The agency shall
include the disclosure statement required at 5 CFR 1320.21 on the
form and shall ensure that it is readable. The OMB address shall
read, "Office of Management and Budget, Paperwork Reduction Project
(3076-0005), Washington, D.C. 20503." A final copy of the form with
the disclosure statement shall be submitted for inclusion in the
paperwork file as soon as it is available.
Inventory as of this Action
Requested
Previously Approved
09/30/1989
09/30/1989
02/28/1989
600
0
600
100
0
100
0
0
0
NEEDED TO PROVIDE APPROPRIATE
NOTIFICATION OF PENDING NEED FOR MEDIATION PURSUANT TO 29 CFR, PART
1425, PARAGRAPH 1425.3. INFORMATION WILL BE USED TO DETERMINE
JURISDICTION AND MAKE CASE ASSIGNMENTS. RESPONDENTS ARE FEDERAL
AGENCIES AND UNIONS.
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.