Request for Arbitration Services

Forms and Documents

Document Name	Status
Form From R-43 Request for Arbitration Services Form	New
2016.OMB.Supp.Statement..doc Supporting Statement A	2016-02-25

IC Document Collections

IC ID	Document Title	Status
220241	Request for Arbitration Services Form	New

ICR Details

OMB Control No: 3076-0016	ICR Reference No: 201602-3076-002
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: FMCS	Agency Tracking No:
Title: Request for Arbitration Services
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 04/06/2016
	Date Received in OIRA: 02/25/2016
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	04/30/2019	36 Months From Approved
Responses	13,179	0	0
Time Burden (Hours)	2,197	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: From R-43, Request for Arbitration Services,is used by labor union and employer parties to collective bargaining agreements, and in fact-finding and interest arbitration cases, to request FMCS to furnish a list of arbitrators from its roster. The parties then select an arbitrator from the list to hear and resolve their disputes.

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

Citations for New Statutory Requirements: None

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

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	80 FR 23550	04/28/2015
30-day Notice:	Federal Register Citation:	Citation Date:
	80 FR 43089	07/21/2015
Did the Agency receive public comments on this ICR? No

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

IC Title	Form No.	Form Name
Request for Arbitration Services	From R-43	Request for Arbitration Services

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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	13,179	0	0	13,179	0	0
Annual Time Burden (Hours)	2,197	0	0	2,197	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

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

Burden Increase Due to: Miscellaneous Actions

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

Burden Reduction Due to:

Short Statement: Form R-43, Request for Arbitration Services, is used by labor unions and employers to collective bargaining agreements, to request FMCS to furnish a list of arbitrators from its roster. The parties then select an arbitrator from the list to hear and resolve their disputes. The number of arbitration requests varies per year,in accordance with the economic and market conditions.

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Annual Cost to Federal Government: $0

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

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Common Form ICR:  No

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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: 02/25/2016

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