Information Collection

Representations and Certifications for Legal Contractors

IC 238722 under ICR 202603-3064-003 · OMB 3064-0122.

Documents and Forms

Document Name Document Type
Form 5200/01 Representations and Certifications for Legal Contractors Representations and Certifications for Legal Contractors Form
5200/01 Representations and Certifications for Legal Contractors f5200-01.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Representations and Certifications for Legal Contractors	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:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	5200/01	Representations and Certifications for Legal Contractors	f5200-01.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: 59	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	59	49	10
Annual IC Time Burden (Hours)	59	51	8
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

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.

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