REQUEST FOR ARBITRATOR PANEL

ICR 199010-3076-001

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
152917 Migrated
ICR Details
3076-0002 199010-3076-001
Historical Active 199002-3076-001
FMCS
REQUEST FOR ARBITRATOR PANEL
Reinstatement with change of a previously approved collection   No
Regular
Approved without change 12/18/1990
Retrieve Notice of Action (NOA) 10/03/1990
We have approved this form with the condition that the agency add a disclosure statement to the form as promised in its letter of December 17, 1990 (see attached).
  Inventory as of this Action Requested Previously Approved
12/31/1991 12/31/1991
27,000 0 0
4,500 0 0
0 0 0

THE NEED FOR THIS FORM IS TO OBTAIN INFORMATION - NAME, ADDRESS AND TYPE OF ASSISTANCE DESIRED SO THAT FMCS CAN RESPOND TO REQUESTS FOR VARIOUS ARBITRATION SERVICES: E.G., SENDING A LIST OF 7 ARBITRATORS. THE PARTIES AFFECTED ARE GENERALLY UNIONS AND EMPLOYERS.

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 0 0 27,000 0 0
Annual Time Burden (Hours) 4,500 0 0 4,500 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.
10/03/1990


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