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

Forms and Documents

Document Name	Status

No forms / supporting documents in this ICR. Check IC Document Collections.

IC Document Collections

IC ID	Document Title	Status
42567	Non-Litigation Budget Form Form	Modified
238949	Legal Service Agreement (LSA) Form	Modified
238907	Legal Support Services (LSS) Provider Budget Form Form	Unchanged
238904	Oral Representations and Certifications for Expert Legal Support Services Form	Modified
238903	Firm Travel Voucher Form	Modified
238902	Legal Invoice for Fees and Expenses Form	Modified
238900	Outside Counsel Legal Services Agreement Rate Schedule Form	Modified
238899	Reps and Certs for Experts and Legal Support Services Providers Form	Modified
238898	Expert budget Form	Modified
238897	Legal Services Agreement (LSA) Amendment Form	Modified
238896	Agreement for Services (expert or Legal Support Services Provider) Provider Rate Schedule Form	Modified
238895	Agreement for Services (Expert Legal Support Services (LSS)) Provider Amendment Form	Modified
238894	Legal Support Services (LSS) Provider Invoice for Fees and Expenses (IF&E) Form	Modified
238893	Expert invoice for Fees and Expenses (EIF&E) Form	Modified
238722	Representations and Certifications for Legal Contractors Form	Modified
238721	Litigation Budget Form	Modified
238720	Amended Non-Litigation Budget Form	Unchanged
238719	Amended Litigation Budget Form	Modified

ICR Details

OMB Control No: 3064-0122	ICR Reference No: 202603-3064-003
Status: Received in OIRA	Previous ICR Reference No: 202308-3064-002
Agency/Subagency: FDIC	Agency Tracking No:
Title: Forms Relating to FDIC Outside Counsel, Legal Support and Expert Services Programs
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 03/30/2026

	Requested	Previously Approved
Expiration Date	36 Months From Approved	03/31/2026
Responses	526	89
Time Burden (Hours)	273	64
Cost Burden (Dollars)	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 1819(a) Name of Law: FDI Act
   US Code: 12 USC 1822(f)(3-4) 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:
	90 FR 58013	12/15/2025
30-day Notice:	Federal Register Citation:	Citation Date:
	91 FR 10807	03/05/2026
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 18

IC Title	Form No.	Form Name
Agreement for Services (Expert Legal Support Services (LSS)) Provider Amendment	5210/03	Agreement for Services (Expert Legal Support Services (LSS)) Provider Amendment
Agreement for Services (expert or Legal Support Services Provider) Provider Rate Schedule	5210/04	Agreement for Services (expert or Legal Support Services Provider) Provider Rate Schedule
Amended Litigation Budget	5000/31	Amended Litigation Budget
Amended Non-Litigation Budget	5000/33	Amended Non-Litigation Budget
Expert budget	5210/08	Expert Budget
Expert invoice for Fees and Expenses (EIF&E)	5210/01	Expert invoice for Fees and Expenses (EIF&E)
Firm Travel Voucher	5210/12	Firm Travel Voucher
Legal Invoice for Fees and Expenses	5210/11	Legal Invoice for Fees and Expenses
Legal Service Agreement (LSA)	5210/13	Legal Services Agreement
Legal Services Agreement (LSA) Amendment	5210/06	Legal Services Agreement (LSA) Amendment
Legal Support Services (LSS) Provider Budget Form	5210/15	Legal Support Services (LSS) Provider Budget Form
Legal Support Services (LSS) Provider Invoice for Fees and Expenses (IF&E)	5210/02	Legal Support Services (LSS) Provider Invoice for Fees and Expenses
Litigation Budget	5000/35	Litigation Budget
Non-Litigation Budget Form	5000/26	Non-Litigation Budget Form
Oral Representations and Certifications for Expert Legal Support Services	5210/14	Oral Representations for Certifications for Expert Legal Support Services
Outside Counsel Legal Services Agreement Rate Schedule	5210/10	Outside Counsel Legal Services Agreement Rate Schedule
Representations and Certifications for Legal Contractors	5200/01	Representations and Certifications for Legal Contractors
Reps and Certs for Experts and Legal Support Services Providers	5210/09	Reps and Certs for Experts and Legal Support Services Providers

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ICR Summary of Burden

	Total Request	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	526	89	0	0	437	0
Annual Time Burden (Hours)	273	64	0	0	209	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

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     Yes

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]? No

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

Is this ICR related to the Pandemic Response? No

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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: 03/30/2026

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