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Forms Relating to FDIC Outside Counsel, Legal Support and Expert Services Programs
 
No Modified
 
Mandatory
 
12 CFR 361 12 CFR 366

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 5000/26 Non-Litigation/Transactional Budget Form 5000-26.pdf http://www.fdic.gov/buying/legal/supportdeskbook/ Yes Yes Fillable Fileable
Form 5000/31 Amended Litigation Budget 5000-31.pdf http://www.fdic.gov/buying/legal/supportdeskbook/ Yes Yes Fillable Fileable
Form 5000/33 Amended Non-Litigation/Transactional Budget 5000-33.pdf http://www.fdic.gov/buying/legal/supportdeskbook/ Yes Yes Fillable Fileable
Form 5000/35 Litigation Budget 5000-35.pdf http://www.fdic.gov/buying/legal/supportdeskbook/ Yes Yes Fillable Fileable
Form 5200/01 Reps and Certs Qualifications of Applicants: Law Firms and Sole Practitioners 5200-01.pdf http://www.fdic.gov/buying/legal/supportdeskbook/ Yes Yes Fillable Fileable
Form 5210/01 Representations and Certifications for Legal Contractors 5210-01.doc http://www.fdic.gov/buying/legal/supportdeskbook/ Yes Yes Fillable Fileable
Form 5210/02 Legal Support Services (LSS) Provider Invoice for Fees and Expenses 5210-02.pdf http://www.fdic.gov/buying/legal/supportdeskbook/ Yes Yes Fillable Fileable
Form 5210/03 Agreement for Services (Expert Legal Support Services (LSS)) Provider Amendment 5210-03.pdf http://www.fdic.gov/buying/legal/supportdeskbook/ Yes Yes Fillable Fileable
Form 5210/03A Agreement for Services (Expert or Legal Support Services Provider) Amendment 5210-03A.pdf http://www.fdic.gov/buying/legal/supportdeskbook/ Yes Yes Fillable Fileable
Form 5210/04 Agreement for Services (expert or Legal Support SErvices Provider) Provider Rate Schedule 5210-04.pdf http://www.fdic.gov/buying/legal/supportdeskbook/ Yes Yes Fillable Fileable
Form 5210/04A Agreement for Svcs (Expert/Legas Support Svcs) Provider Rate Schedule (continued) 5210-04A.pdf http://www.fdic.gov/buying/legal/supportdeskbook/ Yes Yes Fillable Fileable
Form 5210/06 Legal Services Agreement (LSA) Amendment 5210-06.pdf http://www.fdic.gov/buying/legal/supportdeskbook/ Yes Yes Fillable Fileable
Form 5210/06A Legal Servicees Agreement Amendment Continuation Sheet 5210-06A.pdf http://www.fdic.gov/buying/legal/supportdeskbook/ Yes Yes Fillable Fileable
Form 5210/09 Reps and Certs for Experts and Legal Support Services Providers 5210-09.pdf http://www.fdic.gov/buying/legal/supportdeskbook/ Yes Yes Fillable Fileable
Form 5210/10 Outside Counsel Legal Services Agreement Rate Schedule 5210-10.pdf http://www.fdic.gov/buying/legal/supportdeskbook/ Yes Yes Fillable Fileable
Form 5210/10A Outside Counsel Legal Services Agreement (Continued) 5210-10A.pdf http://www.fdic.gov/buying/legal/supportdeskbook/ Yes Yes Fillable Fileable
Form 5210/11 Legal Invoice for Fees and Expenses 5210-11.pdf http://www.fdic.gov/buying/legal/supportdeskbook/ Yes Yes Fillable Fileable
Form 5210/12 Firm Travel Voucher 5210-12.doc http://www.fdic.gov/buying/legal/supportdeskbook/ Yes Yes Fillable Fileable
Form 5210/12A Firm Travel Voucher (continuation sheet) 5210-12A.doc http://www.fdic.gov/buying/legal/supportdeskbook/ Yes Yes Fillable Fileable
Form 5210/14 Oral Representations and Certifications for Expert Legal Support Services 5210-14.pdf http://www.fdic.gov/buying/legal/supportdeskbook/ Yes Yes Fillable Fileable
Form 5210/15 Legal Support Services (LSS) Provider Budget Form 5210-15.pdf http://www.fdic.gov/buying/legal/supportdeskbook/ Yes Yes Fillable Fileable
Form 5210/08 Expert budget 5210-08.doc http://www.fdic.gov/buying/legal/supportdeskbook/ Yes Yes Fillable Fileable

Economic Development Financial Sector Oversight

 

3,558 0
   
Private Sector Businesses or other for-profits
 
   100 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 3,558 0 0 0 0 3,558
Annual IC Time Burden (Hours) 2,735 0 0 0 0 2,735
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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