Voting System Anomaly Report

Voting System Manufacturer Registration, Application for Testing, Anomaly Reporting and Root Cause Analysis

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3265-0024 can be found here:

Documents and Forms

Document Name Document Type
Form 003C Voting System Anomaly Report Form and Instruction
003C Voting System Anomaly Reporting Form Voting System Anomaly Reporting Form 003C 2022.pdf WWW.EAC.GOV Form and Instruction
003C Voting System Anomaly Reporting Form Voting System Anomaly Reporting Form 003C 2022.pdf WWW.EAC.GOV Form and Instruction

Information Collection (IC) Details

IC Title:	Voting System Anomaly Report	Agency IC Tracking Number:	003C

Is this a Common Form? No		IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

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	003C	Voting System Anomaly Reporting Form	Voting System Anomaly Reporting Form 003C 2022.pdf	WWW.EAC.GOV	Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Executive Functions

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 5	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	5	5
Annual IC Time Burden (Hours)	10	10
Annual IC Cost Burden (Dollars)	550	550

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.