REQUEST FOR ARBITRATOR PANEL

ICR 198507-3076-004

OMB: 3076-0002

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
152912 Migrated
ICR Details
3076-0002 198507-3076-004
Historical Active 198203-3076-001
FMCS
REQUEST FOR ARBITRATOR PANEL
Extension without change of a currently approved collection   No
Regular
Approved without change 09/05/1985
Retrieve Notice of Action (NOA) 07/31/1985
  Inventory as of this Action Requested Previously Approved
05/31/1988 05/31/1988 08/31/1985
27,000 0 26,000
4,500 0 13,000
0 0 0

THE NEED FOR THIS FORM IS TO COLLECT INFORMATION IN ORDER THAT WE CAN PROVIDE PROPERLY QUALIFIED ARBITRATOR PANELS TO THE REQUESTING PARTIES THE AFFECTED PARTIES MAY BE UNIONS, SCHOOLS, HOSPITALS, LARGE AND SMAL BUSINESSES, ETC.

None
None


No

1
IC Title Form No. Form Name
REQUEST FOR ARBITRATOR PANEL FMCS R-43

  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 27,000 26,000 0 0 1,000 0
Annual Time Burden (Hours) 4,500 13,000 0 0 -8,500 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.
07/31/1985


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