Information Collection

Facilitated Meeting/ Workshop Services - Individual or Household Respondents

IC 265977 under ICR 202403-3320-002 · OMB 3320-0003.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3320-0003 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 3320-0003 (C) Facilitated Meeting/ Workshop Services - Individual or Household Respondents	Form and Instruction
3320-0003 (C) Facilitated Meeting Workshop Questionnaire Facilitated Meeting Workshop Services Participant Questionnaire - 0003C.pdf	Form and Instruction
3320-0003 (C) Facilitated Meeting Workshop Questionnaire Facilitated Meeting Workshop Services Participant Questionnaire - 0003C.pdf	Form and Instruction
FACILI~3.PDF Screen Print of Electronic Version	IC Document
FACILI~3.PDF Screen Print of Electronic Version	IC Document

IC Title:

Facilitated Meeting/ Workshop Services - Individual or Household Respondents

Agency IC Tracking Number:

0003C

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

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	3320-0003 (C)	Facilitated Meeting Workshop Questionnaire	Facilitated Meeting Workshop Services Participant Questionnaire - 0003C.pdf		Yes	Yes	Fillable Fileable

Line of Business: Litigation and Judicial Activities

Subfunction: Resolution Facilitation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 100

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 50 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	100	100
Annual IC Time Burden (Hours)	8	8
Annual IC Cost Burden (Dollars)	527	527

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Screen Print of Electronic Version	FACILI~3.PDF	03/13/2024

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