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OMB NUMBER: 30640122EXPIRATION DATE: 09/30/2016 Federal Deposit Insurance Corporation Representations and Certifications for Legal Contractors The information and certifications required on this form
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The OMB number 3064-0122 is a control number assigned by the Office of Management and Budget for a specific information collection.
Entities or individuals designated by the agency responsible for collecting the information are required to file OMB number 3064-0122.
The OMB number 3064-0122 form must be completed according to the instructions provided by the agency collecting the information.
The purpose of OMB number 3064-0122 is to gather specific information for the agency's use in decision-making, reporting, or other purposes.
The specific information required to be reported on OMB number 3064-0122 will be outlined in the form instructions.
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