Information Collection

Request for Arbitration Panel, FMCS Form R-43

IC 220241 under ICR 202604-3076-001 · OMB 3076-0016.

Documents and Forms

Document Name Document Type
Form FMCS Form R-43 Request for Arbitration Panel Request for Arbitration Panel, FMCS Form R-43 Form
Form FMCS Form R-43 Request for Arbitration Panel Request for Arbitration Panel, FMCS Form R-43 Form
FMCS Form R-43 Request for Arbitration Panel R-43 Final.pdf Form
FMCS Form R-43 Request for Arbitration Panel R-43 Final.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Request for Arbitration Panel, FMCS Form R-43	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 29 CFR 1404

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	R-43 Final.pdf		Yes	Yes	Fillable Fileable Signable

Line of Business: Litigation and Judicial Activities

Subfunction: Resolution Facilitation

Privacy Act System of Records
Title: Arbitration Records SORN	FR Citation: 87 FR 16737

Number of Respondents: 6,000	Number of Respondents for Small Entity: 4,500

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

Percentage of Respondents Reporting Electronically: 90 %

	Approved	Previously Approved
Annual Number of Responses for this IC	6,000	6,000
Annual IC Time Burden (Hours)	1,000	1,000
Annual IC Cost Burden (Dollars)	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.

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