Legal Invoice for Fees and Expenses

• Legal Form Number: FDIC Form 5210/11
• Section: Federal Deposit Insurance Corporation

FDIC 5210/11 (8-21)

OMB Number: 3064-0122

Expiration Date: 01/31/2023

Federal Deposit Insurance Corporation

LEGAL INVOICE FOR FEES AND EXPENSES

PAPERWORK REDUCTION ACT NOTICE

Public reporting burden for this collection of information is estimated to average 1.0 hour per response, including the time for reviewing

instructions, searching existing data sources, gathering and maintaining the data needed, completing and reviewing the collection of

information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions

for reducing this burden to the Paper Reduction Act Clearance Officer, Legal Division, Federal Deposit Insurance Corporation, 550

17th Street, N.W., Washington, D.C. 20429, and the Office of Management and Budget, Paperwork Reduction Project (3064-0122),

Washington, D.C. 20503. An agency may not conduct or sponsor, and a person is not required to respond to a collection of information

unless it displays a currently valid OMB control.

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