5210/10A Outside Counsel Legal Services Agreement (Continued)

POC

Save

Help

Import

Refresh

OMB NUMBER: 3064-0122
EXPIRATION DATE: 07/10/2010

Federal Deposit Insurance Corporation

Page

OUTSIDE COUNSEL LEGAL SERVICES AGREEMENT (LSA)
RATE SCHEDULE (Continuation Sheet)
POSITION
BILLABLE INDIVIDUAL
(First, Middle, Last)
Alphabetical Order

STATE
LICENSES

Partner (P)
Associate (A)
Paraprofessional (PP)
Specify Other Position (O)

YEARS
IN
PRACTICE

MINORITY
STATUS
Asian American (A)
Black American (B)
Hispanic American (H)
Native American Indian (N)

GENDER
(M OR F)

STANDARD
RATE

of

PERCENT
%
DISCOUNT

.

PROPOSED
FDIC
RATE

Paperwork Reduction Act Notice: Public reporting burden for this collection of information is estimated to average 1.0 hour per response, including the time for reviewing instructions, searching existing data sources, gathering
and maintaining the data needed, completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing
this burden to the Paper Reduction Act Clearance Officer, Legal Division, Federal Deposit Insurance Corporation, 550 17th Street, N.W., Washington, D.C. 20429, and the Office of Management and Budget, Paperwork Reduction
Project (3064-0122), Washington, D.C. 2053. Any agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB control number.

FDIC 5210/10A (10-05)