Legal Services Agreement (LSA) Amendment

Legal Form NumberFDIC Form 5210/06
SectionFederal Deposit Insurance Corporation
Page of FDIC ####/## (#-##)
FDIC 5210/06 (6-21)
OMB Number: 3064-0122
Expiration Date: 01/31/2023
Federal Deposit Insurance Corporation
LEGAL SERVICES AGREEMENT (LSA) AMENDMENT
PAPERWORK REDUCTION ACT
Public reporting 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, and 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 Paperwork Reduction Act Clearance
Officer, Legal Division, Federal Deposit Insurance Corporation, 550 17th Street, N.W., Washington, DC 20429; and to the Office of Management and Budget, Paperwork Reduction Project (3064-0122), Washington, DC 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 number.
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