Application for Alternative Dispute Resolutin (ADR) Services

ICR 200406-3140-001

OMB: 3140-0009

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
ICR Details
3140-0009 200406-3140-001
Historical Active
NMB
Application for Alternative Dispute Resolutin (ADR) Services
Existing collection in use without an OMB Control Number   No
Regular
Approved without change 07/08/2004
Retrieve Notice of Action (NOA) 06/15/2004
  Inventory as of this Action Requested Previously Approved
07/31/2007 07/31/2007
45 0 0
9 0 0
0 0 0

This form is submitted to request ADR Services, Facilitation Services, and Training Programs; this for is needed to start the registration and planning process.

None
None


No

1
IC Title Form No. Form Name
Application for Alternative Dispute Resolutin (ADR) Services NMB-9

  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 45 0 0 45 0 0
Annual Time Burden (Hours) 9 0 0 9 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.
06/15/2004


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