OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

Arbitrator's Report and Fee Statement (FMCS Form R-19)

OMB 3076-0003 · FMCS.

OMB 3076-0003

Arbitrator's Report and Fee Statement (FMCS Form R-19) is used by FMCS to monitor the performance of the arbitrators on its roster. The form is filed by the arbitrator each time the arbitrator renders a decision.

The latest form for Arbitrator's Report and Fee Statement (FMCS Form R-19) expires 2028-07-31 and is listed under ICR 202505-3076-003.

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
Form Form R-19 Arbitrator's Report and Fee StatementForm and Instruction
Form Form R-19 Arbitrator's Report and Fee StatementForm and Instruction
6-24-2025 OMB Supporting Statement A - OMB No. 3076-0003 R-19 Final.docxSupporting Statement A
6-24-2025 OMB Supporting Statement A - OMB No. 3076-0003 R-19 Final.docxSupporting Statement A
Arbitrator's Report and Fee Statement Form and Instruction
Arbitrator's Report and Fee Statement Form and Instruction

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
202505-3076-003 Extension without change of a currently approved collection 2025-06-24
202202-3076-001 Reinstatement without change of a previously approved collection 2022-05-31 Approved without change
201508-3076-003 Reinstatement without change of a previously approved collection 2015-08-27 Approved without change
201107-3076-003 Reinstatement without change of a previously approved collection 2011-07-20 Approved with change
200710-3076-001 Reinstatement without change of a previously approved collection 2007-10-30 Approved without change
200211-3076-001 Reinstatement without change of a previously approved collection 2002-11-20 Approved without change
200208-3076-001 Reinstatement without change of a previously approved collection 2002-08-21 Withdrawn
199809-3076-003 Extension without change of a currently approved collection 1998-09-30 Approved without change
199606-3076-002 Extension without change of a currently approved collection 1996-06-28 Approved without change
199211-3076-001 Reinstatement with change of a previously approved collection 1992-11-20 Approved without change
198905-3076-004 No material or nonsubstantive change to a currently approved collection 1989-05-05 Approved with change
198904-3076-001 No material or nonsubstantive change to a currently approved collection 1989-04-27 Approved with change
198902-3076-004 Revision of a currently approved collection 1989-02-24 Approved without change
198804-3076-002 Reinstatement with change of a previously approved collection 1988-04-15 Approved without change
198507-3076-003 Revision of a currently approved collection 1985-07-31 Approved without change
198203-3076-002 Revision of a currently approved collection 1982-03-26 Approved without change
197705-3076-003 New collection (Request for a new OMB Control Number) 1977-05-23 Approved without change