Information Collection

Notice to Mediation Agency

IC 32224 under ICR 202009-3076-011 · 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⚠️ Notice: This information collection may be referencing outdated material.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 F-7 Notice to Mediation Agency	Form
F-7 FMCS Form F-7 F-7FillableFMCS-F-7-Notice-web-1.pdf f7-form.azurewebsites.net/	Form
2021-14823 F-7 60-Day Notice.pdf 60-Day Notice F-7 2021	IC Document
2021-19991 F-7 30-Day Notice.pdf 30-Day Notice F-7 2021	IC Document

IC Title:

Notice to Mediation Agency

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 29 CFR 1402.1

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	F-7	FMCS Form F-7	F-7FillableFMCS-F-7-Notice-web-1.pdf	https://f7-form.azurewebsites.net/	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: 86 FR 52467

Number of Respondents: 16,000

Number of Respondents for Small Entity: 2,000

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 95 %

table that charts list of burden
	Requested	Change Due to Adjustment in Agency Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	16,000	-5,000	21,000
Annual IC Time Burden (Hours)	2,667	-833	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 2021	2021-14823 F-7 60-Day Notice.pdf	09/21/2021
30-Day Notice F-7 2021	2021-19991 F-7 30-Day Notice.pdf	09/21/2021

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