Information Collection

Notice to Mediation Agency

IC 32224 under ICR 201511-3076-001 · 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⚠️ Notice: This information collection may be referencing outdated material.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
60 day notice - F-7 2015.pdf 60 day notice F-7 2015	IC Document
30 day notice - F-7 2015.pdf 30 day notice F-7 2015	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: 14,400

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	Program Change Due to Agency Discretion	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	14,400	-6,600	21,000
Annual IC Time Burden (Hours)	2,400	-1,100	3,500
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
60 day notice F-7 2015	60 day notice - F-7 2015.pdf	11/18/2015
30 day notice F-7 2015	30 day notice - F-7 2015.pdf	11/18/2015

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