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Notice to Mediation Agency
Notice to Mediation Agency
OMB: 3076-0004
IC ID: 32224
OMB.report
FMCS
OMB 3076-0004
ICR 202009-3076-011
IC 32224
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3076-0004 can be found here:
2022-04-22 - No material or nonsubstantive change to a currently approved collection
Documents and Forms
Document Name
Document Type
Form F-7
Notice to Mediation Agency
Form
F-7 FMCS Form F-7
F-7FillableFMCS-F-7-Notice-web-1.pdf
f7-form.azurewebsites.net/
Form
2021-14823 F-7 60-Day Notice.pdf
60-Day Notice F-7 2021
IC Document
2021-19991 F-7 30-Day Notice.pdf
30-Day Notice F-7 2021
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Notice to Mediation Agency
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Mandatory
CFR Citation:
29 CFR 1402.1
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
F-7
FMCS Form F-7
F-7FillableFMCS-F-7-Notice-web-1.pdf
https://f7-form.azurewebsites.net/
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Litigation and Judicial Activities
Subfunction:
Resolution Facilitation
Privacy Act System of Records
Title:
Privacy Act of 1974
FR Citation:
86 FR 52467
Number of Respondents:
16,000
Number of Respondents for Small Entity:
2,000
Affected Public:
Private Sector
Private Sector:
Businesses or other for-profits
Percentage of Respondents Reporting Electronically:
95 %
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
16,000
0
0
-5,000
21,000
0
Annual IC Time Burden (Hours)
2,667
0
0
-833
3,500
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
60-Day Notice F-7 2021
2021-14823 F-7 60-Day Notice.pdf
09/21/2021
30-Day Notice F-7 2021
2021-19991 F-7 30-Day Notice.pdf
09/21/2021
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.