Agreement for Services (expert or Legal Support Services Provider) Provider Rate Schedule

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

Documents and Forms

Document Name Document Type
Form 5210/04 Agreement for Services (expert or Legal Support Services Provider) Provider Rate Schedule Form
5210/04 Agreement for Services (expert or Legal Support Service f5210-04.pdf Form
5210/04 Agreement for Services (expert or Legal Support Service f5210-04.pdf Form

Information Collection (IC) Details

IC Title:	Agreement for Services (expert or Legal Support Services Provider) Provider Rate Schedule	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Unchanged

Obligation to Respond: Mandatory

CFR Citation: 12 CFR 361 12 CFR 366

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	5210/04	Agreement for Services (expert or Legal Support Service Provider) Provider Rate Schedule	f5210-04.pdf		Yes	Yes	Fillable Fileable

Line of Business: Economic Development

Subfunction: Financial Sector Oversight

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 6	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	Previously Approved
Annual Number of Responses for this IC	6	6
Annual IC Time Burden (Hours)	6	6
Annual IC Cost Burden (Dollars)	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.