Information Collection

Arbitrator's Personal Data Questionnaire

IC 198533 under ICR 201107-3076-001 · OMB 3076-0001.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3076-0001 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form Form R-22 Arbitrator's Personal Data Questionnaire	Form and Instruction
Form R-22 Arbitrator's Personal Data Questionnaire Form_R-22_Expire_12-31-2010.pdf	Form and Instruction

IC Title:

Arbitrator's Personal Data Questionnaire

Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	Form R-22	Arbitrator's Personal Data Questionnaire	Form_R-22_Expire_12-31-2010.pdf		Yes	No	Fillable Printable

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: 100

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	100	100
Annual IC Time Burden (Hours)	100	100
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.