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Local Assistance Procedures Manual EXHIBIT 12-E <br />P5&E Checklist Instructions Attachment G <br />14. Provide a specific and detailed description of the services that the lobbyist has performed or will be <br />expected to perform and the date(s) of any services rendered. Include all preparatory and related activity <br />not just time spent in actual contact with federal officials. Identify the federal officer(s) or employee(s) <br />contacted or the officer(s) employee(s) or Member(s) of Congress that were contacted. <br />15. Check whether or not a continuation sheet(s) is attached. <br />16. 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, <br />including time for reviewing instruction, searching existing data sources, gathering and maintaining the data <br />needed, and completing and reviewing the collection of information. Send comments regarding the burden <br />estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to <br />the Office of Management and Budget, Paperwork Reduction Project (0348-0046), Washington, D.C. 20503. <br />SF -LLL -Instructions Rev. 06-04-90<<ENDIFn <br />Page 12-37 <br />OB 12-04 June 29, 2012 <br />