Information Collection

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

IC 42567 under ICR 201003-3064-004 · OMB 3064-0122.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3064-0122 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 5210/06A Forms Relating to FDIC Outside Counsel, Legal Support and Expert Services Programs	Form
5000/26 Non-Litigation/Transactional Budget Form 5000-26.pdf www.fdic.gov/buying/legal/supportdeskbook/	Form
5000/31 Amended Litigation Budget 5000-31.pdf www.fdic.gov/buying/legal/supportdeskbook/	Form
5000/33 Amended Non-Litigation/Transactional Budget 5000-33.pdf www.fdic.gov/buying/legal/supportdeskbook/	Form
5000/35 Litigation Budget 5000-35.pdf www.fdic.gov/buying/legal/supportdeskbook/	Form
5200/01 Reps and Certs Qualifications of Applicants: Law Firms a 5200-01.pdf www.fdic.gov/buying/legal/supportdeskbook/	Form
5210/01 Representations and Certifications for Legal Contractors 5210-01.doc www.fdic.gov/buying/legal/supportdeskbook/	Form
5210/02 Legal Support Services (LSS) Provider Invoice for Fees a 5210-02.pdf www.fdic.gov/buying/legal/supportdeskbook/	Form
5210/03 Agreement for Services (Expert Legal Support Services (L 5210-03.pdf www.fdic.gov/buying/legal/supportdeskbook/	Form
5210/03A Agreement for Services (Expert or Legal Support Services 5210-03A.pdf www.fdic.gov/buying/legal/supportdeskbook/	Form
5210/04 Agreement for Services (expert or Legal Support SErvices 5210-04.pdf www.fdic.gov/buying/legal/supportdeskbook/	Form
5210/04A Agreement for Svcs (Expert/Legas Support Svcs) Provider 5210-04A.pdf www.fdic.gov/buying/legal/supportdeskbook/	Form
5210/06 Legal Services Agreement (LSA) Amendment 5210-06.pdf www.fdic.gov/buying/legal/supportdeskbook/	Form
5210/06A Legal Servicees Agreement Amendment Continuation Sheet 5210-06A.pdf www.fdic.gov/buying/legal/supportdeskbook/	Form
5210/09 Reps and Certs for Experts and Legal Support Services Pr 5210-09.pdf www.fdic.gov/buying/legal/supportdeskbook/	Form
5210/10 Outside Counsel Legal Services Agreement Rate Schedule 5210-10.pdf www.fdic.gov/buying/legal/supportdeskbook/	Form
5210/10A Outside Counsel Legal Services Agreement (Continued) 5210-10A.pdf www.fdic.gov/buying/legal/supportdeskbook/	Form
5210/11 Legal Invoice for Fees and Expenses 5210-11.pdf www.fdic.gov/buying/legal/supportdeskbook/	Form
5210/12 Firm Travel Voucher 5210-12.doc www.fdic.gov/buying/legal/supportdeskbook/	Form
5210/12A Firm Travel Voucher (continuation sheet) 5210-12A.doc www.fdic.gov/buying/legal/supportdeskbook/	Form
5210/14 Oral Representations and Certifications for Expert Legal 5210-14.pdf www.fdic.gov/buying/legal/supportdeskbook/	Form
5210/15 Legal Support Services (LSS) Provider Budget Form 5210-15.pdf www.fdic.gov/buying/legal/supportdeskbook/	Form
5210/08 Expert budget 5210-08.doc www.fdic.gov/buying/legal/supportdeskbook/	Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

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

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:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	5210/06A	Legal Servicees Agreement Amendment Continuation Sheet	5210-06A.pdf	http://www.fdic.gov/buying/legal/supportdeskbook/	Yes	Yes	Fillable Fileable
Form	5210/09	Reps and Certs for Experts and Legal Support Services Providers	5210-09.pdf	http://www.fdic.gov/buying/legal/supportdeskbook/	Yes	Yes	Fillable Fileable
Form	5210/10	Outside Counsel Legal Services Agreement Rate Schedule	5210-10.pdf	http://www.fdic.gov/buying/legal/supportdeskbook/	Yes	Yes	Fillable Fileable
Form	5210/10A	Outside Counsel Legal Services Agreement (Continued)	5210-10A.pdf	http://www.fdic.gov/buying/legal/supportdeskbook/	Yes	Yes	Fillable Fileable
Form	5210/11	Legal Invoice for Fees and Expenses	5210-11.pdf	http://www.fdic.gov/buying/legal/supportdeskbook/	Yes	Yes	Fillable Fileable
Form	5210/12	Firm Travel Voucher	5210-12.doc	http://www.fdic.gov/buying/legal/supportdeskbook/	Yes	Yes	Fillable Fileable
Form	5210/12A	Firm Travel Voucher (continuation sheet)	5210-12A.doc	http://www.fdic.gov/buying/legal/supportdeskbook/	Yes	Yes	Fillable Fileable
Form	5210/14	Oral Representations and Certifications for Expert Legal Support Services	5210-14.pdf	http://www.fdic.gov/buying/legal/supportdeskbook/	Yes	Yes	Fillable Fileable
Form	5210/15	Legal Support Services (LSS) Provider Budget Form	5210-15.pdf	http://www.fdic.gov/buying/legal/supportdeskbook/	Yes	Yes	Fillable Fileable
Form	5210/08	Expert budget	5210-08.doc	http://www.fdic.gov/buying/legal/supportdeskbook/	Yes	Yes	Fillable Fileable
Form	5000/26	Non-Litigation/Transactional Budget Form	5000-26.pdf	http://www.fdic.gov/buying/legal/supportdeskbook/	Yes	Yes	Fillable Fileable
Form	5000/31	Amended Litigation Budget	5000-31.pdf	http://www.fdic.gov/buying/legal/supportdeskbook/	Yes	Yes	Fillable Fileable
Form	5000/33	Amended Non-Litigation/Transactional Budget	5000-33.pdf	http://www.fdic.gov/buying/legal/supportdeskbook/	Yes	Yes	Fillable Fileable
Form	5000/35	Litigation Budget	5000-35.pdf	http://www.fdic.gov/buying/legal/supportdeskbook/	Yes	Yes	Fillable Fileable
Form	5200/01	Reps and Certs Qualifications of Applicants: Law Firms and Sole Practitioners	5200-01.pdf	http://www.fdic.gov/buying/legal/supportdeskbook/	Yes	Yes	Fillable Fileable
Form	5210/01	Representations and Certifications for Legal Contractors	5210-01.doc	http://www.fdic.gov/buying/legal/supportdeskbook/	Yes	Yes	Fillable Fileable
Form	5210/02	Legal Support Services (LSS) Provider Invoice for Fees and Expenses	5210-02.pdf	http://www.fdic.gov/buying/legal/supportdeskbook/	Yes	Yes	Fillable Fileable
Form	5210/03	Agreement for Services (Expert Legal Support Services (LSS)) Provider Amendment	5210-03.pdf	http://www.fdic.gov/buying/legal/supportdeskbook/	Yes	Yes	Fillable Fileable
Form	5210/03A	Agreement for Services (Expert or Legal Support Services Provider) Amendment	5210-03A.pdf	http://www.fdic.gov/buying/legal/supportdeskbook/	Yes	Yes	Fillable Fileable
Form	5210/04	Agreement for Services (expert or Legal Support SErvices Provider) Provider Rate Schedule	5210-04.pdf	http://www.fdic.gov/buying/legal/supportdeskbook/	Yes	Yes	Fillable Fileable
Form	5210/04A	Agreement for Svcs (Expert/Legas Support Svcs) Provider Rate Schedule (continued)	5210-04A.pdf	http://www.fdic.gov/buying/legal/supportdeskbook/	Yes	Yes	Fillable Fileable
Form	5210/06	Legal Services Agreement (LSA) Amendment	5210-06.pdf	http://www.fdic.gov/buying/legal/supportdeskbook/	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: 3,558

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	3,558	3,558
Annual IC Time Burden (Hours)	2,735	2,735
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.