Information Collection

ADR Mediation Surveys

IC 253834 under ICR 202506-3255-002 · OMB 3255-0008.

Documents and Forms

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Information Collection (IC) Details

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IC Title:	ADR Mediation Surveys	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 5 CFR 574

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

Line of Business: General Government

Subfunction: Executive Functions

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 80	Number of Respondents for Small Entity: 80

Affected Public: Federal Government

Percentage of Respondents Reporting Electronically: 30 %

	Requested	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	80	-120	200
Annual IC Time Burden (Hours)	51	35	16
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

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

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