Notice to Mediation Agency

Forms and Documents

Document Name	Status
Form Form F-7 Notice to Mediation Agency Form and Instruction	Modified
Federal Register F-7 30 day Notice.pdf Supplementary Document	2012-09-18
Federal Register F-7 60 day Notice.pdf Supplementary Document	2012-09-18
OMB Supporting Statement F-7 2012.final.pdf Supporting Statement A	2012-09-18

IC Document Collections

IC ID	Document Title	Status
32224	Notice to Mediation Agency Form and Instruction	Modified

ICR Details

OMB Control No: 3076-0004	ICR Reference No: 201208-3076-002
Status: Historical Active	Previous ICR Reference No: 200710-3076-002
Agency/Subagency: FMCS	Agency Tracking No: 3076
Title: Notice to Mediation Agency
Type of Information Collection: Reinstatement with change of a previously approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 10/25/2012
	Date Received in OIRA: 09/19/2012
Terms of Clearance: OMB appreciates FMCS' work to address this PRA violation. Please note that the ROCIS burden table has been corrected to reflect that the updated burden estimates are properly considered adjustments rather than program changes.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	10/31/2015	36 Months From Approved
Responses	21,000	0	0
Time Burden (Hours)	3,500	0	0
Cost Burden (Dollars)	0	0	0

---

Abstract: The Labor Management Relations Act of 1947 requires a party to a collective bargaining agreement to give notice to FMCS, the applicable state agency and the other party of a desire terminate or modify the agreement. FMCS uses this information to offer the parties mediation services in order to prevent or minimize labor disputes arising from collective bargaining.

---

Authorizing Statute(s): US Code: 29 USC 171 (b) Name of Law: Labor Management Relations Act
   US Code: 29 USC 158 (d) Name of Law: Labor Management Relations Act
  

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	77 FR 38062	06/26/2012
30-day Notice:	Federal Register Citation:	Citation Date:
	77 FR 56842	09/14/2012
Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Notice to Mediation Agency	Form F-7	Notice to Mediation Agencies

---

ICR Summary of Burden

	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	21,000	0	0	0	3,000	18,000
Annual Time Burden (Hours)	3,500	0	0	0	500	3,000
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: The number of respondents increased even though there were no program changes.

---

Annual Cost to Federal Government: $271,000

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

---

Common Form ICR:  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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 09/19/2012

---