Information Collection

Help America Vote Act (HAVA)

IC 9761 under ICR 202603-0960-014 · OMB 0960-0706.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Sample HAVA Screenshots.pdf	Other-Sample Internet Screens
Sample HAVA Screenshots.pdf	Other-Sample Internet Screens
HAVA MOU Template - 0706.pdf	Other-Memorandum of Understanding Te
HAVA MOU Template - 0706.pdf	Other-Memorandum of Understanding Te
AAMVA HAVV Agreement template.pdf	Other- AAMVA HAVV Agreement template
AAMVA HAVV Agreement template.pdf	Other- AAMVA HAVV Agreement template

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Sample Internet Screens	Yes	Yes	Fillable Fileable Signable
Other-Memorandum of Understanding Template	No		Paper Only
Other- AAMVA HAVV Agreement template	No		Paper Only

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 48

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	5,808,624	0	903,024	4,905,600
Annual IC Time Burden (Hours)	193,621	0	30,101	163,520
Annual IC Cost Burden (Dollars)	0	-63,459	0	63,459

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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