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INSTRUCTIONS FOR COMPLETION OF SF-LLL, DISCLOSURE OF LOBBYING ACTIVITIES <br /> This disclosure form shall be completed by the reporting entity,whether subawardee or 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 agreementto make <br /> payment to any lobbying entity for influencing or attempting to influence an officer or employee of any agency,a Member of Congress,an officer or employee of <br /> Congress,or an employeeof a Member of Congress in connection with a covered Federal action.Complete all items that apply for both the initial filing and material <br /> change report.Refer to the implementing guidance published by the Office of Management and Budget for additional information. <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. <br /> 2. Identify the status of the covered Federal action. <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 /> action. <br /> 4. Enter the full name,address,city,State and zip code of the reporting entity.Include Congressional District,if known.Check the appropriate classification <br /> of the reporting entitythat 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 tier.Subawards include but are not limited to subcontracts,subgrants and contract awards 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 /> recipient.Include Congressional District,if known. <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. <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 /> 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/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 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. <br /> 10. (a)Enter the full name,address,city,State and zip code of the lobbying registrant under the Lobbying Disclosure Act of 1995 engaged by the reporting <br /> entity identified in item 4 to influence the covered Federal action. <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(MI). <br /> 11. The certifying official shall sign and date the form,print his/her name,title,and telephone number. <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 average 10 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 Managementand Budget,Paperwork Reduction Project(0348-0046),Washington, <br /> DC 20503. <br />