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INSTRUCTIONS FOR COMPLETION OF SF"LLL, DISCLOSURE OF LOBBYING ACTIVITIES
<br />This disclosure farm shall be completed by the reporting entity, whether subawardeeor prime Federal recipient, at the Inflation or receipt of a covered Federal
<br />action, or a matedalchange to a previous filing, pvmuonl le title 31 U.S,C. section 1352. The filing of a form Is required for each paymahtor agreamentm 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 employeeof
<br />Congress, or an emptayeeof a Member of Congress in connection with a covered Federal action. Completeall Items that applyfor beth the Initial filing and material
<br />change report. Refer to the implementing guidance published by the Offlco of Management and Budget for additional Information.
<br />1. Identify the type of covered FedemI action for which lobbying activity Is and/or has bean secured to Influence the outcome of a covered Federal action.
<br />2. Identify the status of the covered Federal action.
<br />3. Identify the appropriatecfassifleatlon of this report. If this to a followup report caused by a material change to the Information prevlouslyreported, enter
<br />the year and quarter In which the change occurred. En lar the date of the last previously sub milled report by this reporting entity for this covered Federal
<br />action.
<br />4. Enter the full name, address, city, State and zip code of the reportingenfity, Include Cengresslonal DlsMcq If known, Check the appropriate classification
<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 1st gar, Subawards include but are not limited to subcontracts, subgrants end contract award 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 />reclpient Include Congressional District, If known, t
<br />6. Enterlhe name of the Federal agency making the award orloan commitment. Include at least one organlzallonallevel below agency name, if known. For
<br />example, Department of Transportation. United States Coast Guard.
<br />7. Enter the Federelprogram name or description for the covered Federal action (Rem 1), If known, enterthe full Catalog of Federal Domestic Assistance
<br />(CFDA) numberforgmnts, cooperative agreements, loans, and loan commitments. ,
<br />8. Enter the most appropriate Federal IdentlMng number availablefer the Federal action Idenllfled In Item 1 (e.g., Request for.Preposm (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 prefixes, e.g., "RFP -DE -90-001 "
<br />9. For a covered Federal action where there has been an award or loan commlanent by the Pecans agency, enter the Federal amount of the award/loan
<br />commitment for the pdme entity Idondfied In Item 4 or 5.
<br />10. (a) Enter the full name, address, city, State and zip coda of the lobbying registrant under the Lobbying Disclosure Act of 1996 engaged by the repening
<br />entity identified In Item 4 to Influence the covered Federal action.
<br />(b) Enter the full names of the indlvidual(s) performing services, and include full address if different from 10 (a), Enter Last Name, First Name, and
<br />Middle Initial (MI).
<br />11. The certifying official shall sign and dale the form, print histher name, title, and telephone number.
<br />According to the PapenvorkReductlon Act, as amended, no persons are required to rospond to a collection of information unless it displays a valid OMB Cont
<br />Number. The valid OMB control number for this information collection Is OMB No. 0348.0046. Public reporting burden for this collection of Information
<br />estimated to average 10 minutes per response, Including time for reviewing Instructions, searching existing data sources, gathering and maintaining the dz
<br />needed, and completing and reviewing the collection of hdormation. Send comments regarding the burden estimate or any other aspect of this collection
<br />Information, Including suggestions for reducing this burden, to the Office of Managementand Budget, Paperwork Reduction Project (0348-0046), Washingtc
<br />DC 20603.
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