Arbitrator's Personal Data Questionnaire

ICR 201508-3076-001

OMB: 3076-0001

Federal Form Document

Forms and Documents
Document
Name
Status
Form and Instruction
Unchanged
Supporting Statement A
2015-08-20
IC Document Collections
IC ID
Document
Title
Status
32213 Unchanged
ICR Details
3076-0001 201508-3076-001
Historical Active 201109-3076-001
FMCS
Arbitrator's Personal Data Questionnaire
Reinstatement without change of a previously approved collection   No
Regular
Approved without change 10/19/2015
Retrieve Notice of Action (NOA) 08/20/2015
  Inventory as of this Action Requested Previously Approved
10/31/2018 36 Months From Approved
100 0 0
100 0 0
0 0 0

This form provides for the operation and maintenance of a roster of professional arbitrators who are available to assist governmental and private sector organizations in resolving labor disputes. The Agency uses the information supplied in this form to evaluate the credentials of applicants and determine their suitability for inclusion on the roster.

US Code: 29 USC 171(b) Name of Law: Labor Management Relations Act
  
None

Not associated with rulemaking

  80 FR 23550 04/28/2015
80 FR 43089 07/21/2015
No

1
IC Title Form No. Form Name
Arbitrator's Personal Data Questionnaire R-22 Arbitrator's Personal Data Questionnaire

  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 100 0 0 0 0 100
Annual Time Burden (Hours) 100 0 0 0 0 100
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$0
No
No
No
No
No
Uncollected
Jeannette Walters-Marquez 202 606-5488 [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.
08/20/2015


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