Notice to Mediation Agency

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3076-0004 can be found here:

Documents and Forms

Document Name Document Type
Form F-7 Notice to Mediation Agency Form
F-7 Notice to Mediation Agencies F-7-200302-fill.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Notice to Mediation Agency	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	F-7	Notice to Mediation Agencies	F-7-200302-fill.pdf		Yes	Yes	Fillable Fileable

Line of Business: Litigation and Judicial Activities

Subfunction: Resolution Facilitation

Privacy Act System of Records
Title: Privacy Act of 1974	FR Citation: 40 FR 47418

Number of Respondents: 18,000	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 20 %

	Approved	Change Due to Adjustment in Agency Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	18,000	-3,000	21,000
Annual IC Time Burden (Hours)	3,000	1,250	1,750
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.