Representations and Certifications for Legal Contractors

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

OMB: 3064-0122

IC ID: 238722

Documents and Forms
Document Name
Document Type
Form
Form
Form
IC Document
IC Document
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Representations and Certifications for Legal Contractors
 
No Modified
 
Mandatory
 
12 CFR 361 12 CFR 366

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 5200/01 Representations and Certifications for Legal Contractors f5200-01.pdf Yes Yes Fillable Fileable

Economic Development Financial Sector Oversight

 

10 0
   
Private Sector Businesses or other for-profits
 
   100 %

  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 10 0 0 0 0 10
Annual IC Time Burden (Hours) 8 0 0 0 0 8
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Justification for Non-Substantive Change 3064-0122 Justification for Non-Substantive Forms Revision Legal Services 2023 Certifications.docx 08/08/2023
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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