Mediation Services Participant Questionnaire - Private Sector Respondents

Program Evaluation Instruments - Environmental Conflict Resolution Services Participant Questionnaires (Five Instruments)

Documents and Forms

Document Name Document Type
Form 3320-0003 (B) Mediation Services Participant Questionnaire - Private Sector Respondents Form and Instruction
3320-0003 (B) Mediation Services Participant Questionnaire Mediation Services Participant Questionnaire - 0003B.pdf Form and Instruction
3320-0003 (B) Mediation Services Participant Questionnaire Mediation Services Participant Questionnaire - 0003B.pdf Form and Instruction

Information Collection (IC) Details

IC Title:	Mediation Services Participant Questionnaire - Private Sector Respondents	Agency IC Tracking Number:	0003B

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	3320-0003 (B)	Mediation Services Participant Questionnaire	Mediation Services Participant Questionnaire - 0003B.pdf		Yes	Yes	Fillable Fileable

Line of Business: Litigation and Judicial Activities

Subfunction: Resolution Facilitation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 10	Number of Respondents for Small Entity: 10

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Farms, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	10	10
Annual IC Time Burden (Hours)	3	3
Annual IC Cost Burden (Dollars)	190	190

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.