Help America Vote College Program Applications

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 5 Mini-Grant APPENDIX B - Application Form r.1	Form and Instruction	New	Repair queued
Form 4 Mini-Grant APPENDIX F - Progress Report Draft r.1	Form and Instruction	New	Repair queued
Form 3 Poll Worker APPENDIX C - Budget Worksheet r.1	Form and Instruction	New	Repair queued
Form 2 Poll Worker APPENDIX G - Application Form r.1	Form and Instruction	New	Repair queued
Form 1 Poll Worker Progress Report r.1	Form and Instruction	New	Repair queued
Form 5 HAVCP Service Day Mini-Grant: Progress Report	Form and Instruction	New	Repair queued
Form 4 HAVCP Service Day Mini-Grant: Application and Guidance	Form and Instruction	New	Repair queued
Form 3 HAVCP Poll Worker Grant: Poll Worker Progress Report	Form and Instruction	New	Repair queued
Form 1 HAVCP Poll Worker Grant: Application and Guidance	Form and Instruction	New	Repair queued
HAVCP Application 2023 - Supporting Statement B - Final - 10.15.23.docx	Supporting Statement B	Uploaded 2023-10-20	Repair queued
HAVCP Application 2023 - Supporting Statement A - Final - 10.15.23.docx	Supporting Statement A	Uploaded 2023-10-20	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
263485	College Poll Worker Instruments	Form and Instruction	New	Mini-Grant APPENDIX B - Application Form r.1
263485	College Poll Worker Instruments	Form and Instruction	New	Mini-Grant APPENDIX F - Progress Report Draft r.1
263485	College Poll Worker Instruments	Form and Instruction	New	Poll Worker APPENDIX C - Budget Worksheet r.1
263485	College Poll Worker Instruments	Form and Instruction	New	Poll Worker APPENDIX G - Application Form r.1
263485	College Poll Worker Instruments	Form and Instruction	New	Poll Worker Progress Report r.1
262923	HAVCP Service Day Mini-Grant: Progress Report	Form and Instruction	New
262920	HAVCP Service Day Mini-Grant: Application and Guidance	Form and Instruction	New
262918	HAVCP Poll Worker Grant: Poll Worker Progress Report	Form and Instruction	New
262917	HAVCP Poll Worker Grant: Budget Worksheet and Instructions	Instruction	New
262911	HAVCP Poll Worker Grant: Application and Guidance	Form and Instruction	New

ICR Details

OMB Control No: 3265-0025	ICR Reference No: 202310-3265-002
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: EAC	Agency Tracking No:
Title: Help America Vote College Program Applications
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 11/15/2023
Retrieve Notice of Action (NOA)	Date Received in OIRA: 10/20/2023
Terms of Clearance: This collection is approved based on the revised materials provided by the Agency.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	11/30/2026	36 Months From Approved
Responses	130	0	0
Time Burden (Hours)	3,120	0	0
Cost Burden (Dollars)	3,134	0	0

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Abstract: The U.S. Election Assistance Commission (EAC) was provided $1,000,000 in the Fiscal Year 2023 Omnibus Appropriations Bill to reinstate the Help America Vote College Program (HAVCP) in Fiscal Year 2023 and until the appropriated funds are expended. The purpose of the HAVCP is to: Encourage students enrolled at institutions of higher education (including community colleges) to assist State and local governments in the administration of elections by serving as nonpartisan poll workers or assistants; Encourage college students to become cognizant of the elections process and civic education, and to assist in the administration of elections in their community; and Encourage state and local governments to use the services of the students participating in the program. The U.S. Election Assistance Commission (EAC) seeks proposals from accredited colleges (including community colleges), universities, nonprofit organizations, and state and local election offices for the Help America Vote College Program (HAVCP). The HAVCP Program is split into 2 subprograms: The HAVCP Poll Worker Program and the HAVCP Service Day Mini-Grant Program. We anticipate approximately 50 applicants to the Poll Worker Program and 40 applicants to the Service Day Mini-Grant Program, for a total of 90 applicants.

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Authorizing Statute(s): None

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:
	88 FR 47133	07/21/2023
30-day Notice:	Federal Register Citation:	Citation Date:
	88 FR 69913	10/10/2023
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
College Poll Worker Instruments	1, 2, 3, 4, 5	Poll Worker Progress Report r.1 ,   Poll Worker APPENDIX G - Application Form r.1 ,   Poll Worker APPENDIX C - Budget Worksheet r.1 ,   Mini-Grant APPENDIX F - Progress Report Draft r.1 ,   Mini-Grant APPENDIX B - Application Form r.1

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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	130	0	0	130	0	0
Annual Time Burden (Hours)	3,120	0	0	3,120	0	0
Annual Cost Burden (Dollars)	3,134	0	0	3,134	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

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

Burden Reduction Due to:

Short Statement: Revised collection instruments to include Privacy Act statement and PRA Statement.

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Annual Cost to Federal Government: $26,762

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

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     Yes

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? No

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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: 10/20/2023

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