|
<br />'-
<br />
<br />"""
<br />
<br />INSTRUCTIONS FOR COMPLETION OF SF.LLL. DISCLOSURE OF LOBBYING ACTIVITIES
<br />
<br />This disclosure form shall be completed by the reporting entity, whether subawardeeor prime Federal recipient, at the initiation or receipt of a covered Federal
<br />action, or a material change to a previous filing, pursuant to title 31 U.S.C. section 1352. The filing of a form is required for each payment or agreementfo make
<br />paymentto any lobbying entity for influencing or attempting to Influence an officer or employeeof any agency, a Member of Congress, an officer or employee of
<br />Congress, or an employeeof a Memberof Congress in connecUonwith a covered Federal action. Use the SF-LLLA Continuation Sheet fer additionallnfonnation if
<br />the space on the form Is inadequate. Complete all items that apply for both the lnlllsl filing and material change report. Refer to the implement1ng guidance
<br />published by the Office of Management and Budget for additional Information.
<br />
<br />1. Identify the type of covered Federal action for which lobbying activity is andlor has been secured to influence the outcome of a covered Federal action.
<br />
<br />2. Identify the status of the covered Federal action.
<br />
<br />3. Identify the appropriate classification of this report. If this is a followup report caused 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 last previously submitted report by this reporting entity for this covered Federal
<br />aclion.
<br />
<br />4. Enter the full name, address, city, State and zip code of the reporting entity . Include Congressional District, if known. Check the appropriateclassification
<br />of the reporting entity that designates if it is, or expects to be, a prime or subaward 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 />
<br />5. If the organizatlonfiling 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 />
<br />6. Enter the name of the Federal agency making the award or loan commitment.lncJude at least one organizatlonallevel below agency name, If known. For
<br />example, Department of Transportation. United States Coast Guard.
<br />
<br />7. Enter the Federal program name or description for 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 />
<br />8. Enter the most appropriate FederalldenUfylng number avallablefor the Federal acUon 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 applicationlproposalconlrol number
<br />assigned by the Federal agency). Include prefixes, e.g., "RFP-OE-9o.001."
<br />
<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 />
<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 />
<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 (Mil.
<br />
<br />11. Enter the amount of compensation paid or reasonablyexpectedlo be paid by the reporting entlty(ltem 4) lo the lobbying entity (item 10). Indicate 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, enler the cumulative
<br />amount of payment made or planned to be made.
<br />
<br />12. Check the appropriatebox(es). Check all boxes that apply. If paymentis made through an In-kind contribution, specify the nature and value of the in-kind
<br />payment.
<br />
<br />13. Check the appropriate box{es). Check all boxes that apply. If other, specify nature.
<br />
<br />14. Providea specific and detailed descrlptlon of the servlces that the lobbyist has performed, or will be expected to 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 />
<br />15. Check whether or not a SF-LlLA Continuation Sheet(s) Is attached.
<br />
<br />16. The certifying official shall sign and date the form, print hlslher name, titie, and telephone number.
<br />
<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. 0348~46. Public reporting burden for this collection of Information is
<br />estimated to average 30 minutes per response, including time for reviewing instructions, searching existing data sources, gathering and maintaining the data
<br />needed, and completing and reviewing the collecllon 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 (0348-0046), Washington,
<br />DC 20503.
<br />
|