REQUEST FOR ARBITRATION SERVICES

ICR 199211-3076-003

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
152918 Migrated
ICR Details
3076-0002 199211-3076-003
Historical Active 199010-3076-001
FMCS
REQUEST FOR ARBITRATION SERVICES
Reinstatement with change of a previously approved collection   No
Regular
Approved without change 01/21/1993
Retrieve Notice of Action (NOA) 11/20/1992
  Inventory as of this Action Requested Previously Approved
01/31/1996 01/31/1996
28,000 0 0
4,667 0 0
0 0 0

THE PURPOSE OF THIS FORM IS TO OBTAIN INFORMATION ON NAME, ADDRESS, AND TYPE OF ASSISTANCE NEEDED SO THAT FMCS MAY 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 ARBITRATION SERVICES 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 28,000 0 0 28,000 0 0
Annual Time Burden (Hours) 4,667 0 0 4,667 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.
11/20/1992


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