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Request for Arbitration Services
Request for Arbitration Services
OMB: 3076-0002
IC ID: 217949
OMB.report
FMCS
OMB 3076-0002
ICR 201508-3076-002
IC 217949
( )
Documents and Forms
Document Name
Document Type
Form FMCS Form R-43
Request for Arbitration Services
Form
FMCS Form R-43 Request for Arbitration Panel
SKMBT_C36015082016020.pdf
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Request for Arbitration Services
Agency IC Tracking Number:
IC Status:
New
Obligation to Respond:
Required to Obtain or Retain Benefits
CFR Citation:
29 CFR 1401
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
FMCS Form R-43
Request for Arbitration Panel
SKMBT_C36015082016020.pdf
Yes
Yes
Printable Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Litigation and Judicial Activities
Subfunction:
Resolution Facilitation
Privacy Act System of Records
Title:
Privacy Act
FR Citation:
40 FR 47418
Number of Respondents:
13,179
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Businesses or other for-profits
Percentage of Respondents Reporting Electronically:
50 %
Requested
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
13,179
0
13,179
0
0
0
Annual IC Time Burden (Hours)
2,196
0
2,196
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
No associated records found
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
