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Office of the Secretary of the Treasury Pt. 21, App. B
<br /> INSTRUCTIONS FOR COMPLETION OF SF-ILL,DISCLOSURE OF LOBBYING ACTIVITIES
<br /> This disclosure form shall be completed by the reporting entity,whether subawardee or prime Federal recipient,at the
<br /> initiation or receipt of a covered Federal action,or a material change to a previous filing,pursuant to title 31 U.S.C.
<br /> section 1352.The filing of a form is required for each payment or agreement to make payment to any lobbying entity for
<br /> influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or
<br /> employee of Congress,or an employee of a Member of Congress in connection with a covered Federal action.Use the
<br /> SF-LLL-A Continuation Sheet for additional information if the space on the form is inadequate.Complete all items that
<br /> apply for both the initial filing and material change report.Refer to the implementing guidance published by the Office of
<br /> 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
<br /> 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
<br /> information previously reported,enter the year and quarter in which the change occurred.Enter the date of the last
<br /> previously submitted report by this reporting entity for this covered Federal action.
<br /> 4. Enter the full name,address,city,state and zip code of the reporting entity. Include Congressional District, if
<br /> known.Check the appropriate classification of the reporting entity that designates if it is,or expects to be,a prime
<br /> or subaward recipient.Identify the tier of the subawardee,e.g.,the first subawardee of the prime is the 1st tier.
<br /> 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,stair and
<br /> zip code of the prime Federal 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 organizational
<br /> level below agency name,if known. For 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
<br /> Catalog of Federal Domestic Assistance (CFDA) number for grants, cooperative agreements, loans, and loan
<br /> commitments.
<br /> 8. Enter the most appropriate Federal identifying number available for the Federal action identified in item 1(e.g.,
<br /> Request for Proposal(RFP)number,Invitation for Bid(IFB)number;grant announcement number;the contract,
<br /> grant,or loan award number;the application/proposal control number assigned by the Federal agency). Include
<br /> 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
<br /> Federal amount of the award/loan 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 entity engaged by the reporting entity
<br /> 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).
<br /> Enter Last Name,First Name,and Middle Initial(MI).
<br /> 11. Enter the amount of compensation paid or reasonably expected to be paid by the reporting entity(item 4)to the
<br /> lobbying entity(item 10). Indicate whether the payment has been made(actual)or will be made(planned). Check
<br /> all boxes that apply. If this is a material change report,enter the cumulative amount of payment made or planned
<br /> to be made.
<br /> 12. Check the appropriate box(es).Check all boxes that apply.If payment is made through an in-kind contribution,
<br /> specify the nature and value of the in-kind payment.
<br /> 13. Check the appropriate hordes). Check all boxes that apply. If other,specify nature.
<br /> 14. Provide a specific and detailed description of the services that the lobbyist has performed,or will be expected to
<br /> perform,and the date(s)of any services rendered.Include all preparatory and related activity,not just time spent in
<br /> actual contact with Federal officials. Identify the Federal official(s)or employee(s) contacted or the officer(s),
<br /> employee(s),or Member(s)of Congress that were contacted.
<br /> 15. Check whether or not a SF-ILL-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 enrage 30 minus per response,including time for reviewing
<br /> instructions,searching existing data sources,gathering and maintaining the data needed,and completing and reviewing the collection of
<br /> information.Send comments regarding the burden estimate or any other aspect of this collection of information,including suggestions
<br /> for reducing this burden,to the Office of Management and Budget Paperwork Reduction Project(0348-0046),Washington,D.C.20503.
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