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<br />Page 21 of 24 <br />INSTRUCTIONS FOR COMPLETION OF SF -LLL, DISCLOSURE OF LOBBYING <br />ACTIVITIES <br />This disclosure form must be completed by the reporting entity, whether subawardee or prime Federal recipient, <br />at the initiation or receipt of a covered Federal action, or a material change to a previous filing, pursuant to title <br />31 U.S.C. section 1352. The filing of a form is required for each payment or agreement to make payment to any <br />lobbying entity for influencing or attempting to influence an officer or employee of any agency, a Member of <br />Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with a <br />covered Federal action. Complete all items that apply for both the initial filing and material change report. Refer <br />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 <br />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 follow-up report caused by a material <br />change to the information previously reported, enter the year and quarter in which the change occurred. <br />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 <br />known. Check the appropriate classification of the reporting entity that designates if it is, or expects to be, a <br />prime or subaward recipient. Identify the tier of the subawardee, e.g., the first subawardee of the prime is <br />the 1st tier. Subawards include but are not limited to subcontracts, subgrants and contract awards under <br />grants. <br />5. If the organization filing the report in item 4 checks "Subawardee," then enter the full name, address, <br />city, state and 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 <br />organizational level below agency name, if known. For example, Department of Transportation, United <br />States Coast Guard. <br />7. Enter the Federal program name or description for the covered Federal action (item 1). If known, enter the <br />full Catalog of Federal Domestic Assistance (CFDA) number for grants, cooperative agreements, loans, and <br />loan commitments. <br />8. Enter the most appropriate Federal identifying number available for the Federal action identified in item 1 <br />(e.g., Request for Proposal (RFP) number; Invitation for Bid (IFB) number; grant announcement number; <br />the contract, grant, or loan award number; the application/proposal control number assigned by the <br />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, <br />enter the 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 registrant under the Lobbying