National Voter Registration Act (NVRA) Regulations for Voter Registration Application

Forms and Documents

Document	Type	Status	Availability
Form 20 Yup'ik Form	Form and Instruction	Modified	Repair queued
Form 19 Vietnamese Form	Form and Instruction	Modified	Repair queued
Form 18 Tagalog	Form and Instruction	Modified	Repair queued
Form 17 Spanish Form	Form and Instruction	Modified	Repair queued
Form 16 Somali Form	Form and Instruction	Modified	Repair queued
Form 15 Russian Form	Form and Instruction	Modified	Repair queued
Form 14 Portuguese Form	Form and Instruction	Modified	Repair queued
Form 13 Polish Form	Form and Instruction	Modified	Repair queued
Form 12 Navajo Form	Form and Instruction	Modified	Repair queued
Form 11 Korean Form	Form and Instruction	Modified	Repair queued
Form 10 Khmer Form	Form and Instruction	Modified	Available
Form 9 Japanese Form	Form and Instruction	Modified	Repair queued
Form 8 Hindi Form	Form and Instruction	Modified	Repair queued
Form 7 Haitian Creole Form	Form and Instruction	Modified	Repair queued
Form 6 French Form	Form and Instruction	Modified	Repair queued
Form 5 Chinese Form	Form and Instruction	Modified	Repair queued
Form 4 Bengali Form	Form and Instruction	Modified	Available
Form 3 Arabic Form	Form and Instruction	Modified	Repair queued
Form 2 Amharic Form	Form and Instruction	Modified	Repair queued
Form 1 English Form	Form and Instruction	Modified	Available
Form 1 Voter Registration Application	Form and Instruction	Modified	Repair queued
EAC-2024-0004-DRAFT-0004.html.pdf	Public Comments	Uploaded 2025-02-17	Available
30 Day- Supporting Statement B - NVRA Regulations for Data Collection - 2025.docx	Supporting Statement B	Uploaded 2025-03-05	Available
30 Day- Supporting Statement B - NVRA Regulations for Data Collection - 2025.docx	Supporting Statement B	Uploaded 2025-03-05	Repair queued
30 Day- Supporting Statement A - National Mail Voter Registration Application 2025.docx	Supporting Statement A	Uploaded 2025-03-05	Available
30 Day- Supporting Statement A - National Mail Voter Registration Application 2025.docx	Supporting Statement A	Uploaded 2025-03-05	Repair queued

IC Document Collections

IC ID	Collection	Type	Status	Form
248949	Voter Registration Application	Form and Instruction	Modified	Yup'ik Form
248949	Voter Registration Application	Form and Instruction	Modified	Vietnamese Form
248949	Voter Registration Application	Form and Instruction	Modified	Tagalog
248949	Voter Registration Application	Form and Instruction	Modified	Spanish Form
248949	Voter Registration Application	Form and Instruction	Modified	Somali Form
248949	Voter Registration Application	Form and Instruction	Modified	Russian Form
248949	Voter Registration Application	Form and Instruction	Modified	Portuguese Form
248949	Voter Registration Application	Form and Instruction	Modified	Polish Form
248949	Voter Registration Application	Form and Instruction	Modified	Navajo Form
248949	Voter Registration Application	Form and Instruction	Modified	Korean Form
248949	Voter Registration Application	Form and Instruction	Modified	Khmer Form
248949	Voter Registration Application	Form and Instruction	Modified	Japanese Form
248949	Voter Registration Application	Form and Instruction	Modified	Hindi Form
248949	Voter Registration Application	Form and Instruction	Modified	Haitian Creole Form
248949	Voter Registration Application	Form and Instruction	Modified	French Form
248949	Voter Registration Application	Form and Instruction	Modified	Chinese Form
248949	Voter Registration Application	Form and Instruction	Modified	Bengali Form
248949	Voter Registration Application	Form and Instruction	Modified	Arabic Form
248949	Voter Registration Application	Form and Instruction	Modified	Amharic Form
248949	Voter Registration Application	Form and Instruction	Modified	English Form
248949	Voter Registration Application	Form and Instruction	Modified

ICR Details

OMB Control No: 3265-0015	ICR Reference No: 202503-3265-001
Status: Active	Previous ICR Reference No: 202111-3265-001
Agency/Subagency: EAC	Agency Tracking No:
Title: National Voter Registration Act (NVRA) Regulations for Voter Registration Application
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 09/29/2025
Retrieve Notice of Action (NOA)	Date Received in OIRA: 03/05/2025
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/2028	36 Months From Approved	09/30/2025
Responses	2,500,000	0	2,500,000
Time Burden (Hours)	291,667	0	291,667
Cost Burden (Dollars)	0	0	0

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Abstract: Section 9(a) of the NVRA and Section 802 of HAVA requires the responsible agency to maintain a national mail voter registration form for U.S. citizens that want to register to vote, to update registration information due to a change of name, make a change of address or to register with a political party by returning the form to their state election office.

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Authorizing Statute(s): US Code: 42 USC 1973gg-7(a) Name of Law: National Voter Registration Act
   US Code: 42 USC 15532 Name of Law: Help America Vote Act
  

Citations for New Statutory Requirements: US Code: 42 USC 15532 Name of Law: Help America Vote Act

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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:
	89 FR 101596	12/16/2024
30-day Notice:	Federal Register Citation:	Citation Date:
	90 FR 11159	03/04/2025
Did the Agency receive public comments on this ICR? Yes

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

IC Title	Form No.	Form Name
Voter Registration Application	17, 1, 2, 3, 4, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 18, 19, 20, 6, 5	English Form ,   Amharic Form ,   Arabic Form ,   Bengali Form ,   Chinese Form ,   French Form ,   Haitian Creole Form ,   Hindi Form ,   Japanese Form ,   Khmer Form ,   Korean Form ,   Navajo Form ,   Polish Form ,   Portuguese Form ,   Russian Form ,   Somali Form ,   Spanish Form ,   Tagalog ,   Vietnamese Form ,   Yup'ik Form

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ICR Summary 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	2,500,000	2,500,000	0	0	0	0
Annual Time Burden (Hours)	291,667	291,667	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

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

Burden Increase Due to:

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

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $15,000

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.     No

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: 03/05/2025

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