Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
5-4-26 OMB No. 3076-0017 Justification for No Material-Non Substantive Change Final.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2026-05-04	Available
7-7-25 OMB Supporting Statement A - OMB No. 3076-0017.docx	Supporting Statement A	Uploaded 2025-07-07	Available
7-2-25 OMB Supporting Statement B - OMB No. 3076-0017.docx	Supporting Statement B	Uploaded 2025-07-02	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
280168	Stakeholder Survey for Qualitative Feedback on Agency Service Delivery	Other-Survey Questions	New
280167	Stakeholder Survey for Qualitative Feedback on Agency Service Delivery	Other-Survey Questions	New
280166	Stakeholder Survey for Qualitative Feedback on Agency Service Delivery	Other-Survey Questions	New
276121	Stakeholder Survey for Qualitative Feedback on Agency Service Delivery	Other-Survey Questionnaire	Unchanged
252318	Stakeholder Survey for Qualitative Feedback on Agency Service Delivery	Other-Survey Questionnaire	Unchanged
252317	Stakeholder Survey for Qualitative Feedback on Agency Service Delivery	Other-Survey Questionnaire	Unchanged

ICR Details

OMB Control No: 3076-0017	ICR Reference No: 202604-3076-002
Status: Active	Previous ICR Reference No: 202506-3076-001
Agency/Subagency: FMCS	Agency Tracking No:
Title: Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 05/04/2026
Retrieve Notice of Action (NOA)	Date Received in OIRA: 05/04/2026
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	08/31/2028	08/31/2028	08/31/2028
Responses	1,518	0	1,213
Time Burden (Hours)	75	0	60
Cost Burden (Dollars)	2,400	0	2,400

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Abstract: The Federal Mediation and Conciliation Service (FMCS), wants to seek feedback from the public on service delivery. This notice announces our intent to submit this collection to OMB for approval and solicits comments on specific aspects for the proposed information collection. This collection of information is necessary to enable the Agency to garner customer and stakeholder feedback in an efficient, timely manner, in accordance with our commitment to improving service delivery. The information collected from our customers and stakeholders will help ensure that users have an effective, efficient, and satisfying experience with the Agency’s programs. This feedback will provide insights into customer or stakeholder perceptions, experiences and expectations, provide an early warning of issues with service, or focus attention on areas where communication, training or changes in operations might improve delivery of products or services. These collections will allow for ongoing, collaborative and actionable communications between the Agency and its customers and stakeholders. It will also allow feedback to contribute directly to the improvement of program management.

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Authorizing Statute(s): US Code: 29 USC 172 Name of Law: Labor Management Relations Act
   PL: Pub.L. 104 - 320 et seq. Name of Law: Administrative Dispute Resolution Act
  

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 12161	03/14/2025
30-day Notice:	Federal Register Citation:	Citation Date:
	90 FR 23529	06/03/2025
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 6

table that charts list of burden

IC Title	Form No.	Form Name
Stakeholder Survey for Qualitative Feedback on Agency Service Delivery
Stakeholder Survey for Qualitative Feedback on Agency Service Delivery
Stakeholder Survey for Qualitative Feedback on Agency Service Delivery
Stakeholder Survey for Qualitative Feedback on Agency Service Delivery
Stakeholder Survey for Qualitative Feedback on Agency Service Delivery
Stakeholder Survey for Qualitative Feedback on Agency Service Delivery

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ICR Summary of Burden

table that charts list of burden

	Total Approved	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	1,518	1,213	0	0	305	0
Annual Time Burden (Hours)	75	60	0	0	15	0
Annual Cost Burden (Dollars)	2,400	2,400	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $2,400

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.     Yes

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: 05/04/2026

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