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

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 5210/08 Expert budget	Form	Modified	Available
Form 5210/15 Legal Support Services (LSS) Provider Budget Form	Form	Modified	Available
Form 5210/14 Oral Representations and Certifications for Expert Legal Support Services	Form	Modified	Available
Form 5210/12A Firm Travel Voucher (continuation sheet)	Form	Modified	Available
Form 5210/12 Firm Travel Voucher	Form	Modified	Available
Form 5210/11 Legal Invoice for Fees and Expenses	Form	Modified	Available
Form 5210/10A Outside Counsel Legal Services Agreement (Continued)	Form	Modified	Available
Form 5210/10 Outside Counsel Legal Services Agreement Rate Schedule	Form	Modified	Available
Form 5210/09 Reps and Certs for Experts and Legal Support Services Providers	Form	Modified	Available
Form 5210/06A Legal Servicees Agreement Amendment Continuation Sheet	Form	Modified	Available
Form 5210/06 Legal Services Agreement (LSA) Amendment	Form	Modified	Available
Form 5210/04A Agreement for Svcs (Expert/Legas Support Svcs) Provider Rate Schedule (continued)	Form	Modified	Available
Form 5210/04 Agreement for Services (expert or Legal Support SErvices Provider) Provider Rate Schedule	Form	Modified	Available
Form 5210/03A Agreement for Services (Expert or Legal Support Services Provider) Amendment	Form	Modified	Available
Form 5210/03 Agreement for Services (Expert Legal Support Services (LSS)) Provider Amendment	Form	Modified	Available
Form 5210/02 Legal Support Services (LSS) Provider Invoice for Fees and Expenses	Form	Modified	Available
Form 5210/01 Representations and Certifications for Legal Contractors	Form	Modified	Available
Form 5200/01 Reps and Certs Qualifications of Applicants: Law Firms and Sole Practitioners	Form	Modified	Available
Form 5000/35 Litigation Budget	Form	Modified	Available
Form 5000/33 Amended Non-Litigation/Transactional Budget	Form	Modified	Available
Form 5000/31 Amended Litigation Budget	Form	Modified	Available
Form 5000/26 Non-Litigation/Transactional Budget Form	Form	Modified	Available
SPST 0122 6-17-10 (1).doc	Supporting Statement A	Uploaded 2010-06-17	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
42567	Forms Relating to FDIC Outside Counsel, Legal Support and Expert Services Programs	Form	Modified	Expert budget
42567	Forms Relating to FDIC Outside Counsel, Legal Support and Expert Services Programs	Form	Modified	Legal Support Services (LSS) Provider Budget Form
42567	Forms Relating to FDIC Outside Counsel, Legal Support and Expert Services Programs	Form	Modified	Oral Representations and Certifications for Expert Legal Support Services
42567	Forms Relating to FDIC Outside Counsel, Legal Support and Expert Services Programs	Form	Modified	Firm Travel Voucher (continuation sheet)
42567	Forms Relating to FDIC Outside Counsel, Legal Support and Expert Services Programs	Form	Modified	Firm Travel Voucher
42567	Forms Relating to FDIC Outside Counsel, Legal Support and Expert Services Programs	Form	Modified	Legal Invoice for Fees and Expenses
42567	Forms Relating to FDIC Outside Counsel, Legal Support and Expert Services Programs	Form	Modified	Outside Counsel Legal Services Agreement (Continued)
42567	Forms Relating to FDIC Outside Counsel, Legal Support and Expert Services Programs	Form	Modified	Outside Counsel Legal Services Agreement Rate Schedule
42567	Forms Relating to FDIC Outside Counsel, Legal Support and Expert Services Programs	Form	Modified	Reps and Certs for Experts and Legal Support Services Providers
42567	Forms Relating to FDIC Outside Counsel, Legal Support and Expert Services Programs	Form	Modified	Legal Servicees Agreement Amendment Continuation Sheet
42567	Forms Relating to FDIC Outside Counsel, Legal Support and Expert Services Programs	Form	Modified	Legal Services Agreement (LSA) Amendment
42567	Forms Relating to FDIC Outside Counsel, Legal Support and Expert Services Programs	Form	Modified	Agreement for Svcs (Expert/Legas Support Svcs) Provider Rate Schedule (continued)
42567	Forms Relating to FDIC Outside Counsel, Legal Support and Expert Services Programs	Form	Modified	Agreement for Services (expert or Legal Support SErvices Provider) Provider Rate Schedule
42567	Forms Relating to FDIC Outside Counsel, Legal Support and Expert Services Programs	Form	Modified	Agreement for Services (Expert or Legal Support Services Provider) Amendment
42567	Forms Relating to FDIC Outside Counsel, Legal Support and Expert Services Programs	Form	Modified	Agreement for Services (Expert Legal Support Services (LSS)) Provider Amendment
42567	Forms Relating to FDIC Outside Counsel, Legal Support and Expert Services Programs	Form	Modified	Legal Support Services (LSS) Provider Invoice for Fees and Expenses
42567	Forms Relating to FDIC Outside Counsel, Legal Support and Expert Services Programs	Form	Modified	Representations and Certifications for Legal Contractors
42567	Forms Relating to FDIC Outside Counsel, Legal Support and Expert Services Programs	Form	Modified	Reps and Certs Qualifications of Applicants: Law Firms and Sole Practitioners
42567	Forms Relating to FDIC Outside Counsel, Legal Support and Expert Services Programs	Form	Modified	Litigation Budget
42567	Forms Relating to FDIC Outside Counsel, Legal Support and Expert Services Programs	Form	Modified	Amended Non-Litigation/Transactional Budget
42567	Forms Relating to FDIC Outside Counsel, Legal Support and Expert Services Programs	Form	Modified	Amended Litigation Budget
42567	Forms Relating to FDIC Outside Counsel, Legal Support and Expert Services Programs	Form	Modified	Non-Litigation/Transactional Budget Form

ICR Details

OMB Control No: 3064-0122	ICR Reference No: 201003-3064-004
Status: Historical Active	Previous ICR Reference No: 200703-3064-007
Agency/Subagency: FDIC	Agency Tracking No: 3064-0122
Title: Forms Relating to FDIC Outside Counsel, Legal Support and Expert Services Programs
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 07/28/2010
Retrieve Notice of Action (NOA)	Date Received in OIRA: 06/17/2010
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	07/31/2013	36 Months From Approved	07/31/2010
Responses	3,558	0	3,558
Time Burden (Hours)	2,735	0	2,735
Cost Burden (Dollars)	0	0	0

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Abstract: 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.

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Authorizing Statute(s): US Code: 12 USC 1822(f)(3-4) Name of Law: FDI Act
   US Code: 12 USC 1819(a) Name of Law: FDI Act
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	75 FR 12541	03/16/2010
30-day Notice:	Federal Register Citation:	Citation Date:
	75 FR 30403	06/01/2010
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
Forms Relating to FDIC Outside Counsel, Legal Support and Expert Services Programs	5000/26, 5000/31, 5000/33, 5210/04, 5210/04A, 5210/06, 5210/14, 5210/15, 5210/12A, 5210/02, 5210/03, 5210/03A, 5210/09, 5210/10, 5210/10A, 5210/11, 5210/08, 5000/35, 5200/01, 5210/01, 5210/12, 5210/06A	Non-Litigation/Transactional Budget Form ,   Amended Litigation Budget ,   Amended Non-Litigation/Transactional Budget ,   Litigation Budget ,   Reps and Certs Qualifications of Applicants: Law Firms and Sole Practitioners ,   Representations and Certifications for Legal Contractors ,   Legal Support Services (LSS) Provider Invoice for Fees and Expenses ,   Agreement for Services (Expert Legal Support Services (LSS)) Provider Amendment ,   Agreement for Services (Expert or Legal Support Services Provider) Amendment ,   Agreement for Services (expert or Legal Support SErvices Provider) Provider Rate Schedule ,   Agreement for Svcs (Expert/Legas Support Svcs) Provider Rate Schedule (continued) ,   Legal Services Agreement (LSA) Amendment ,   Legal Servicees Agreement Amendment Continuation Sheet ,   Reps and Certs for Experts and Legal Support Services Providers ,   Outside Counsel Legal Services Agreement Rate Schedule ,   Outside Counsel Legal Services Agreement (Continued) ,   Legal Invoice for Fees and Expenses ,   Firm Travel Voucher ,   Firm Travel Voucher (continuation sheet) ,   Oral Representations and Certifications for Expert Legal Support Services ,   Legal Support Services (LSS) Provider Budget Form ,   Expert budget

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ICR Summary of Burden

table that charts list of burden

	Total Approved	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	3,558	3,558	0	0	0	0
Annual Time Burden (Hours)	2,735	2,735	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $0

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 06/17/2010

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