OMB
.report
Search
Application for Mediation Services
Application for Mediation Services
OMB: 3140-0002
IC ID: 32919
OMB.report
NMB
OMB 3140-0002
ICR 200812-3140-002
IC 32919
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3140-0002 can be found here:
2017-06-20 - Reinstatement without change of a previously approved collection
2013-07-26 - Reinstatement without change of a previously approved collection
Documents and Forms
Document Name
Document Type
no available documents/forms check other ICs listed under this ICR
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Application for Mediation Services
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Voluntary
CFR Citation:
5 CFR 1320.8(b)(3)
5 CFR 1320.9
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Federal Enterprise Architecture Business Reference Module
Line of Business:
General Government
Subfunction:
Executive Functions
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
50
Number of Respondents for Small Entity:
0
Affected Public:
Federal Government
Percentage of Respondents Reporting Electronically:
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
50
0
-20
0
0
70
Annual IC Time Burden (Hours)
12
0
-5
0
0
17
Annual IC Cost Burden (Dollars)
0
0
0
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.