Arbitrator's Report and Fee Statement

ICR 200710-3076-001

OMB: 3076-0003

Federal Form Document

Forms and Documents
Document
Name
Status
Form
Modified
Supporting Statement A
2007-10-01
IC Document Collections
IC ID
Document
Title
Status
32221 Modified
ICR Details
3076-0003 200710-3076-001
Historical Active 200211-3076-001
FMCS
Arbitrator's Report and Fee Statement
Reinstatement without change of a previously approved collection   No
Regular
Approved without change 12/03/2007
Retrieve Notice of Action (NOA) 10/30/2007
  Inventory as of this Action Requested Previously Approved
12/31/2010 36 Months From Approved
2,500 0 0
416 0 0
0 0 0

Form R-19 is used by FMCS to monitor the performance of the arbitrators on its roster. The form is filled by the arbitrator each time s/he renders a decision. Information supplied on the form includes the names of the parties, issues decides, whether transcripts were taken and briefs filed, whether extensions were granted, fees charged and days of service.

US Code: 29 USC 171 (b) Name of Law: Labor Management Relation Act
  
None

Not associated with rulemaking

  71 FR 29130 11/29/2006
72 FR 57941 10/11/2007
No

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

  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 0 0 2,500
Annual Time Burden (Hours) 416 0 0 0 0 416
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected
Michael Bartlett 2026063737 [email protected]

  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.
10/30/2007


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