form and Instruction
11
Korean Form
Federal_Voter_Registration_KOR.pdf
https://www.eac.gov/sites/default/files/eac_assets/1/6/Federal_Voter_Registration_KOR.pdf
Yes
No
Fillable Printable
Form and Instruction
12
Navajo Form
Federal_Voter_Registration_NAV.pdf
https://www.eac.gov/sites/default/files/eac_assets/1/6/Federal_Voter_Registration_NAV.pdf
Yes
No
Fillable Printable
Form and Instruction
13
Polish Form
Federal_Voter_Registration_POL.pdf
https://www.eac.gov/sites/default/files/eac_assets/1/6/Federal_Voter_Registration_POL.pdf
Yes
No
Fillable Printable
Form and Instruction
14
Portuguese Form
Federal_Voter_Registration_POR.pdf
https://www.eac.gov/sites/default/files/eac_assets/1/6/Federal_Voter_Registration_POR.pdf
Yes
No
Fillable Printable
Form and Instruction
15
Russian Form
Federal_Voter_Registration_RUS.pdf
https://www.eac.gov/sites/default/files/eac_assets/1/6/Federal_Voter_Registration_RUS.pdf
Yes
No
Fillable Printable
Form and Instruction
16
Somali Form
Federal_Voter_Registration_SOM.pdf
https://www.eac.gov/sites/default/files/eac_assets/1/6/Federal_Voter_Registration_SOM.pdf
Yes
No
Fillable Printable
Form and Instruction
17
Spanish Form
Federal_Voter_Registration_SPA.pdf
https://www.eac.gov/sites/default/files/eac_assets/1/6/Federal_Voter_Registration_SPA.pdf
Yes
No
Fillable Printable
Form and Instruction
18
Tagalog
Federal_Voter_Registration_TAG.pdf
https://www.eac.gov/sites/default/files/eac_assets/1/6/Federal_Voter_Registration_TAG.pdf
Yes
No
Fillable Printable
Form and Instruction
19
Vietnamese Form
Federal_Voter_Registration_VIE.pdf
https://www.eac.gov/sites/default/files/eac_assets/1/6/Federal_Voter_Registration_VIE.pdf
Yes
No
Fillable Printable
Form and Instruction
20
Yup'ik Form
Federal_Voter_Registration_YPK.pdf
https://www.eac.gov/sites/default/files/eac_assets/1/6/Federal_Voter_Registration_YPK.pdf
Yes
No
Fillable Printable
Federal Enterprise Architecture Business Reference Module
Line of Business:
General Government
Subfunction:
Executive Functions
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
2,500,000
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
0 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
2,500,000
0
0
0
0
2,500,000
Annual IC Time Burden (Hours)
291,667
0
0
0
0
291,667
Annual IC Cost Burden (Dollars)
0
0
0
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.