ADR Mediation Surveys

Forms and Documents

Document Name	Status
FINAL Draft Supporting Statement B for ADR Survey Info Collection.docx Supporting Statement B	2022-05-31
FINAL Draft Supporting Statement A for ADR Survey Collection May 31.docx Supporting Statement A	2022-05-31
ADR Follow-Up Mediation Survey - Questions.docx Supplementary Document	2022-05-24
ADR Mediation Survey - Questions.docx Supplementary Document	2022-05-24

IC Document Collections

IC ID	Document Title	Status
253834	ADR Mediation Surveys	Modified

ICR Details

OMB Control No: 3255-0008	ICR Reference No: 202506-3255-002
Status: Received in OIRA	Previous ICR Reference No: 202205-3255-001
Agency/Subagency: OSC	Agency Tracking No:
Title: ADR Mediation Surveys
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 06/20/2025

	Requested	Previously Approved
Expiration Date	36 Months From Approved	06/30/2025
Responses	80	200
Time Burden (Hours)	51	16
Cost Burden (Dollars)	0	0

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Abstract: OSC's Alternative Dispute Resolution (ADR) participants and, a subset of those persons who agree to participate in a follow-up survey, are tools to improve its ADR program. Participants include OSC complainants, their attorneys, Federal Agency attorneys, Federal Agency settlement officials, and non-attorney complainant representatives and support persons. The ADR surveys will generate accurate, generalize, and actionable evaluative data that it will use to maintain a valuable mediation process, enhance the skills of its mediators, and publicize the role of mediation at OSC.

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Authorizing Statute(s): None

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:
	90 FR 15265	04/09/2025
30-day Notice:	Federal Register Citation:	Citation Date:
	90 FR 25386	06/16/2025
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
ADR Mediation Surveys

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ICR Summary of Burden

	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	80	200	0	-120	0	0
Annual Time Burden (Hours)	51	16	0	35	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: Burden Decrease due to prior miscalculation

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Annual Cost to Federal Government: $0

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     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? No

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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: 06/20/2025

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