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INSTRUCTIONS FOR COMPLETION OF SF -LLL, DISCLOSURE OF LOBBYING ACTIVITIES
<br />This disclosure form shall be completed by the reporting entity, whether subawardee or prime Federal recipient, at
<br />the Initiation or receipt of a covered Federal action, or a material change to a previous filing, pursuant to title 31
<br />U.S.C. section 1352. The filing of a form is required for each payment or agreement to make payment to any
<br />lobbying entity for influencing or attempting to influence an officer or employee of any agency, a Member of
<br />Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with a
<br />covered Federal action. Complete all items that apply for both the initial filing and material change report. Refer to
<br />the implementing guidance published by the Office of Management and Budget for additional information.
<br />1. Identify the type of covered Federal action for which lobbying activity is and/or has been secured to Influence
<br />the outcome of a covered Federal action.
<br />2. Identify the status of the covered Federal action.
<br />3. Identify the appropriate classification of this report If this is a followup report caused by a material change
<br />to the information previously reported, enter the year and quarter in which the change occurred. Enter the
<br />date of the last previously submitted report by this reporting entity for this covered Federal action.
<br />4. Enter the full name, address, city, State and zip code of the reporting entity. Include Congressional District,
<br />if known. Check the appropriate classification of the reporting entity that designates if it Is, or expects to be,
<br />a prime or subaward recipient. Identify the tier of the subawardee, e.g., the first subawardee of the prime is
<br />the 1st tier. Subawards include but are not limited to subcontracts, subgrants and contract awards under
<br />grants.
<br />5. If the organization filing the report in item 4 checks "Subawardee,' then enter the full name, address, city,
<br />State and zip code of the prime Federal recipient. Include Congressional District, if known.
<br />6. Enter the name of the federal agency making the award or loan commitment. Include at least one
<br />organizational level below agency name, if known. For example, Department of Transportation, United
<br />States Coast Guard.
<br />7. Enter the Federal program name or description for the covered Federal action (item 1). If known, enter the
<br />full Catalog of Federal Domestic Assistance (CFDA) number for grants, cooperative agreements, loans, and
<br />loan commitments.
<br />8. Enter the most appropriate Federal Identifying number available for the Federal action identified in item 1
<br />(e.g., Request for Proposal (RFP) number; Invitations for Bid (IFB) number, grant announcement number,
<br />the contract, grant, or loan award number, the application/proposal control number assigned by the Federal
<br />agency). Included prefixes, e.g., "RFP -DE -90-001.'
<br />9. For a covered Federal action where there has been an award or loan commitment by the Federal agency,
<br />enter the Federal amount of 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 registrant under the Lobbying
<br />Disclosure Act of 1995 engaged by the reporting entity identified in item 4 to influence the covered Federal
<br />action.
<br />(b) Enter the full names of the individual(s) performing services, and include full address if different from
<br />10(a). Enter Last Name, First Name, and Middle Initial (MI).
<br />11. The certifying official shall sign and date the form, print his/her name, title, and telephone number.
<br />According to the Paperwork Reduction Act, as amended, no persons are required to respond to a collection of
<br />information unless it displays a valid OMB control Number. The valid OMB control number for this information
<br />collection is OMB No. 0348-0046. Public reporting burden for this collection of information is estimated to average 10
<br />minutes per response, including time for reviewing instructions, searching existing data sources, gathering and
<br />maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding
<br />the burden estimate or any other aspect of this collection of information, including suggestions for reducing this
<br />burden, to the Office of Management and Budget,
<br />Paperwork Reduction Project (0348-0046), Washington, DC 20503
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