View Information Collection Request (ICR) Package

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View ICR - OIRA Conclusion

OMB Control No: 3076-0004	ICR Reference No: 201911-3076-001
Status: Historical Inactive	Previous ICR Reference No: 201511-3076-001
Agency/Subagency: FMCS	Agency Tracking No: 3076
Title: Notice to Mediation Agency
Type of Information Collection: Reinstatement without change of a previously approved collection	Common Form ICR: No
Type of Review Request: Emergency	Approval Requested By: 11/27/2019
OIRA Conclusion Action: Improperly submitted	Conclusion Date: 12/20/2019
	Date Received in OIRA: 11/20/2019
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date		6 Months From Approved
Responses	0	0	0
Time Burden (Hours)	0	0	0
Cost Burden (Dollars)	0	0	0

Annual Cost to Federal Government: $388,000

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination. No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination. No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

Agency Contact: Anna Davis 202 606-3737 adavis@fmcs.gov

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