OMB control number

Arbitrator's Report and Fee Statement (FMCS Form R-19)

OMB 3076-0003 · FMCS.

OMB 3076-0003

Arbitrator's Report and Fee Statement (FMCS Form R-19) is used by FMCS to monitor the performance of the arbitrators on its roster. The form is filed by the arbitrator each time the arbitrator renders a decision.

The latest form for Arbitrator's Report and Fee Statement (FMCS Form R-19) expires 2028-07-31 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form Form R-19 Arbitrator's Report and Fee Statement Form and Instruction
Form Form R-19 Arbitrator's Report and Fee Statement Form and Instruction
6-24-2025 OMB Supporting Statement A - OMB No. 3076-0003 R-19 Final.docx Supporting Statement A
6-24-2025 OMB Supporting Statement A - OMB No. 3076-0003 R-19 Final.docx Supporting Statement A
Arbitrator's Report and Fee Statement Form and Instruction
Arbitrator's Report and Fee Statement Form and Instruction

All Historical Document Collections

202505-3076-003	Extension without change of a currently approved collection	2025-06-24
202202-3076-001 Approved without change	Reinstatement without change of a previously approved collection	2022-05-31
201508-3076-003 Approved without change	Reinstatement without change of a previously approved collection	2015-08-27
201107-3076-003 Approved with change	Reinstatement without change of a previously approved collection	2011-07-20
200710-3076-001 Approved without change	Reinstatement without change of a previously approved collection	2007-10-30
200211-3076-001 Approved without change	Reinstatement without change of a previously approved collection	2002-11-20
200208-3076-001 Withdrawn	Reinstatement without change of a previously approved collection	2002-08-21
199809-3076-003 Approved without change	Extension without change of a currently approved collection	1998-09-30
199606-3076-002 Approved without change	Extension without change of a currently approved collection	1996-06-28
199211-3076-001 Approved without change	Reinstatement with change of a previously approved collection	1992-11-20
198905-3076-004 Approved with change	No material or nonsubstantive change to a currently approved collection	1989-05-05
198904-3076-001 Approved with change	No material or nonsubstantive change to a currently approved collection	1989-04-27
198902-3076-004 Approved without change	Revision of a currently approved collection	1989-02-24
198804-3076-002 Approved without change	Reinstatement with change of a previously approved collection	1988-04-15
198507-3076-003 Approved without change	Revision of a currently approved collection	1985-07-31
198203-3076-002 Approved without change	Revision of a currently approved collection	1982-03-26
197705-3076-003 Approved without change	New collection (Request for a new OMB Control Number)	1977-05-23