Post-election Voting Survey of State and Local Election Officials

Attachment_4a_Quantitative_Survey_Questions

Post-election Voting Survey of State and Local Election Officials

OMB: 0704-0125

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2012 Post-Election Voting Survey — Quantitative Data
VOTER REGISTRATION
1. Enter the total number of persons in your jurisdiction who were registered and eligible to
vote in the November 2012 general election. Include active and inactive voters, special
categories of voters with extended deadlines (e.g., such as returning military), and any
persons who may have registered to vote on Election Day. Do not include any persons
under the age of 18 who may be registered under a "pre-registration" program.

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VOTER REGISTRATION
2. Enter the total number of registered and eligible voters in your jurisdiction who were
covered by the Uniformed and Overseas Civilians Absentee Voting Act (UOCAVA) in the
November 2012 general election for the following groups. Include both active and inactive
UOCAVA voters. Provide the appropriate data in the numeric box(es) below. To indicate
none, enter "0". If you cannot provide data for a specific group, select the corresponding
"Data Not Available" check box.
a. Uniformed Service Voters—
Data Not Available
APO/FPO/non-US Address
b.
c.

Uniformed Service Voters—
Domestic US Address

Data Not Available

Overseas Civilians
Data Not Available

Total
Data Not Available

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FEDERAL POST CARD APPLICATIONS (FPCAS)
3.

Enter the total number of Federal Post Card Applications (FPCAs) that your jurisdiction
received before and after the 45-day deadline. Provide the appropriate data in the numeric
box(es) below. To indicate none, enter "0". If you cannot provide data for a specific
group, select the corresponding "Data Not Available" check box.
Uniformed
Service
Uniformed
Voters—
Service
APO/FPO/
Voters—
non-US
Domestic US
Overseas
Address
Address
Civilians
TOTAL
(a)
(b)
(c)
(d)
1. FPCAs Received
Before 45-Day
Deadline
Data Not
Data Not
Data Not
Data Not
Available
Available
Available
Available
2. FPCAs Received
After 45-Day Deadline
Data Not
Available

Data Not
Available

3. TOTAL

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4. Of the total number of Federal Post Card Applications (FPCAs) that your jurisdiction
received (as reported in Question 3), how many were rejected for the following groups?
Provide the appropriate data in the numeric box(es) below. To indicate none, enter "0". If
you cannot provide data for a specific group, select the corresponding "Data Not
Available" check box.
a. Uniformed Service Voters—
Data Not Available
APO/FPO/non-US Address
b.
c.

Uniformed Service Voters—
Domestic US Address

Data Not Available

Overseas Civilians
Data Not Available

Total
Data Not Available

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5. Of the total number of Federal Post Card Applications (FPCAs) that your jurisdiction
rejected (as reported in Question 4), how many were rejected because they were received
after your jurisdiction’s voter registration or absentee ballot deadline for the following
groups? Provide the appropriate data in the numeric box(es) below. To indicate none,
enter "0". If you cannot provide data for a specific group, select the corresponding "Data
Not Available" check box.
a. Uniformed Service Voters—
Data Not Available
APO/FPO/non-US Address
b.
c.

Uniformed Service Voters—
Domestic US Address

Data Not Available

Overseas Civilians
Data Not Available

Total
Data Not Available

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UOCAVA ABSENTEE BALLOT TRANSMISSION
6.

How many UOCAVA absentee ballots did your jurisdiction transmit to UOCAVA voters
using the following modes of transmission? Exclude Federal Write-In Absentee Ballots
(FWABs) and State Write-In Absentee Ballots (SWABs) from your totals. Provide the
appropriate data in the numeric box(es) below. To indicate none, enter "0". If you cannot
provide data for a specific group, select the corresponding "Data Not Available" check
box.
ABSENTEE BALLOT TRANSMISSIONS GENERATED FROM REQUESTS RECEIVED
BEFORE 45-DAY DEADLINE (BOTH FPCA & NON-FPCA)
Uniformed
Service
Uniformed
Voters—
Service
APO/FPO/
Voters—
non-US
Domestic US
Overseas
Address
Address
Civilians
TOTAL
(a)
(b)
(c)
(d)
1. Postal mail
Data Not
Available

Data Not
Available

2. Fax

3. E-mail

Online tool

5. TOTAL of
columns a-d for
BEFORE 45-day
Deadline

ABSENTEE BALLOT TRANSMISSIONS GENERATED FROM REQUESTS RECEIVED AFTER
45-DAY DEADLINE (BOTH FPCA & NON-FPCA)
Uniformed
Uniformed
Service
Service
Voters—
Voters—
APO/FPO/
Domestic US
Overseas
non-US
Address
Civilians
TOTAL
Address
(b)
(c)
(d)

(a)
1.

Postal mail
Data Not
Available

Data Not
Available

2. Fax

3. E-mail

Online tool

5. TOTAL of
columns a-d for
AFTER 45-day
Deadline

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7. Of the total number of UOCAVA absentee ballots that your jurisdiction transmitted (as
reported in Question 6), how many were returned as undeliverable for the following
groups? Exclude Federal Write-In Absentee Ballots (FWABs) and State Write-In Absentee
Ballots (SWABs) from your totals. Provide the appropriate data in the numeric box(es)
below. To indicate none, enter "0". If you cannot provide data for a specific group, select
the corresponding "Data Not Available" check box.
Absentee Ballot Requests
Absentee Ballot Requests
Received Before 45-day
Received After 45-day
Deadline
Deadline
(b)
(a)
1. Uniformed Service Voters—
APO/FPO/non-US Address
Data Not Available

Data Not Available

2. Uniformed Service Voters—
Domestic US Address

3. Overseas Civilians

Data Not Available

Total

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UOCAVA ABSENTEE BALLOTS CAST
8.

How many UOCAVA absentee ballots were cast using the following modes of
transmission? Exclude Federal Write-In Absentee Ballots (FWABs) and State Write-In
Absentee Ballots (SWABs) from your totals. Provide the appropriate data in the numeric
box(es) below. To indicate none, enter "0". If you cannot provide data for a specific
group, select the corresponding "Data Not Available" check box.
ABSENTEE BALLOTS CAST FROM REQUESTS RECEIVED BEFORE 45-DAY DEADLINE
(BOTH FPCA & NON-FPCA)
Uniformed
Service
Uniformed
Voters—
Service
APO/FPO/
Voters—
non-US
Domestic US
Overseas
Address
Address
Civilians
TOTAL
(a)
(b)
(c)
(d)
1. Postal mail
Data Not
Available

Data Not
Available

2. Fax

3. E-mail

Online tool

5. TOTAL of
columns a-d for
BEFORE 45-day

Deadline
ABSENTEE BALLOTS CAST FROM REQUESTS RECEIVED AFTER 45-DAY DEADLINE
(BOTH FPCA & NON-FPCA)
Uniformed
Service
Uniformed
Voters—
Service
APO/FPO/
Voters—
non-US
Domestic US
Overseas
Address
Address
Civilians
TOTAL
(a)
(b)
(c)
(d)
1. Postal mail
Data Not
Available

Data Not
Available

2. Fax

3. E-mail

Online tool

5. TOTAL of
columns a-d for
AFTER 45-day
Deadline
******* Page Break **********

UOCAVA ABSENTEE BALLOTS REJECTED
9.

How many UOCAVA absentee ballots returned by UOCAVA voters were rejected in your
jurisdiction by the following modes of transmission. Exclude Federal Write-In Absentee
Ballots (FWABs) and State Write-In Absentee Ballots (SWABs) from your totals. Provide
the appropriate data in the numeric box(es) below. To indicate none, enter "0". If you
cannot provide data for a specific group, select the corresponding "Data Not Available"
check box.
ABSENTEE BALLOTS REJECTED FROM REQUESTS RECEIVED BEFORE 45-DAY
DEADLINE (BOTH FPCA & NON-FPCA)
Uniformed
Service
Uniformed
Voters—
Service
APO/FPO/
Voters—
non-US
Domestic US
Overseas
Address
Address
Civilians
TOTAL
(a)
(b)
(c)
(d)
1. Postal mail
Data Not
Available

Data Not
Available

2. Fax

3. E-mail

Online tool

5. TOTAL of
columns a-d for
BEFORE 45-day
Deadline

ABSENTEE BALLOTS REJECTED FROM REQUESTS RECEIVED AFTER 45-DAY
DEADLINE (BOTH FPCA & NON-FPCA)
Uniformed
Uniformed
Service
Service
Voters—
Voters—
APO/FPO/
Domestic US
Overseas
non-US
Address
Civilians
TOTAL
Address
(b)
(c)
(d)

(a)
1.

Postal mail
Data Not
Available

Data Not
Available

2. Fax

3. E-mail

Online tool

5. TOTAL of
columns a-d for
AFTER 45-day
Deadline

10. Of the total number of UOCAVA absentee ballots that were rejected in your jurisdiction (as
reported in Question 9), how many were rejected because they were received after the
statutory deadline by the following modes of transmission? Exclude Federal Write-In
Absentee Ballots (FWABs) and State Write-In Absentee Ballots (SWABs) from your totals.
Provide the appropriate data in the numeric box(es) below. To indicate none, enter "0". If
you cannot provide data for a specific group, select the corresponding "Data Not
Available" check box.
ABSENTEE BALLOTS REJECTED BECAUSE THEY WERE RECEIVED AFTER THE
STATUTORY DEADLINE FROM REQUESTS RECEIVED BEFORE 45-DAY DEADLINE (BOTH
FPCA & NON-FPCA)
Uniformed
Service
Uniformed
Voters—
Service
APO/FPO/
Voters—
non-US
Domestic US
Overseas
Address
Address
Civilians
TOTAL
(a)
(b)
(c)
(d)
1. Postal mail
Data Not
Available

Data Not
Available

2. Fax

3. E-mail

Online tool

5. TOTAL of
columns a-d for
BEFORE 45-day
Deadline

ABSENTEE BALLOTS REJECTED BECAUSE THEY WERE RECEIVED AFTER THE
STATUTORY DEADLINE FROM REQUESTS RECEIVED AFTER 45-DAY DEADLINE (BOTH
FPCA & NON-FPCA)
Uniformed
Uniformed
Service
Service
Voters—
Voters—
Overseas
APO/FPO/
Domestic US
Civilians
TOTAL
non-US
Address
(c)
(d)

Address
(a)
1.

(b)

Postal mail
Data Not
Available

Data Not
Available

2. Fax

3. E-mail

Online tool

5. TOTAL of
columns a-d for
AFTER 45-day
Deadline
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UOCAVA ABSENTEE BALLOTS COUNTED
11. How many UOCAVA absentee ballots were counted in your jurisdiction by the following
modes of transmission? Exclude Federal Write-In Absentee Ballots (FWABs) and State
Write-In Absentee Ballots (SWABs) from your totals. Provide the appropriate data in the
numeric box(es) below. To indicate none, enter "0". If you cannot provide data for a
specific group, select the corresponding "Data Not Available" check box.
ABSENTEE BALLOTS COUNTED FROM REQUESTS RECEIVED BEFORE 45-DAY
DEADLINE (BOTH FPCA & NON-FPCA)
Uniformed
Service
Uniformed
Voters—
Service
APO/FPO/
Voters—
non-US
Domestic US
Overseas
Address
Address
Civilians
TOTAL
(a)
(b)
(c)
(d)
1. Postal mail
Data Not
Available

Data Not
Available

2. Fax

3. E-mail

Online tool

5. TOTAL of
columns a-d for
BEFORE 45-day
Deadline

ABSENTEE BALLOTS COUNTED FROM REQUESTS RECEIVED AFTER 45-DAY DEADLINE
(BOTH FPCA & NON-FPCA)
Uniformed
Service
Uniformed
Voters—
Service
APO/FPO/
Voters—
non-US
Domestic US
Overseas
Address
Address
Civilians
TOTAL
(a)
(b)
(c)
(d)

Postal mail
Data Not
Available

Data Not
Available

2. Fax

3. E-mail

Online tool

5. TOTAL of
columns a-d for
AFTER 45-day
Deadline
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FEDERAL WRITE-IN ABSENTEE BALLOTS (FWABs)
12. Enter the total number of Federal Write-In Absentee Ballots (FWABs) cast by UOCAVA
voters in your jurisdiction for the following groups. Provide the appropriate data in the
numeric box(es) below. To indicate none, enter "0". If you cannot provide data for a
specific group, select the corresponding "Data Not Available" check box.
a. Uniformed Service Voters—
Data Not Available
APO/FPO/non-US Address
b.
c.

Uniformed Service Voters—Domestic
US Address

Data Not Available

Overseas Civilians
Data Not Available

Total
Data Not Available

******** Page Break **********

13. Of the total number of Federal Write-In Absentee Ballots (FWABs) cast by UOCAVA voters
in your jurisdiction (as reported in Question 12), how many were rejected for the following
groups? Provide the appropriate data in the numeric box(es) below. To indicate none,
enter "0". If you cannot provide data for a specific group, select the corresponding "Data
Not Available" check box.
a. Uniformed Service Voters—
Data Not Available
APO/FPO/non-US Address
b.
c.

Uniformed Service Voters—Domestic
US Address

Data Not Available

Overseas Civilians
Data Not Available

Total
Data Not Available

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14. Of the total number of Federal Write-In Absentee Ballots (FWABs) returned by UOCAVA
voters in your jurisdiction that were rejected (as reported in Question 12), how many were
rejected because they were received after the ballot receipt deadline for the following
groups? Provide the appropriate data in the numeric box(es) below. To indicate none,
enter "0". If you cannot provide data for a specific group, select the corresponding "Data
Not Available" check box.
a. Uniformed Service Voters—
Data Not Available
APO/FPO/non-US Address
b.
c.

Uniformed Service Voters—Domestic
US Address

Data Not Available

Overseas Civilians
Data Not Available

Total
Data Not Available

******** Page Break **********

15. Of the total number of Federal Write-In Absentee Ballots (FWABs) returned by UOCAVA
voters in your jurisdiction that were rejected (as reported in Question 13), how many were
rejected because the voter’s regular absentee ballot was cast and counted for the
following groups? Provide the appropriate data in the numeric box(es) below. To indicate
none, enter "0". If you cannot provide data for a specific group, select the corresponding
"Data Not Available" check box.
a. Uniformed Service Voters—
Data Not Available
APO/FPO/non-US Address
b.
c.

Uniformed Service Voters—Domestic
US Address

Data Not Available

Overseas Civilians
Data Not Available

Total
Data Not Available

******** Page Break **********
16. Enter the total number of Federal Write-In Absentee Ballots (FWABs) returned by UOCAVA
voters that were counted in your jurisdiction for the November 2012 general election for
the following groups. Provide the appropriate data in the numeric box(es) below. To
indicate none, enter "0". If you cannot provide data for a specific group, select the
corresponding "Data Not Available" check box.
a. Uniformed Service Voters—
Data Not Available
APO/FPO/non-US Address
b.
c.

Uniformed Service Voters—Domestic
US Address

Data Not Available

Overseas Civilians
Data Not Available

Total
Data Not Available

******** Page Break **********

STATE WRITE-IN ABSENTEE BALLOTS (SWABs)
17. Does your state provide State Write-In Absentee Ballots (SWABs)?
Yes
No—(Skip section)
18. Enter the total number of State Write-In Absentee Ballots (SWABs) cast by UOCAVA
voters in your jurisdiction for the following groups. Provide the appropriate data in the
numeric box(es) below. To indicate none, enter "0". If you cannot provide data for a
specific group, select the corresponding "Data Not Available" check box.
a. Uniformed Service Voters—
Data Not Available
APO/FPO/non-US Address
b.
c.

Uniformed Service Voters—Domestic
US Address

Data Not Available

Overseas Civilians
Data Not Available

Total
Data Not Available

******** Page Break **********
19. Of the total number of State Write-In Absentee Ballots (SWABs) cast by UOCAVA voters in
your jurisdiction (as reported in Question 18), how many were rejected for the following
groups? Provide the appropriate data in the numeric box(es) below. To indicate none,
enter "0". If you cannot provide data for a specific group, select the corresponding "Data
Not Available" check box.
a. Uniformed Service Voters—
Data Not Available
APO/FPO/non-US Address
b.
c.

Uniformed Service Voters—Domestic
US Address

Data Not Available

Overseas Civilians
Data Not Available

Total
Data Not Available

******** Page Break **********

20. Of the total number of State Write-In Absentee Ballots (SWABs) returned by UOCAVA
voters in your jurisdiction that were rejected (as reported in Question 19), how many were
rejected because they were received after the ballot receipt deadline for the following
groups? Provide the appropriate data in the numeric box(es) below. To indicate none,
enter "0". If you cannot provide data for a specific group, select the corresponding "Data
Not Available" check box.
a. Uniformed Service Voters—
Data Not Available
APO/FPO/non-US Address
b.
c.

Uniformed Service Voters—Domestic
US Address

Data Not Available

Overseas Civilians
Data Not Available

Total
Data Not Available

******** Page Break **********
21. Of the total number of State Write-In Absentee Ballots (SWABs) returned by UOCAVA
voters in your jurisdiction that were rejected (as reported in Question 19), how many were
rejected because the voter’s regular absentee ballot was cast and counted for the
following groups? Provide the appropriate data in the numeric box(es) below. To indicate
none, enter "0". If you cannot provide data for a specific group, select the corresponding
"Data Not Available" check box.
a. Uniformed Service Voters—
Data Not Available
APO/FPO/non-US Address
b.
c.

Uniformed Service Voters—Domestic
US Address

Data Not Available

Overseas Civilians
Data Not Available

Total
Data Not Available

******** Page Break **********

22. Enter the total number of State Write-In Absentee Ballots (SWABs) returned by UOCAVA
voters that were counted in your jurisdiction for the November 2012 general election for
the following groups. Provide the appropriate data in the numeric box(es) below. To
indicate none, enter "0". If you cannot provide data for a specific group, select the
corresponding "Data Not Available" check box.
a. Uniformed Service Voters—
Data Not Available
APO/FPO/non-US Address
b.
c.

Uniformed Service Voters—Domestic
US Address

Data Not Available

Overseas Civilians
Data Not Available

Total
Data Not Available

******** Page Break **********

File Type	application/pdf
File Title	Microsoft Word - PEV11201_Quantitative_06-28-2012.docx
Author	licarifc
File Modified	2012-06-28
File Created	2012-06-28