NOTICE TO FEDERAL MEDIATION AND CONCILIATION SERVICE

ICR 199109-3076-001

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
152938 Migrated
ICR Details
3076-0005 199109-3076-001
Historical Active 199010-3076-002
FMCS
NOTICE TO FEDERAL MEDIATION AND CONCILIATION SERVICE
Reinstatement with change of a previously approved collection   No
Regular
Approved without change 11/22/1991
Retrieve Notice of Action (NOA) 09/09/1991
  Inventory as of this Action Requested Previously Approved
11/30/1994 11/30/1994
600 0 0
100 0 0
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 ASSIGNMENT. 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 0 0 0 600 0
Annual Time Burden (Hours) 100 0 0 0 100 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.
09/09/1991


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