Arbitrator's Report and Fee Statement

Arbitrator's Report and Fee Statement

OMB: 3076-0003

IC ID: 32221

Information Collection (IC) Details

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Arbitrator's Report and Fee Statement
 
No Modified
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form R-19 Arbitrator's Report and Fee Statement FormR-19Revised200301Fill.pdf www.fmcs.gov Yes Yes Fillable Fileable

Litigation and Judicial Activities Resolution Facilitation

Privacy Act of 1974  40 FR 47418

2,500 0
   
State, Local, and Tribal Governments
 
   0 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 2,500 0 0 0 2,500 0
Annual IC Time Burden (Hours) 416 0 0 0 416 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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