ARBITRATOR'S PERSONAL DATA QUESTIONNAIRE

ICR 198804-3076-004

OMB: 3076-0001

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
152907 Migrated
ICR Details
3076-0001 198804-3076-004
Historical Active 198507-3076-002
FMCS
ARBITRATOR'S PERSONAL DATA QUESTIONNAIRE
Reinstatement with change of a previously approved collection   No
Regular
Approved without change 07/14/1988
Retrieve Notice of Action (NOA) 04/15/1988
The "Arbitrator's Personal Data Questionnaire" is approved through February 1989 to permit FMCS to complete its review of this form and incorporate the revisions indicated in the previous submission for OMB review.
  Inventory as of this Action Requested Previously Approved
02/28/1989 02/28/1989
250 0 0
375 0 0
0 0 0

THIS QUESTIONNAIRE IS NEEDED IN ORDER THAT WE SELECT HIGHLY QUALIFIED ARBITRATORS FOR OUR ROSTER. THE RESPONDENTS ARE PRIVATE CITIZENS WHO MAKE APPLICATION FOR APPOINTMENT TO THE FMCS ROSTER.

None
None


No

1
IC Title Form No. Form Name
ARBITRATOR'S PERSONAL DATA QUESTIONNAIRE R-22

  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 250 0 0 250 0 0
Annual Time Burden (Hours) 375 0 0 375 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
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.
04/15/1988


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