OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

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

ICR 202603-3064-003 · OMB 3064-0122 · Received in OIRA

Forms and Documents
DocumentTypeStatusAvailability
Form 5000/26 Non-Litigation Budget Form Form Modified Available
Form 5210/13 Legal Services Agreement Form Modified Available
Form 5210/15 Legal Support Services (LSS) Provider Budget Form Form Unchanged Available
Form 5210/14 Oral Representations for Certifications for Expert Legal Support Services 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 5210/10 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 5210/08 Expert Budget Form Modified Available
Form 5210/06 Legal Services Agreement (LSA) Amendment Form Modified Available
Form 5210/04 Agreement for Services (expert or Legal Support Services Provider) Provider Rate Schedule 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 Expert invoice for Fees and Expenses (EIF&E) Form Modified Available
Form 5200/01 Representations and Certifications for Legal Contractors Form Modified Available
Form 5000/35 Litigation Budget Form Modified Available
Form 5000/33 Amended Non-Litigation Budget Form Unchanged Available
Form 5000/31 Amended Litigation Budget Form Modified Available
FR2 0122 Forms re Outside Legal Counsel Programs 91 FR 10807 March 5 2026.pdf Supplementary Document Uploaded 2026-03-30 Available
FR1 0122 Forms re Outside Legal Counsel Programs 90 FR 58013 December 15 2025.pdf Supplementary Document Uploaded 2026-03-30 Available
SPST-0122 Forms Relating to FDIC Outside Counsel Program 2026 FINAL.docx Supporting Statement A Uploaded 2026-03-30 Available
IC Document Collections
IC IDCollectionTypeStatusForm
42567 Non-Litigation Budget Form Form ModifiedNon-Litigation Budget Form
42567 Non-Litigation Budget Form Form Modified
238949 Legal Service Agreement (LSA) Form ModifiedLegal Services Agreement
238949 Legal Service Agreement (LSA) Form Modified
238907 Legal Support Services (LSS) Provider Budget Form Form UnchangedLegal Support Services (LSS) Provider Budget Form
238907 Legal Support Services (LSS) Provider Budget Form Form Unchanged
238904 Oral Representations and Certifications for Expert Legal Support Services Form ModifiedOral Representations for Certifications for Expert Legal Support Services
238904 Oral Representations and Certifications for Expert Legal Support Services Form Modified
238903 Firm Travel Voucher Form ModifiedFirm Travel Voucher
238903 Firm Travel Voucher Form Modified
238902 Legal Invoice for Fees and Expenses Form ModifiedLegal Invoice for Fees and Expenses
238902 Legal Invoice for Fees and Expenses Form Modified
238900 Outside Counsel Legal Services Agreement Rate Schedule Form ModifiedOutside Counsel Legal Services Agreement Rate Schedule
238900 Outside Counsel Legal Services Agreement Rate Schedule Form Modified
238899 Reps and Certs for Experts and Legal Support Services Providers Form ModifiedReps and Certs for Experts and Legal Support Services Providers
238899 Reps and Certs for Experts and Legal Support Services Providers Form Modified
238898 Expert budget Form ModifiedExpert Budget
238898 Expert budget Form Modified
238897 Legal Services Agreement (LSA) Amendment Form ModifiedLegal Services Agreement (LSA) Amendment
238897 Legal Services Agreement (LSA) Amendment Form Modified
238896 Agreement for Services (expert or Legal Support Services Provider) Provider Rate Schedule Form ModifiedAgreement for Services (expert or Legal Support Services Provider) Provider Rate Schedule
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 ModifiedAgreement for Services (Expert Legal Support Services (LSS)) Provider Amendment
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 ModifiedLegal Support Services (LSS) Provider Invoice for Fees and Expenses
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 ModifiedExpert invoice for Fees and Expenses (EIF&E)
238893 Expert invoice for Fees and Expenses (EIF&E) Form Modified
238722 Representations and Certifications for Legal Contractors Form ModifiedRepresentations and Certifications for Legal Contractors
238722 Representations and Certifications for Legal Contractors Form Modified
238721 Litigation Budget Form ModifiedLitigation Budget
238721 Litigation Budget Form Modified
238720 Amended Non-Litigation Budget Form UnchangedAmended Non-Litigation Budget
238720 Amended Non-Litigation Budget Form Unchanged
238719 Amended Litigation Budget Form ModifiedAmended Litigation Budget
238719 Amended Litigation Budget Form Modified
ICR Details
3064-0122 202603-3064-003
Received in OIRA 202308-3064-002
FDIC
Forms Relating to FDIC Outside Counsel, Legal Support and Expert Services Programs
Revision of a currently approved collection   No
Regular 03/30/2026
  Requested Previously Approved
36 Months From Approved 04/30/2026
526 89
273 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
  90 FR 58013 12/15/2025
91 FR 10807 03/05/2026
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 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
  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
No
No
$0
No
    No
    Yes
No
No
No
No
Robert Meiers 571 645-3062 [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.
03/30/2026