Information Collection

Notice to Mediation Agency

IC 32224 under ICR 201208-3076-002 · OMB 3076-0004.

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form Form F-7 Notice to Mediation Agency	Form and Instruction
Form F-7 Notice to Mediation Agencies F-7 PDF 2010.pdf	Form and Instruction
Federal Register F-7 60 day Notice.pdf Federal Register F-7 60 Day Notice	IC Document
Federal Register F-7 30 day Notice.pdf Federal Register F-7 30 Day Notice	IC Document

IC Title:

Notice to Mediation Agency

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

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 F-7	Notice to Mediation Agencies	F-7 PDF 2010.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: 21,000

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 32 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	21,000	3,000	18,000
Annual IC Time Burden (Hours)	3,500	500	3,000
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Federal Register F-7 60 Day Notice	Federal Register F-7 60 day Notice.pdf	09/18/2012
Federal Register F-7 30 Day Notice	Federal Register F-7 30 day Notice.pdf	09/18/2012

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