Post-election Voting Survey of State and Local Election Officials

Post-election Voting Survey of State and Local Election Officials

Attachment_4b_Advisory_Privacy_Consent

Post-election Voting Survey of State and Local Election Officials

OMB: 0704-0125

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Agency Disclosure Notice

The public reporting burden for this collection of information is estimated to take approximately 45 minutes to two and a half hours to complete the survey per response depending on how many jurisdictions you are responsible for, including the time for reviewing the instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information.  Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services Directorate (xxxx-xxxx).  Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number.

Privacy Notice

This survey does not collect or use personally identifiable information and is not retrieved by personal identifier.  Therefore, the information collected is not subject to the Privacy Act of 1974, as amended (5 U.S.C. § 552a).
This notice informs you of the purpose of the 2012 Post-Election Voting Surveys and how the findings of these surveys will be used.  Please read it carefully.

AUTHORITY:  42 United States Code, Section 1973ff.

PRINCIPAL PURPOSE:  This survey is conducted by the Federal Voting Assistance Program (FVAP), which informs and educates United States citizens covered by the Uniformed and Overseas Absentee Voting Act (UOCAVA).  The UOCAVA covers members of the Uniformed Services and Merchant Marines, their family members, and citizens residing outside the United States.  Reports will be provided to the President and to Congress.

ROUTINE USES:  None.

DISCLOSURE:  Providing information on this survey is voluntary.  Depending on how many jurisdictions you are responsible for, it takes approximately 45 minutes to two and a half hours to complete the survey.  There is no penalty to you or your office if you choose not to respond.  However, maximum participation is encouraged so that the data will be complete and representative.  Your responses will be kept private to the extent permitted by law.  If you answer any items and indicate distress or being upset, etc., you will not be contacted for follow-up purposes.  However, if you indicate a direct threat to harm yourself or others within responses or communications about the survey, because of concern for your welfare, The Defense Manpower Data Center (DMDC) will notify an office in your area for appropriate action.

SURVEY ELIGIBILITY AND POTENTIAL BENEFITS:  All voting jurisdictions including the District of Columbia and the U.S. territories are included in the survey population. There is no direct benefit for your individual participation, however your responses, when taken together with the responses from all the other Election Officials, will make a difference by helping to identify areas where the absentee voting process can be improved. 

STATEMENT OF RISK:  The data collection procedures are not expected to involve any risk or discomfort to you.  The only risk to you is accidental or unintentional disclosure of the data you provide.  However, the government and its contractors have a number of policies and procedures to ensure that survey data are safe and protected.  Government and contractor staff members have been trained to protect client identity and are subject to civil penalties for violating your confidentiality.

If you experience any difficulties taking the survey, please contact the Survey Processing Center by sending an e-mail to PEVSurvey@osd.pentagon.mil or call, toll-free, 1-800-881-5307.  If you have concerns about your rights as a research participant, please contact the OUSD(P&R) Research Regulatory Oversight Office at 703-575-2677/703-575-3536 or e-mail R2O2@tma.osd.mil.

Once you start answering the survey, if you desire to withdraw your answers, please notify the Survey Processing Center prior to {CLOSE_DATE}.  Please include in the e-mail or phone message your name and Ticket Number.  Unless withdrawn, partially completed survey data may be used after that date.

File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorDavis, Elizabeth H CIV DMDC
File Modified0000-00-00
File Created2021-01-30

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