Notice to Mediation Agency

ICR 202009-3076-011

OMB: 3076-0004

Federal Form Document

Forms and Documents
Document
Name
Status
Form
Modified
Supporting Statement A
2021-10-07
IC Document Collections
IC ID
Document
Title
Status
32224 Modified
ICR Details
3076-0004 202009-3076-011
Received in OIRA 201511-3076-001
FMCS 3076
Notice to Mediation Agency
Reinstatement without change of a previously approved collection   No
Regular 10/07/2021
  Requested Previously Approved
36 Months From Approved
16,000 0
2,667 0
0 0

The Notice to Mediation Agency, (Agency Form F-7), allows parties to comply with their statutory obligation under the Labor Management Relations Act of 1947 to report certain labor activities to the Agency. The Agency Form F-7 also allows FMCS to receive these notices from parties to a collective bargaining agreement to comply with its statutory mandate to facilitate mediation.

US Code: 29 USC 158 (d) Name of Law: Labor Management Relations Act
   US Code: 29 USC 172 Name of Law: Labor Management Relations Act
  
None

3076-AA16 Final or interim final rulemaking 86 FR 50855 09/13/2021

  86 FR 36745 07/13/2021
86 FR 51669 09/16/2021
No

1
IC Title Form No. Form Name
Notice to Mediation Agency F-7 FMCS Form F-7

  Total Request 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 16,000 0 0 0 -5,000 21,000
Annual Time Burden (Hours) 2,667 0 0 0 -833 3,500
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$471,000
No
    Yes
    Yes
No
No
No
No
Sarah Cudahy 202 606-8090 [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.
10/07/2021


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