Application for Alternative Dispute Resolutin (ADR) Services

ICR 201001-3140-001

OMB: 3140-0009

Federal Form Document

Forms and Documents
Document
Name
Status
Form
Modified
Supporting Statement B
2010-02-04
Supporting Statement A
2010-03-16
IC Document Collections
ICR Details
3140-0009 201001-3140-001
Historical Active 200406-3140-001
NMB
Application for Alternative Dispute Resolutin (ADR) Services
Reinstatement with change of a previously approved collection   No
Regular
Approved without change 03/16/2010
Retrieve Notice of Action (NOA) 02/04/2010
  Inventory as of this Action Requested Previously Approved
03/31/2013 36 Months From Approved
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

Not associated with rulemaking

  74 FR 62354 11/27/2009
74 FR 48316 09/22/2009
No

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

  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 0 0 45
Annual Time Burden (Hours) 9 0 0 0 0 9
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$0
No
No
Uncollected
Uncollected
No
Uncollected
Denise Murdock 202-692-5010 [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.
02/04/2010


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