|
of
<br />40
<br />i
<br />C1
<br />U.S. Department of Justice
<br />Office of Community Oriented policing Services
<br />Disclosum of Lobbying AcMies
<br />hid udons for Completion of SF" pisdosune of Lobbying Acfiuities
<br />This disclosure form shall be completed by the reporting entity, whether subawardee or prime Federal recipi-
<br />ent, at the initiation or receipt of a covered Federal action, or a material change to a previous filing, pursuant
<br />to title 31 U.S.C. section 1352. The filing of a farm is required for each payment or agreement to make pay-
<br />ment to any lobbying entity for influencing or attempting to influence an officer or employee of any agency, a
<br />Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in con-
<br />nection with a covered Federal action. Complete all items that apply for both the initial filing and material
<br />change report. Refer to the implementing guidance published by the Office of Management and budget for
<br />additional information.
<br />1. Identify the type of covered Federal action for which lob-
<br />bying activity is and/or has been secured to influence the out-
<br />come 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
<br />is a follow-up report caused by a material change to the infor-
<br />mation previously reported, enter the year and quarter fn
<br />which the change occurred. Enter the date of the last previ-
<br />ously submitted report by this reporting entity for this cov-
<br />ered Federal action.
<br />4. Enter the full name, address, city, state and zip code of the
<br />reporting entity, Include Congressional District number, if
<br />known. Check the appropriate classification of the reporting
<br />entity that designates if it is, or expects to be, a prime or sub -
<br />award recipient. Identify the tier of the subawardee, e.g., the
<br />first subawardee of the prime is the Ist tier. Subawards
<br />include but are not limited to subcontracts, subgrants and
<br />contract awards under grants.
<br />S. If the organization filing the report in item 4 checks
<br />"Subawardee," then enter the full name, address, city, state
<br />and zip code of the prime Federal recipient. Include
<br />Congressional District, if known.
<br />6. Enter the name of the Fe de rat agency making the award or
<br />loan commitment. include at least one organizational level
<br />Wow agency name, if known, For example, Department of
<br />Transportation, United States Coast guard.
<br />2. Enter the Federal program name or description for the cov-
<br />Bred Federal action (item 1). If known, enter the full Catalog
<br />of Federal Domestic Assistance (CFDA) number for grants,
<br />cooperative agreements, loans and loan conunitments.
<br />8. Enter the most appropriate Federal identifying number
<br />available for the Federal action identified in item 1(eg.,
<br />Request for Proposal (RFP) number; Invitation for Bid (IFB)
<br />number; grant announcement number; the contract, grant, or
<br />loan award number; the applicationlproposal control number
<br />assigned by the Federal agency). Include prefixes, e.g., "RFP -
<br />DE -90-001:
<br />4. For a covered Federal action where there has been an
<br />award or loan commitment by the Federal agency, enter the
<br />Federal amount of the award/loan commitinent for the prime
<br />entity identified in item 4 or 5.
<br />10. (a) Enter the full name, address, city, state and zip rode of
<br />the lobbying entity engaged by the reporting registrant Wend -
<br />fied in item 4 to influence the covered Federal action.
<br />(b) Enter the full name(s) of the individual(s) performing ser-
<br />vices, and include full address if different from 10 (a). Enter
<br />Last Name, First Name, and Middle Initial (MI).
<br />11. The certifying official shall sign and date the form, print
<br />his/ tier name, title and telephone number.
<br />Public reporNeg burdar fiir this collection of ttijbnn tion is estimated to
<br />aarruge 30 minutes per response, including time for revimft instructim,
<br />s n4ung existing data sources, gathering amid rrraintaining the data needed,
<br />and mmpfctmg and rn4ming the collection of int min tion. Stud com -
<br />ments regurdn;g the burden estirnale or any other aspect afthis talkdion of
<br />infommtim, including suggrobas for Pniucing this burden, to the frier of
<br />Managemeni and Budget, Paperuvrk Reduction Project (0348-0045).
<br />Washingtmi, p.c. MUD.
<br />
|