View Information Collection (IC)

View Information Collection (IC)

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			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 %

	Approved	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		09/21/2021
30-Day Notice F-7 2021		09/21/2021

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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