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Reps and Certs for Experts and Legal Support Services Providers
Forms Relating to FDIC Outside Counsel, Legal Support and Expert Services Programs
OMB: 3064-0122
IC ID: 238899
OMB.report
FDIC
OMB 3064-0122
ICR 202308-3064-002
IC 238899
( )
Documents and Forms
Document Name
Document Type
Form 5210/09
Reps and Certs for Experts and Legal Support Services Providers
Form
5210/09 Reps and Certs for Experts and Legal Support Services Pr
f5210-09.pdf
Form
5210/09 Reps and Certs for Experts and Legal Support Services Pr
f5210-09.pdf
Form
3064-0122 Justification for Non-Substantive Forms Revision Legal Services 2023 Certifications.docx
Justification for Non-Substantive Change
IC Document
3064-0122 Justification for Non-Substantive Forms Revision Legal Services 2023 Certifications.docx
Justification for Non-Substantive Change
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Reps and Certs for Experts and Legal Support Services Providers
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
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
5210/09
Reps and Certs for Experts and Legal Support Services Providers
f5210-09.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:
5
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Businesses or other for-profits
Percentage of Respondents Reporting Electronically:
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
5
0
0
0
0
5
Annual IC Time Burden (Hours)
5
0
0
0
0
5
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
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.