FORM IS USED BY AN INDIVIDUAL FEDERAL
EMPLOYEE OR A LABOR ORGANIZATION TO FILE A CHARGE OF AN ALLEGED
UNFAIR LABOR PRACTICE AGAINST A FEDERAL AGENCY. THE
FORM/INFORMATION IS USED BY THE OFFICE OF THE GENERAL COUNSEL OF
THE FEDERAL LABOR RELATIONS AUTHORITY TO DETERMINE IF THERE IS
MERIT TO THE CHARGE.
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.