Help America Vote Act (HAVA) Voting Access Annual Report and Application-States

Forms and Documents

Document Name	Status
supportingstatement - STATES application (4)[1].doc Supporting Statement A	2009-02-24

IC Document Collections

IC ID	Document Title	Status
181496	Annual Report and Application - States Instruction	Modified

ICR Details

OMB Control No: 0970-0327	ICR Reference No: 200903-0970-005
Status: Historical Active	Previous ICR Reference No: 200708-0970-002
Agency/Subagency: HHS/ACF	Agency Tracking No:
Title: Help America Vote Act (HAVA) Voting Access Annual Report and Application-States
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 06/09/2009
	Date Received in OIRA: 03/18/2009
Terms of Clearance: Per the PRA, this ICR is approved provided that ACF prints the standard PRA language including burden estimate, OMB control number, and expiration date on the forms and/or instructions. This approval is granted for two (2) years only due to the absence of an electronic application and lack of GPRA compliance.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	06/30/2011	36 Months From Approved	11/30/2010
Responses	55	0	55
Time Burden (Hours)	2,750	0	1,320
Cost Burden (Dollars)	0	0	0

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Abstract: An annual report is required by Federal Statute (the Help America Vote Act (HAVA) of 2002, Public Law 107-252, Section 261, Payments to States and Local Units of Government, 42.U.S.C. 15421). Each State or Unit of Local Government that receives funding must prepare and submit an annual report at the end of every fiscal year. The report addresses the activities conducted with the funds provided during the year. The information collected from the annual report will be aggregated into an annual profile of how States have utilized the funds and establish best practices for election officials. It will also provide an overview of the State election goals and accomplishments and permit the Administration on Developmental Disabilities to track progress of voting accessibility to monitor grant activities.

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Authorizing Statute(s): PL: Pub.L. 107 - 252 261 Name of Law: Help America Vote Act of 2002
  

Citations for New Statutory Requirements: None

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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:
	73 FR 64337	10/29/2008
30-day Notice:	Federal Register Citation:	Citation Date:
	74 FR 10253	03/10/2009
Did the Agency receive public comments on this ICR? No

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

IC Title	Form No.	Form Name
Annual Report and Application - States

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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	55	55	0	0	0	0
Annual Time Burden (Hours)	2,750	1,320	0	0	1,430	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

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

Burden Reduction Due to:

Short Statement: The burden estimate increase reflects the time required for respondents to complete the application.

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Annual Cost to Federal Government: $7,000

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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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: 03/18/2009

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