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Fdic.gov/formsdocuments/5210-06-E.doc. NOTE Use the mouse or tab key to move to the next field. Attach continuation sheets if necessary. SECTION I OUTSIDE COUNSEL INFORMATION NAME OF LAW FIRM FEDERAL TAX IDENTIFICATION NUMBER BRANCH/OFFICE LOCATION ADDRESS CITY STATE NAME OF CONTACT ATTORNEY PHONE NUMBER include Area Code POSITION BILLABLE INDIVIDUAL First Middle Last Alphabetical Order ZIP CODE TIMEKEEPER ID LICENSES P Partner A Associate PP Paraprofessional O Other - specify E-MAIL ADDRESS...
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What is omb number 3064-0122?
OMB number 3064-0122 is a control number assigned by the Office of Management and Budget to a specific information collection.
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The purpose of OMB number 3064-0122 is to collect specific information as required by the relevant agency for regulatory or reporting purposes.
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