PENDING OR THREATENED LITIGATION AGENCY/COMPONENT: ______________________ AGENCYS $$ MATERIALITY LEVEL FOR REPORTING: ______________________ (This is your agency threshold for materiality) 1. Case Name. (Include Case Citation, Case Number, and other names by which the case or group of cases is commonly know n.) 2. Nature of Matter. (Include a description of the case or cases and amount claimed, if specified.) 3. Progress of the Case to Date . 4. The Government=s Response or Planned Response. (For example, to contest the case vigorously or to seek an out-of-court settlement. ) 5. An Evaluation of the likelihood of Unfavorable Outcome. (Choose one. ) _______ PROBABLE B (An unfavorable outcome is likely to occur.) _______ REASONABLY POSSIBLE B (the chance of an unfavorable outcome is less than probable but more than remote.) _______ REMOTE B (the chance of an unfavorable outcome is slight.) 6. An Estimate of the Amount or Range of Potential Loss (if one can be made, for losses considered to be probable or reasonably possible). 7. The Name and Phone Number of the Agency and DOJ Attorneys Handling the Case (and any outside legal counsel/other lawyerps rreesenting or advising the government in the matter.) 8. The Sequence Number( based on the total number of Pending or Threatened cases your agency/component is submitting. e.g. Number ___ of ___) (# ) (t o ta l) Attorney-Client Agency Work Product Privilege