Information Collection

Voting System Anomaly Report

IC 254735 under ICR 202507-3265-001 · OMB 3265-0024.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 003C Voting System Anomaly Report	Form and Instruction
Form 003C Voting System Anomaly Reporting Form 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

IC Title:

Agency IC Tracking Number:

003C

Is this a Common Form? No

IC Status: Unchanged

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	003C			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 %

table that charts list of burden
	Approved	Previously Approved
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

table that charts IC Documents
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.

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