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HAVA Application - States
Help America Vote Act (HAVA) Voting Access Annual Report and Application-States
OMB: 0970-0327
IC ID: 181496
OMB.report
HHS/ACF
OMB 0970-0327
ICR 201106-0970-005
IC 181496
( )
Documents and Forms
Document Name
Document Type
REQUIREMENTS FOR THE SECRETARY OF STATE APPLICATION7.27.2011.docx
Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
HAVA Application - States
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Mandatory
CFR Citation:
11 CFR D 42 USC (To search for a specific CFR, visit the
Code of Federal Regulations.
)
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Instruction
REQUIREMENTS FOR THE SECRETARY OF STATE APPLICATION7.27.2011.docx
No
Paper Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Community and Social Services
Subfunction:
Social Services
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
55
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
0 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
55
0
0
0
0
55
Annual IC Time Burden (Hours)
1,320
0
0
-1,430
0
2,750
Annual IC Cost Burden (Dollars)
1,925
0
0
1,925
0
0
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.