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<br />INSTRUCTIONS FOR COMPLETION OF SF.LLL. DISCLOSURE OF LOBBYING ACTIVITIES
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<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 fiting of a form is required for each payment or agreementto make
<br />payment to 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 connection with a covered Federal action. Use the SF~LUA Continuation Sheet for additional Information if
<br />the space on the form is inadequate. Complete all items that apply for bolh the inlllal filing and malerial change report. Refer to the implementing guidance
<br />pUblished by the Office of Management and Budget for additional Information.
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<br />1. Identify the type of covered Federal action for which lobbying acUvity is andlor has been secured to influence the outcome of a covered Federal action.
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<br />2. Identify the status of the covered Federal action.
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<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 reportlng entity for this covered Federal
<br />action.
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<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 enlitythat designates if it is, or expectsto be. 8 prime or subaward recipient. Identify the tier of the subawardee,e.g.,lhe 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.
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<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.
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<br />6. Enter the name of the Federal agency making the award or loan commitment. Include at least one organizationallevel below agency name, If known. For
<br />example, Department of Transportation, United States Coast Guard.
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<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) n:Jmber for grants, cooperative agreements, loans, and loan commitments,
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<br />B. Enter the most appropriate Federal identifying number avsllablefor 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 applicationlproposal control number
<br />assigned by the Federal agency). Include prefixes, e.g., .RFp.DE.9Q.001."
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<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 award/loan
<br />commitment for the prime entity identified in item 4 or 5.
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<br />10. (a) Enta,the full nama, add,a... city, Stale and zl> ccdeofthelobbying entity engagad by the raporting antily Idantifled In Item 4 to influence the coverad
<br />Federal action.
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<br />(b) Enter the full names of the individual(s) pertorming services, and Include full address lfdifferent from 10 (a). Enter last Name, First Name, and
<br />Middle Initial (MI).
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<br />11. Enter the amount of compensationpald or reasonablyexpected to be paid by the reporting entlty(item 4) to 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, enter the cumulative
<br />amount of payment made or planned to be made.
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<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.
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<br />13. Check the appropriate box(es). Check all boxes that apply. If other. specify nature.
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<br />14. Provides specific and detailed description of the services 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 conlacted.
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<br />15. Check whather cr not a SF-lLLA Continuation Shaet(s) Is attached.
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<br />16. The certifying official shall sign and date the fonn, prlnl hislher name, title. and telephone number.
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<br />According to the Paperwork Reduction Act, as amended, no persons are required to respond to 8 collection of information unless it displays a vand OMS Control
<br />Number. The valid OMB control number for this Information collection is OMS No. 0348-0046. !='ubllc reporting burden for this collection of Information is
<br />estimated to average 30 minutes per response, including time for reviewing InstrucUons, searching existing data sources, gathering and maintaining 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,lncluding suggestions for reducing this burden, to the Office of Managementand Budget, PaperworkReduction Project (0348-0046), Washington,
<br />DC 20503.
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