OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

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

ICR 202308-3064-002 · OMB 3064-0122 · Received in OIRA

Forms and Documents
DocumentTypeStatusAvailability
Form 5000/26 Non-Litigation Budget Form Form Unchanged Repair queued
Form 5210/13 Legal Service Agreement (LSA) Form Unchanged Repair queued
Form 5210/15 Legal Support Services (LSS) Provider Budget Form Form Unchanged Repair queued
Form 5210/14 Oral Representations and Certifications for Expert Legal Support Services Form Unchanged Repair queued
Form 5210/12 Firm Travel Voucher Form Unchanged Repair queued
Form 5210/11 Legal Invoice for Fees and Expenses Form Unchanged Repair queued
Form 5210/10 Outside Counsel Legal Services Agreement Rate Schedule Form Unchanged Repair queued
Form 5210/09 Reps and Certs for Experts and Legal Support Services Providers Form Modified Repair queued
Form 5210/08 Expert budget Form Unchanged Repair queued
Form 5210/06 Legal Services Agreement (LSA) Amendment Form Unchanged Repair queued
Form 5210/04 Agreement for Services (expert or Legal Support Services Provider) Provider Rate Schedule Form Unchanged Missing upstream
Form 5210/03 Agreement for Services (Expert Legal Support Services (LSS) Provider Amendment Form Unchanged Repair queued
Form 5210/02 Legal Support Services (LSS) Provider Invoice for Fees and Expenses (IF&E) Form Unchanged Missing upstream
Form 5210/01 Expert invoice for Fees and Expenses (EIF&E) Form Unchanged Repair queued
Form 5200/01 Representations and Certifications for Legal Contractors Form Modified Repair queued
Form 5000/35 Litigation Budget Form Unchanged Repair queued
Form 5000/33 Amended Non-Litigation Budget Form Unchanged Repair queued
Form 5000/31 Amended Litigation Budget Form Unchanged Repair queued
3064-0122 Justification for Non-Substantive Forms Revision Legal Services 2023 Certifications.docx Justification for No Material/Nonsubstantive Change Uploaded 2023-08-08 Repair queued
SPST-0122 Forms Relating to FDIC Outside Counsel Program 2023 FINAL.docx Supporting Statement A Uploaded 2023-01-24 Repair queued
FR2-0122 Forms Relating to Outside Counsel 88 FR 5338 January 27 2023.pdf Supplementary Document Uploaded 2023-01-27 Repair queued
FR1-0122 Forms Relating to Outside Counsel 87 FR 63498 Oct 19 2022.pdf Supplementary Document Uploaded 2023-01-24 Repair queued
IC Document Collections
IC IDCollectionTypeStatusForm
42567 Non-Litigation Budget Form Form Unchanged
238949 Legal Service Agreement (LSA) Form Unchanged
238907 Legal Support Services (LSS) Provider Budget Form Form Unchanged
238904 Oral Representations and Certifications for Expert Legal Support Services Form Unchanged
238903 Firm Travel Voucher Form Unchanged
238902 Legal Invoice for Fees and Expenses Form Unchanged
238900 Outside Counsel Legal Services Agreement Rate Schedule Form Unchanged
238899 Reps and Certs for Experts and Legal Support Services Providers Form Modified
238898 Expert budget Form Unchanged
238897 Legal Services Agreement (LSA) Amendment Form Unchanged
238896 Agreement for Services (expert or Legal Support Services Provider) Provider Rate Schedule Form Unchanged
238895 Agreement for Services (Expert Legal Support Services (LSS) Provider Amendment Form Unchanged
238894 Legal Support Services (LSS) Provider Invoice for Fees and Expenses (IF&E) Form Unchanged
238893 Expert invoice for Fees and Expenses (EIF&E) Form Unchanged
238722 Representations and Certifications for Legal Contractors Form Modified
238721 Litigation Budget Form Unchanged
238720 Amended Non-Litigation Budget Form Unchanged
238719 Amended Litigation Budget Form Unchanged
ICR Details
3064-0122 202308-3064-002
Received in OIRA 202301-3064-004
FDIC
Forms Relating to FDIC Outside Counsel, Legal Support and Expert Services Programs
No material or nonsubstantive change to a currently approved collection   No
Regular 08/08/2023
  Requested Previously Approved
03/31/2026 03/31/2026
89 89
64 64
0 0
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.
US Code: 12 USC 1819(a) Name of Law: FDI Act
   US Code: 12 USC 1822(f)(3-4) Name of Law: FDI Act
  
None
Not associated with rulemaking
  87 FR 63498 10/19/2022
88 FR 5338 01/27/2023
No
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 Agreement
Agreement for Services (expert or Legal Support Services Provider) Provider Rate Schedule 5210/04 Agreement for Services (expert or Legal Support Service 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
  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 89 89 0 0 0 0
Annual Time Burden (Hours) 64 64 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
$0
No
    No
    Yes
No
No
No
No
Manuel Cabeza 202 898-3781 [email protected]
  No
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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
08/08/2023