NOTICE TO FEDERAL MEDIATION AND CONCILIATION SERVICE

ICR 197706-3076-001

OMB: 3076-0005

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC ID
Document
Title
Status
152931 Migrated
ICR Details
3076-0005 197706-3076-001
Historical Active
FMCS
NOTICE TO FEDERAL MEDIATION AND CONCILIATION SERVICE
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 06/09/1977
Retrieve Notice of Action (NOA) 06/06/1977
  Inventory as of this Action Requested Previously Approved
05/31/1982 05/31/1982
600 0 0
300 0 0
0 0 0

THIS FORM SERVES AS A NOTICE THAT A FEDERAL AGENCY OR LABOR ORGANIZA- TION WISHES TO AMEND, MODIFY OR TERMINATE AN EXISTING AGREEMENT. PARTIES ENTERING INITIAL AGREEMENT NEGOTIATIONS MAY REQUEST ASSIS- TANCE BY FILING THIS FORM. WHEN RECEIVED BY FMCS THE INFORMATION IS USED TO ASSIGN A MEDIATOR FOR ASSISTANCE TO PARTIES IN THEIR NEGOTIATIONS.

None
None


No

1
IC Title Form No. Form Name
NOTICE TO FEDERAL MEDIATION AND CONCILIATION SERVICE F-53

  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 600 0 0 0 600 0
Annual Time Burden (Hours) 300 0 0 0 300 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  No

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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
06/06/1977


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