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<br />SECTION 16: Disclosure of Lobbying Activities
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<br />Instructions for Completion of SF -LLL, Disclosure of Lobbying Activities
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<br />This disclosure form shall be completed by the reporting entity, whethcr subawardee or prime Federal recipient, at the initiation or
<br />receipt of a covered Federal action, or a material change to a previous filing, pursuant to title 31 U.S.C. section 1352. The filing of a
<br />fonn is required for each payment or agreement to make payment to any lobbying entity for influencing or attempting to influence an
<br />officer or employec of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Membcr of
<br />Congress in connection with a covered Federal action. Completc all items that apply for both the initial filing and material change
<br />report. Refer to the implemcnting guidance published by the Office of Management and Budget for additional information.
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<br />I. Identify the type of covered Federal action for which lobbying activity is and/or has been secured to influence the outcome of a
<br />covcred Federal action.
<br />2. Identify the status of the covcrcd Fcderal action.
<br />3. Identify the appropriate classification of this report. If this is a follow-up report caused by a material change to the information
<br />prcviously reported, enter the year and quarter in which the change occurred. Enter the date of the last previously submitted report by
<br />this reporting entity for this covered Federal action.
<br />4. Enter the full name, address, city, state and zip code of the reporting cntity. Includc Congressional District number, ifknown. Ched
<br />the appropriate classification of thc rcporting entity that designatcs if it is, or expects to be, a prime or subaward recipient. Identify the
<br />tier of the subawardee, e.g., the first subawardee of the prime is the I st tier. Subawards include but are not limited to subcontracts,
<br />subgrants and contract awards under grants.
<br />5. If the organization filing the report in item 4 checks "Subawardee," then enter the full name, address, city, state and zip code of the
<br />prime Fcderal recipient. Include Congressional District, if known.
<br />6. Enter the name of the Fedcral agency making the award or loan commitment. Include at Icast one organizational Icvel bclow agency
<br />name, if known. For example, Department of Transportation, United States Coast Guard.
<br />7. Enter the Federal program name or description for the covered Federal action (item I). If known, enter the full Catalog of Federal
<br />Domestic Assistance (CFDA) number for grants, cooperative agreements, loans and loan commit
<br />8. Enter the most appropriate Federal idcntifying number available for the Federal action identified in item I (e.g., Request for
<br />Proposal (RFP) number; Invitation for Bid (lFB) numbcr; grant announcement number; the contract, grant, or loan award number; the
<br />application/proposal control number assigned by the Fedcral agency). Include prefixes, e.g., "RFPD E-90-001."
<br />9. For a covered Federal action where there has been an award or loan commitment by the Fcderal agcncy, entcr the Federal amount 01
<br />the award/loan commitment for the prime entity identified in item 4 or 5.
<br />10. (a) Enter the full name, address, city, state and zip code of the lobbying entity engaged by the reporting registrant identified in iterr
<br />4 to influence the covered Federal action.
<br />(b) Enter the full name(s) of the individual(s) performing services, and include full address if different from 10 (a). Enter Last Name.
<br />First Name, and Middle Initial (MI).
<br />II. The certifying official shall sign and date the form, print his/her name, title and telephone number.
<br />Public reporting burden for this collection of information is estimated to average 30 minutes per response, including time for
<br />reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the
<br />collection of information. Send comments regarding the burden cstimate or any other aspect of this collection ofinfonnation,
<br />including suggestions for reducing this burden, to the Office of Managemcnt and Budget, Paperwork Reduction Project (0348-0046),
<br />Washington, D.C. 20503.
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