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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 subawardee or prime Federal recipient, at the iniUation or receipt of a covered Federal
<br />action, or a material change to a previous filing, pursuant to title 31 U.S.C. sectloo 1352. The filing of a form is required for each payment or 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 employeeof a Memberof Congress in connecUonwith a covered Federal action. Use the SF.LUA Continuation Sheet for additional information if
<br />the space on the fonn is inadequate. Complete all items that apply for both the lnllisl filing and material 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 activity is and/or 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 prevlouslysubmltted report by this reporting entity for this covered Federal
<br />action.
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<br />4. Enterthe 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 subawarclee
<br />of the prime is the 1st 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 ifem 4 checks "Subawardee," then enter the full name, address, city, Slale 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 organlzatlonallevel below agency name, if known. For
<br />example, Department of Transportation, United Stales 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) number for grants, cooperative agreements, loans, and loan commitments.
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<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/proposalconlrol number
<br />ass9ned by the Federal agency). Include prefixe.. e.g.. "RFP-DE-90-001."
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<br />g. 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 lhe prime entity identified in item 4 or 5.
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<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.
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<br />(b) Enter the full names ofihe Individual(s) perfonning services, and include full address if different from 10 (a), Enter Last Name, First Name, and
<br />Middle Initial (MI).
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<br />11. Enter the amount of compensationpaid or reasonablyexpectedto be paid by the reportlngentlty(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. enler 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 conlribution, 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, Provide a 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 contacted.
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<br />15. Check whether or nol a SF-LLLA Continuation Sheet(s) Is attached.
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<br />16. The certifying official shall sign and date the form, print his/her 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 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 Bverage30 minutes per response, including time for reviewing instructions. 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. including suggestions for reducing this burden, to the Office of Management and Budget, Paperwork Reduction Project (0348-0046), Washington,
<br />DC 20503.
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