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Legal Support Services (LSS) Provider Invoice for Fees and Expenses (IF&E)
Forms Relating to FDIC Outside Counsel, Legal Support and Expert Services Programs
OMB: 3064-0122
IC ID: 238894
OMB.report
FDIC
OMB 3064-0122
ICR 202107-3064-002
IC 238894
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3064-0122 can be found here:
2023-08-08 - No material or nonsubstantive change to a currently approved collection
2023-01-27 - Extension without change of a currently approved collection
Documents and Forms
Document Name
Document Type
Form 5210/02
Legal Support Services (LSS) Provider Invoice for Fees and Expenses (IF&E)
Form
5210/02 Legal Support Services (LSS) Provider Invoice for Fees a
f5210-02.pdf
Form
5210/02 Legal Support Services (LSS) Provider Invoice for Fees a
f5210-02.pdf
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Legal Support Services (LSS) Provider Invoice for Fees and Expenses (IF&E)
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Mandatory
CFR Citation:
12 CFR 366
12 CFR 361
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
5210/02
Legal Support Services (LSS) Provider Invoice for Fees and Expenses
f5210-02.pdf
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Economic Development
Subfunction:
Financial Sector Oversight
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
30
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Businesses or other for-profits
Percentage of Respondents Reporting Electronically:
0 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
30
0
0
0
0
30
Annual IC Time Burden (Hours)
15
0
0
0
0
15
Annual IC Cost Burden (Dollars)
0
0
0
0
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.