Application for Mediation Services

ICR 199906-3140-001

OMB: 3140-0002

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
32917 Migrated
ICR Details
3140-0002 199906-3140-001
Historical Active 199602-3140-001
NMB
Application for Mediation Services
Revision of a currently approved collection   No
Regular
Approved without change 08/04/1999
Retrieve Notice of Action (NOA) 06/30/1999
  Inventory as of this Action Requested Previously Approved
09/30/2002 09/30/2002 08/31/1999
123 0 1
17 0 17
0 0 0

The information is used by NMB to determine such matters as how many staff will be required to conduct an investigation and other resources needed.

None
None


No

1
IC Title Form No. Form Name
Application for Mediation Services NMB-2

  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 123 1 0 122 0 0
Annual Time Burden (Hours) 17 17 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.
06/30/1999


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