View Information Collection Request (ICR) Package
Skip to main content
An official website of the United States government
The .gov means it's official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you're on a federal government site.
The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.
Search:
Agenda
Reg Review
ICR
This script is used to control the display of information in this page.
Display additional information by clicking on the following:
All
Brief and OIRA conclusion
Abstract/Justification
Legal Statutes
Rulemaking
FR Notices/Comments
IC List
Burden
Misc.
Common Form Info.
Certification
View Information Collection (IC) List
View Supporting Statement and Other Documents
Please note that the OMB number and expiration date may not have been determined when this Information Collection Request and associated Information Collection forms were submitted to OMB. The approved OMB number and expiration date may be found by clicking on the Notice of Action link below.
View ICR - OIRA Conclusion
OMB Control No:
3064-0122
ICR Reference No:
201609-3064-004
Status:
Historical Active
Previous ICR Reference No:
201304-3064-006
Agency/Subagency:
FDIC
Agency Tracking No:
3064-0122
Title:
Forms Relating to FDIC Outside Counsel, Legal Support and Expert Services Programs
Type of Information Collection:
Extension without change of a currently approved collection
Common Form ICR:
No
Type of Review Request:
Regular
OIRA Conclusion Action:
Approved without change
Conclusion Date:
12/06/2016
Retrieve Notice of Action (NOA)
Date Received in OIRA:
09/08/2016
Terms of Clearance:
Inventory as of this Action
Requested
Previously Approved
Expiration Date
12/31/2019
36 Months From Approved
12/31/2016
Responses
3,558
0
3,558
Time Burden (Hours)
2,735
0
2,735
Cost Burden (Dollars)
0
0
0
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.
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
Associated Rulemaking Information
RIN:
Stage of Rulemaking:
Federal Register Citation:
Date:
Not associated with rulemaking
Federal Register Notices & Comments
60-day Notice:
Federal Register Citation:
Citation Date:
81 FR 42353
06/29/2016
30-day Notice:
Federal Register Citation:
Citation Date:
81 FR 60698
09/02/2016
Did the Agency receive public comments on this ICR?
No
Number of Information Collection (IC) in this ICR:
1
IC Title
Form No.
Form Name
Forms Relating to FDIC Outside Counsel, Legal Support and Expert Services Programs
5210/01, 5210/06A, 5210/12, 5000/26, 5000/31, 5000/33, 5210/04, 5210/10A, 5210/11, 5210/08, 5000/35, 5200/01, 5210/10, 5210/15, 5210/04A, 5210/06, 5210/14, 5210/12A, 5210/02, 5210/03, 5210/03A, 5210/09
Non-Litigation/Transactional Budget Form
,
Amended Litigation Budget
,
Amended Non-Litigation/Transactional Budget
,
Litigation Budget
,
Reps and Certs Qualifications of Applicants: Law Firms and Sole Practitioners
,
Representations and Certifications for Legal Contractors
,
Legal Support Services (LSS) Provider Invoice for Fees and Expenses
,
Agreement for Services (Expert Legal Support Services (LSS)) Provider Amendment
,
Agreement for Services (Expert or Legal Support Services Provider) Amendment
,
Agreement for Services (expert or Legal Support SErvices Provider) Provider Rate Schedule
,
Agreement for Svcs (Expert/Legas Support Svcs) Provider Rate Schedule (continued)
,
Legal Services Agreement (LSA) Amendment
,
Legal Servicees Agreement Amendment Continuation Sheet
,
Reps and Certs for Experts and Legal Support Services Providers
,
Outside Counsel Legal Services Agreement Rate Schedule
,
Outside Counsel Legal Services Agreement (Continued)
,
Legal Invoice for Fees and Expenses
,
Firm Travel Voucher
,
Firm Travel Voucher (continuation sheet)
,
Oral Representations and Certifications for Expert Legal Support Services
,
Legal Support Services (LSS) Provider Budget Form
,
Expert budget
ICR Summary of Burden
Total Approved
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
3,558
3,558
0
0
0
0
Annual Time Burden (Hours)
2,735
2,735
0
0
0
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:
Annual Cost to Federal Government:
$0
Does this IC contain surveys, censuses, or employ statistical methods?
No
Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002?
No
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?
Uncollected
Agency Contact:
Manuel Cabeza 202 898-3781 mcabeza@fdic.gov
Common Form ICR:
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:
(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:
09/08/2016
An official website of the United States government
The .gov means it's official.
The site is secure.
