Arbitrator's Report and Fee Statement

ICR 200211-3076-001

OMB: 3076-0003

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
32221 Migrated
ICR Details
3076-0003 200211-3076-001
Historical Active 200208-3076-001
FMCS
Arbitrator's Report and Fee Statement
Reinstatement without change of a previously approved collection   No
Regular
Approved without change 01/29/2003
Retrieve Notice of Action (NOA) 11/20/2002
  Inventory as of this Action Requested Previously Approved
01/31/2006 01/31/2006
2,500 0 0
416 0 0
0 0 0

This form is used to monitor the work of the arbitrators who serve on the roster of the Federal Mediation and Conciliation Service.

None
None


No

1
IC Title Form No. Form Name
Arbitrator's Report and Fee Statement R-19

  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 2,500 0 0 2,500 0 0
Annual Time Burden (Hours) 416 0 0 416 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.
11/20/2002


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