Information Collection

College Poll Worker Instruments

IC 263485 under ICR 202403-3265-002 · OMB 3265-0025.

Documents and Forms

Document Name Document Type
Form 2 College Poll Worker Instruments Form and Instruction
Form 2 College Poll Worker Instruments Form and Instruction
2 Poll Worker APPENDIX G - Application Form r.1 Poll Worker APPENDIX G - Application Form r.1.docx www.eac.gov/grants/help-america-vote-college-program Form and Instruction
2 Poll Worker APPENDIX G - Application Form r.1 Poll Worker APPENDIX G - Application Form r.1.docx www.eac.gov/grants/help-america-vote-college-program Form and Instruction
3 Poll Worker APPENDIX C - Budget Worksheet r.1 Poll Worker APPENDIX C - Budget Worksheet r.1.xlsx www.eac.gov/grants/help-america-vote-college-program Form and Instruction
3 Poll Worker APPENDIX C - Budget Worksheet r.1 Poll Worker APPENDIX C - Budget Worksheet r.1.xlsx www.eac.gov/grants/help-america-vote-college-program Form and Instruction
5 Mini-Grant APPENDIX B - Application Form r.1 Mini-Grant APPENDIX B - Application Form r.1.docx www.eac.gov/grants/help-america-vote-college-program Form and Instruction
5 Mini-Grant APPENDIX B - Application Form r.1 Mini-Grant APPENDIX B - Application Form r.1.docx www.eac.gov/grants/help-america-vote-college-program Form and Instruction
4.1 Mini Grant Progress Report- Revised HAVCP Mini-Grant Progress Report - Revised.docx www.eac.gov/grants/help-america-vote-college-program Form and Instruction
4.1 Mini Grant Progress Report- Revised HAVCP Mini-Grant Progress Report - Revised.docx www.eac.gov/grants/help-america-vote-college-program Form and Instruction
1.1 Poll Worker Progress Report- Revised HAVCP Poll Worker Progress Report - Revised.docx www.eac.gov/grants/help-america-vote-college-program Form and Instruction
1.1 Poll Worker Progress Report- Revised HAVCP Poll Worker Progress Report - Revised.docx www.eac.gov/grants/help-america-vote-college-program Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	College Poll Worker Instruments	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

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	2	Poll Worker APPENDIX G - Application Form r.1	Poll Worker APPENDIX G - Application Form r.1.docx	https://www.eac.gov/grants/help-america-vote-college-program	Yes	Yes	Fillable Printable
Form and Instruction	3	Poll Worker APPENDIX C - Budget Worksheet r.1	Poll Worker APPENDIX C - Budget Worksheet r.1.xlsx	https://www.eac.gov/grants/help-america-vote-college-program	Yes	Yes	Fillable Printable
Form and Instruction	5	Mini-Grant APPENDIX B - Application Form r.1	Mini-Grant APPENDIX B - Application Form r.1.docx	https://www.eac.gov/grants/help-america-vote-college-program	Yes	Yes	Fillable Printable
Form and Instruction	4.1	Mini Grant Progress Report- Revised	HAVCP Mini-Grant Progress Report - Revised.docx	https://www.eac.gov/grants/help-america-vote-college-program	Yes	Yes	Fillable Printable
Form and Instruction	1.1	Poll Worker Progress Report- Revised	HAVCP Poll Worker Progress Report - Revised.docx	https://www.eac.gov/grants/help-america-vote-college-program	Yes	Yes	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: 65	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	130	130
Annual IC Time Burden (Hours)	3,120	3,120
Annual IC Cost Burden (Dollars)	3,134	3,134

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.