Manufacturer Registration Application

Voting System Manufacturer Registration, Application for Testing, Anomaly Reporting and Root Cause Analysis

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3265-0024 can be found here:

Documents and Forms

Document Name Document Type
Form 001C Manufacturer Registration Application Form and Instruction
Form 001C Manufacturer Registration Application Form and Instruction
001C Manufacturing Registration Application Manufacturer_Registration_Application_EAC_001C_UPDATED 12.15.22.docx WWW.EAC.GOV Form and Instruction
001C Manufacturing Registration Application Manufacturer_Registration_Application_EAC_001C_UPDATED 12.15.22.docx WWW.EAC.GOV Form and Instruction
Proposed Non-Substantive Changes to EAC Manufacturer Registration Application. OMB # 3265-0024.docx Proposed Non-Substantive Changes to EAC Manufacturer Registration Application. OMB # 3265-0024 IC Document
Proposed Non-Substantive Changes to EAC Manufacturer Registration Application. OMB # 3265-0024.docx Proposed Non-Substantive Changes to EAC Manufacturer Registration Application. OMB # 3265-0024 IC Document

Information Collection (IC) Details

IC Title:	Manufacturer Registration Application	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	001C	Manufacturing Registration Application	Manufacturer_Registration_Application_EAC_001C_UPDATED 12.15.22.docx	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: 1	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	1	1
Annual IC Time Burden (Hours)	2	2
Annual IC Cost Burden (Dollars)	226	226

Documents for IC

Title	Document	Date Uploaded
Proposed Non-Substantive Changes to EAC Manufacturer Registration Application. OMB # 3265-0024	Proposed Non-Substantive Changes to EAC Manufacturer Registration Application. OMB # 3265-0024.docx	12/16/2022

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.