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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 the
<br /> initiation or receipt of a covered Federal action , or a material change to a previous filing, pursuant
<br />to title 31 U .S . C.
<br /> section 1352 . The filing of a form is required for each payment or agreement to make payment to any lobbying entity for
<br /> influencing or attempting to influence an officer or employee of any agency, a Member of Congress ,
<br /> an officer or
<br /> employee of Congress , or an employee of a Member of Congress in connection with a covered Federal action . Complete
<br /> all items that apply for both the initial filing and material change report. Refer to the implementing guidance published by
<br /> 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
<br /> 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 to
<br /> the
<br /> information previously reported , enter the year and quarter in which the change occurred . Enter the date of the
<br /> last previously submitted report by the 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, if known
<br />.
<br /> Check the appropriate classification of the reporting entity that designates if it is or expects to be, a prime or subaward
<br /> recipient. Identify the tier of the subawardee, e.g. , the first subawardee of the prime is the 1st tier. Subawards
<br /> include but are not limited to subcontracts, 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,
<br /> state
<br /> 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 organizational
<br /> level below agency 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 1) . If known , enter the
<br /> full
<br /> Catalog of Federal Domestic Assistance (CFDA) number for grants , cooperative agreements , loans , and loan
<br /> commitments .
<br /> 8 . Enter the most appropriate Federal identifying number available for the Federal action identified in item 1
<br /> (e.g. ,
<br /> Request for Proposal ( RFP) number; Invitation for Bid ( IFB) number; grant announcement number; the contract,
<br /> grant, or loan award number; the application/proposal control number assigned by the Federal agency) . Include
<br /> 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, enter the
<br /> 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 entity engaged by the reporting entity
<br /> identified in item 4 to influence the covered Federal action .
<br /> ( b) Enter the full names of the individual (s) performing services , and include full address if different from 10 (a ) .
<br /> 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 /> Public reporting burden for this collection of information is estimated to average 30 minutes per response, including time
<br />for reviewing
<br /> instructions, searching existing data sources, gathering and maintaining the data needed , and completing and reviewing the collection
<br /> of
<br /> information . Send comments regarding the burden estimate or any other aspect of this collection of information , including suggestions
<br /> for
<br /> reducing this burden , to the Office of Management and Budget, Paperwork Reduction Project ( 0348-0046) , Washington , D. C. 20503.
<br /> DEP Contract No . RM026 , Attachment D , Page 2 of 2
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