Information Collection

Agreement for Services (Expert Legal Support Services (LSS) Provider Amendment

IC 238895 under ICR 201911-3064-005 · 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⚠️ Notice: This information collection may be referencing outdated material.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 5210/03 Agreement for Services (Expert Legal Support Services (LSS) Provider Amendment	Form
5210/03 Agreement for Services (Expert Legal Support Services(LS 5210-03 Agreement for Services Expert Legal Support Services Provider Amendment.pdf	Form

IC Title:

Agreement for Services (Expert Legal Support Services (LSS) Provider Amendment

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Mandatory

CFR Citation: 12 CFR 366 12 CFR 361

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	5210/03	Agreement for Services (Expert Legal Support Services(LSS)) Provider Agreement	5210-03 Agreement for Services Expert Legal Support Services Provider Amendment.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: 30

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	30	30
Annual IC Time Burden (Hours)	30	30
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.