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INSTRUCTIONS FOR COMPLETiON OF SF.LLL, DISCLOSURE OF LOBBYING ACTIVITIES
<br />recipient, at the initiation or rece[pt of a covered Fe
<br />This disclosure form shall be completed by the reporting entity, whether subawardeeor prime Federal tderal
<br />action, or a materialchange to a prevlousfiling, pursuantto title 31 U.S.C. section 1352. The filing of a form is required for each paymentor agreementto make
<br />paymentto any lobbying entity for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employeeof
<br />Congress, or an emplcyeeof a Memberof Congressln connectionwith a covered Federal actlon. Use the SF-LLLA Continuation Sheet for additional Information if
<br />the space on the form Is inadequate. Complete all items that apply for both the initial filing and material change report. Refer to the implementing guidance
<br />published by the Office of Management and Budget for additional Informatlon.
<br />1. Identify the type of covered Federal action for which lobbying activity is and/or has been secured to Influence 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 oaused by a material change to the Information previously reported, enter
<br />the year and quarter in which the change occurred, Enter the date of the fast previously submitted report by this reporting entity for this covered Federal
<br />action.
<br />4. Enter thefull name, address, city, State and zip code of the reporting entity. Include Congressional District, If known. Check the appropdateclassificatlon
<br />of the reporting entity that designates if it is, or expectsto be, a prime orsubaward recipient, Identify the tier of the subawardee, e.g., the first subawardee
<br />of the prime is the 1 st tier. Subawards 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, State and zip code of the prime Federal
<br />recipient. include Congressional District, if known.
<br />6. Enterthe name of the Federal agencymaking the award or loan commitment. Include at least one organizallonalievel below agency name, if known. For
<br />example, Department of Transportation, United States Coast Guard.
<br />7. Enter the Federal program name or description tar the covered Federal action (item 1). If known, enter the full Catalog of Federal Domestic Assistance
<br />(CFDA) number for grants, cooperative agreements, loans, and loan commitments.
<br />8. Enter the most appropriate Federal Identifying number available for the Federal action identified In Item 1 (e.g., Request for Proposal (RFP) number;
<br />Invitation for Bid (IFB) number; grant announcement number, the contract, grant, or loan award number; the application/proposal control number
<br />assigned by the Federal agency). Include pref#xes, 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 Federal amount of the awardlloan
<br />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 Identified in Item 4 to influence the covered
<br />Federal action.
<br />(b) Enter the full names of the individual(s) performing services, and include full address if different from 10 (a). Enter Last Name, First Name, and
<br />Middle Initial (MI).
<br />11. Enterthe amountof compensation paid or reasonablyexpectedto be paid by the reporting entity (item 4) to the lobbyingentlty (item 10). Indioate whether
<br />the payment has been made (actual) or will be made (planned). Check all boxes that apply. if this is a material change report, enter the cumulative
<br />amount of payment made or planned to be made.
<br />12. Check the appropriatebox(es). Check all boxes that apply. If payments madethrough an In -kind contribution, specify the nature and value of the fn-kind
<br />payment,
<br />13, Check the appropriate box(es). Check all boxes that apply. If other, specify nature.
<br />14. Providea specific and detailed description of the services that the lobbyisthas performed, at wlll be expeoledto perform, and the date(s) of any services
<br />rendered. Include all preparatory and related activity, not just time spent in actual contact with Federal officials. Identify the Federal official(s) or
<br />employee(s) contacted or the officer(s), employee(s), or Member(s) of Congress that were contacted.
<br />15, Check whether or not a SF-LLLA Continuation Shoot(s) Is attached.
<br />16. The certifying offlcial 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 Information unless it displays a valid OMB Control
<br />Number. The valid OMB control number for this Information collection is OMB No, 0348-0046. Public reporting burden for this collection of information is
<br />estimated to average30 minutes per response, including time for reviewing instructions, searching existing data sources, gathering and malntalning the data
<br />needed, and completing and reviewing the collection of Information. Send comments regarding the burden estimate or any other aspect of this collection of
<br />information, including suggestions for reducing this burden, to the Office of Managementand Budget, Paperwork Reduction Project (034B-0046), Washington. DC 20603.
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