Notice to Mediation Agency

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3076-0004 can be found here:

Documents and Forms

Document Name Document Type
Form F-7 Notice to Mediation Agency Form
F-7 FMCS Form F-7 FillableFMCS-F-7-Notice 4-20-2022.pdf f7-form.azurewebsites.net/ Form
F-7 FMCS Form F-7 FillableFMCS-F-7-Notice 4-20-2022.pdf f7-form.azurewebsites.net/ Form
2021-14823 F-7 60-Day Notice.pdf 60-Day Notice F-7 2021 IC Document
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
2021-19991 F-7 30-Day Notice.pdf 30-Day Notice F-7 2021 IC Document

Information Collection (IC) Details

View Information Collection (IC)

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:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	F-7	FMCS Form F-7	FillableFMCS-F-7-Notice 4-20-2022.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: FMCS-0004 Case Records SORN	FR Citation: 87 FR 14855

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 %

	Approved	Previously Approved
Annual Number of Responses for this IC	16,000	16,000
Annual IC Time Burden (Hours)	2,667	2,667
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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.