Forms Relating to FDIC Outside Counsel, Legal Support and Expert Services Programs

ICR 202107-3064-002

OMB: 3064-0122

Federal Form Document

Forms and Documents
Document
Name
Status
Form
Modified
Form
Modified
Form
Modified
Form
Modified
Form
Modified
Form
Modified
Form
Modified
Form
Modified
Form
Modified
Form
Modified
Form
Modified
Form
Modified
Form
Modified
Form
Modified
Form
Modified
Form
Modified
Form
Modified
Form
Modified
Justification for No Material/Nonsubstantive Change
2021-07-08
Supporting Statement A
2020-01-23
Supplementary Document
2019-12-16
Supplementary Document
2019-12-12
ICR Details
3064-0122 202107-3064-002
Received in OIRA 201911-3064-005
FDIC 3064-0122
Forms Relating to FDIC Outside Counsel, Legal Support and Expert Services Programs
No material or nonsubstantive change to a currently approved collection   No
Regular 07/08/2021
  Requested Previously Approved
01/31/2023 01/31/2023
1,305 1,305
907 907
0 0

The collection involves the submission of information on various forms by contractors who wish to do business with, or are currently under contract with the FDIC's Legal Division.

US Code: 12 USC 1822(f)(3-4) Name of Law: FDI Act
   US Code: 12 USC 1819(a) Name of Law: FDI Act
  
None

Not associated with rulemaking

  84 FR 51566 09/30/2019
84 FR 68446 12/16/2019
No

18
IC Title Form No. Form Name
Agreement for Services (Expert Legal Support Services (LSS) Provider Amendment 5210/03 Agreement for Services (Expert Legal Support Services(LSS)) Provider Agreement
Agreement for Services (expert or Legal Support Services Provider) Provider Rate Schedule 5210/04 Agreement for Services (expert or Legal Support Service Provider) Provider Rate Schedule
Amended Litigation Budget 5000/31 Amended Litigation Budget
Amended Non-Litigation Budget 5000/33 Amended Non-Litigation Budget
Expert budget 5210/08 Expert Budget
Expert invoice for Fees and Expenses (EIF&E) 5210/01 Expert invoice for Fees and Expenses (EIF&E)
Firm Travel Voucher 5210/12 Firm Travel Voucher
Legal Invoice for Fees and Expenses 5210/11 Legal Invoice for Fees and Expenses
Legal Service Agreement (LSA) 5210/13 Legal Services Agreement
Legal Services Agreement (LSA) Amendment 5210/06 Legal Services Agreement (LSA) Amendment
Legal Support Services (LSS) Provider Budget Form 5210/15 Legal Support Services (LSS) Provider Budget Form
Legal Support Services (LSS) Provider Invoice for Fees and Expenses (IF&E) 5210/02 Legal Support Services (LSS) Provider Invoice for Fees and Expenses
Litigation Budget 5000/35 Litigation Budget
Non-Litigation Budget Form 5000/26 Non-Litigation Budget Form
Oral Representations and Certifications for Expert Legal Support Services 5210/14 Oral Representations for Certifications for Expert Legal Support Services
Outside Counsel Legal Services Agreement Rate Schedule 5210/10 Outside Counsel Legal Services Agreement Rate Schedule
Representations and Certifications for Legal Contractors 5200/01 Representations and Certifications for Legal Contractors
Reps and Certs for Experts and Legal Support Services Providers 5210/09 Reps and Certs for Experts and Legal Support Services Providers

  Total Request Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 1,305 1,305 0 0 0 0
Annual Time Burden (Hours) 907 907 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$0
No
    No
    Yes
No
No
No
No
Manuel Cabeza 202 898-3781 mcabeza@fdic.gov

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
07/08/2021


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