NOTICE TO FEDERAL MEDIATION AND CONCILIATION SERVICE

ICR 198902-3076-003

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
152935 Migrated
ICR Details
3076-0005 198902-3076-003
Historical Active 198804-3076-003
FMCS
NOTICE TO FEDERAL MEDIATION AND CONCILIATION SERVICE
Extension without change of a currently approved collection   No
Regular
Approved without change 04/19/1989
Retrieve Notice of Action (NOA) 02/24/1989
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.

None
None


No

1
IC Title Form No. Form Name
NOTICE TO FEDERAL MEDIATION AND CONCILIATION SERVICE FMCS 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 600 600 0 0 0 0
Annual Time Burden (Hours) 100 100 0 0 0 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.
02/24/1989


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