MEDIATOR SURVEY AND PARTY SURVEY FORMS

ICR 199203-3060-013

OMB: 3060-0497

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
151084 Migrated
ICR Details
3060-0497 199203-3060-013
Historical Active
FCC
MEDIATOR SURVEY AND PARTY SURVEY FORMS
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 05/28/1992
Retrieve Notice of Action (NOA) 03/27/1992
  Inventory as of this Action Requested Previously Approved
05/31/1995 05/31/1995
1,350 0 0
675 0 0
0 0 0

THE MEDIATOR AND PARTY SURVEY FORMS WILL BE USED TO ENABLE THE FCC TO EVALUATE AND IMPROVE ITS PROGRAM.

None
None


No

1
IC Title Form No. Form Name
MEDIATOR SURVEY AND PARTY SURVEY FORMS FCC 91, FCC 92

  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 1,350 0 0 1,350 0 0
Annual Time Burden (Hours) 675 0 0 675 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.
03/27/1992


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