Notice2026-09783
Service Request Form
Primary source
Metadata and text below are from the Federal Register, a public-domain U.S. government work. Always verify the official published version before relying on it for any legal matter.
Published
May 15, 2026
Issuing agencies
Federal Mediation and Conciliation Service
Abstract
The Federal Mediation and Conciliation Service (FMCS) invites the public and other Federal Agencies to take this opportunity to comment on the following information collection request, Service Request Form. This information collection request will be submitted for approval to the Office of Management Budget (OMB) in compliance with the Paperwork Reduction Act (PRA). The Service Request Form was developed to process requests for services while ensuring compliance with the paperwork reduction act.
Full Text
<html>
<head>
<title>Federal Register, Volume 91 Issue 94 (Friday, May 15, 2026)</title>
</head>
<body><pre>
[Federal Register Volume 91, Number 94 (Friday, May 15, 2026)]
[Notices]
[Pages 27942-27945]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2026-09783]
=======================================================================
-----------------------------------------------------------------------
FEDERAL MEDIATION AND CONCILIATION SERVICE
Service Request Form
AGENCY: Federal Mediation and Conciliation Service (FMCS).
ACTION: 60-Day notice and request for comments.
-----------------------------------------------------------------------
SUMMARY: The Federal Mediation and Conciliation Service (FMCS) invites
the public and other Federal Agencies to take this opportunity to
comment on the following information collection request, Service
Request Form. This information collection request will be submitted for
approval to the Office of Management Budget (OMB) in compliance with
the Paperwork Reduction Act (PRA). The Service Request Form was
developed to process requests for services while ensuring compliance
with the paperwork reduction act.
DATES: Comments must be submitted on or before July 14, 2026.
ADDRESSES: You may submit comments, identified by the Service Request
Form, through one of the following methods:
<bullet> Email: <a href="/cdn-cgi/l/email-protection#89fbeceee0fafdecfbc9efe4eafaa7eee6ff"><span class="__cf_email__" data-cfemail="ff8d9a98968c8b9a8dbf99929c8cd1989089">[email protected]</span></a>;
<bullet> Mail: Office of General Counsel, One Independence Square,
250 E St. SW, Washington, DC 20427.
FOR FURTHER INFORMATION CONTACT: Jennifer Disotell, Associate Deputy
Director of Field Operations, 206-553-4821, <a href="/cdn-cgi/l/email-protection#ee848a879d819a8b8282ae88838d9dc0898198"><span class="__cf_email__" data-cfemail="e9838d809a869d8c8585a98f848a9ac78e869f">[email protected]</span></a>.
SUPPLEMENTARY INFORMATION: A copy of the agency form and confirmation
PDF are attached. A confirmation PDF will be sent once the form is
submitted online.
I. Request for Comments
FMCS solicits comments to:
i. Evaluate whether the proposed collections of information are
necessary for the proper performance of the functions of the agency,
including whether the information will have practical utility.
ii. Enhance the accuracy of the agency's estimates of the burden of
the proposed collection of information.
iii. Enhance the quality, utility, and clarity of the information
to be collected.
iv. Minimize the burden of the collections of information on those
who are to respond, including the use of appropriate automated,
electronic collection technologies or other forms of information
technology.
II. Information Collection Request
Agency: Federal Mediation and Conciliation Service.
Form Number: Not yet assigned.
Title: Service Request Form.
Type of Request: New Collection.
Affected Entities: Federal Government, private sector, private
sector (not-for profit institutions), and state and local government.
Frequency: Daily.
Burden: The total annual burden estimate is that FMCS will receive
approximately 50 responses per week. This form takes about 5 minutes to
complete.
Information Collection Requirement: 29 U.S.C. 172, et seq.
authorizes and requires FMCS to perform services dependent upon the
information collected in these forms.
Purpose and Description of Data Collection: The information
collected will be used by Field Operations to deliver FMCS services to
requesters. The Service Request Form is not a statistical survey that
will yield quantitative results that can be generalized to the
population of study.
III. The Official Record
The official records are electronic records.
Dated: May 13, 2026
Haneefah Allen,
Paralegal Specialist.
FMCS Service Request Form
OMB No. xxxx-xxxx
Expires xx-xx-xxxx
By completing the following form, you are requesting that FMCS
provide a service for you. FMCS will contact you shortly to discuss
the nature of your request, details, timelines, etc. FMCS will
always discuss the scope of the service with you to ensure the
request falls within our scope of authority.
Please do not send your request by email, fax, postal service,
or directly to any FMCS employee.
Type of Service Requested* (list of services offered)
Service Category* (List of options including other)
If Other (optional text box)
Work Sector* (select): Private Sector, Federal Sector, Public Sector
Industry or Work Activity * (list of options)
Critical Infrastructure
Pursuant to 42 U.S.C. 5195c(e), critical infrastructure is
defined as ``systems and assets, whether physical or virtual, so
vital to the United States that the incapacity or destruction of
such systems and assets would have a debilitating impact on
security, national economic security, national public health or
safety, or any combination of those matters.'' For more information
on critical infrastructure, click here.
Does this request pertain to services involving critical
infrastructure? * (list of options)
Parties Involved* (select) Both, Employer Only, Union Only
Employer Organization Information
If the employer is a labor union, check this box (if checked,
selection of options or text entry via selection of ``Other'')
Organization Name* (text entry or select organization name from drop
down of over 5000 organization names in the FMCS database)
Address Line 1 *
Address Line 2
City *
State* (all states/provinces listed)
Zip Code*
Employer website
Employer Representative
First Name *
Last Name *
Business Email *
Confirm Email *
Primary Phone *
Ext
[[Page 27943]]
Labor Organization Information
Union Full Name * (selection of options or text entry via selection
of ``Other'')
Union Acronym (only appears if select ``Other'' in Union full name)
Union Unit Number:
Address Line 1 *
Address Line 2
City *
State * (all states/provinces listed)
Zip Code *
Primary Function of Bargaining Unit Employees
Union Representative
First Name *
Last Name *
Business Email *
Confirm Email *
Primary Phone *
Ext
CBA and Bargaining Unit Information
Type of Upcoming Negotiation* (select) Successor Contract
(Expiring existing contract), Contract Re-Opener (Mid-term re-opener
of existing contract), Initial Contract (Initial or First contracts
usually do not file. This may cause a duplication in the system
since we are already notified by the NLRB. These cases will be
assigned to a mediator if they meet the current criteria/metrics for
case assignment. If you would like a mediator assigned, email
<a href="/cdn-cgi/l/email-protection#dab9b6b3bfb4aea9bfa8acb3b9bfa99abcb7b9a9f4bdb5ac"><span class="__cf_email__" data-cfemail="43202f2a262d37302631352a20263003252e20306d242c35">[email protected]</span></a>.)
Estimated Bargaining Unit Size *
Contract Expiration Date * (appears and required if Successor
Contract or Contract Re-Opener is selected)
Contract Reopen Date* (appears and required if Contract Re-Opener is
selected)
Location of Requested Service
City *
State * (all states/provinces listed)
Zip Code *
How did you hear about our services* (selection of options or text
entry via selection of ``Other'')
Requester
First Name *
Last Name *
Title *
Business Email *
Confirm Email *
Primary Phone *
Ext
Final Instructions
*Please be patient while submitting your Request to FMCS. Do not
click the 'Submit' button more than once. Doing so may cause a
duplicate submission and no confirmation page.
NOTE:
1. After you submit this request, you should receive a date,
time, AND a confirmation number as well as an emailed pdf of your
request. Please note, only the named Requester on this form will
receive an emailed pdf of the request. If you do not receive a
confirmation number or email, please contact FMCS at
<a href="/cdn-cgi/l/email-protection#0566696c606b71766077736c66607645636866762b626a73"><span class="__cf_email__" data-cfemail="b9dad5d0dcd7cdcadccbcfd0dadccaf9dfd4daca97ded6cf">[email protected]</span></a>.
If you are having issues with this page, have questions about
our Services, or would like someone to contact you to discuss your
needs in advance of a service request or following a service
delivery, please contact us at <a href="/cdn-cgi/l/email-protection#42212e2b272c36312730342b21273102242f21316c252d34"><span class="__cf_email__" data-cfemail="ccafa0a5a9a2b8bfa9bebaa5afa9bf8caaa1afbfe2aba3ba">[email protected]</span></a>, or call us
at (202) 606-5499.
BILLING CODE 6732-01-P
[[Page 27944]]
[GRAPHIC] [TIFF OMITTED] TN15MY26.006
[[Page 27945]]
[FR Doc. 2026-09783 Filed 5-14-26; 8:45 a.m.]
BILLING CODE 6732-01-c
</pre><script data-cfasync="false" src="/cdn-cgi/scripts/5c5dd728/cloudflare-static/email-decode.min.js"></script></body>
</html>Indexed from Federal Register on May 15, 2026.
This is legal information, not legal advice. Laws vary by jurisdiction and change frequently. Always verify current law with official sources and consult a licensed attorney in your jurisdiction for advice on your specific situation.