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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 <br />or receipt of a covered Federal action, or a material change to a previous filing, pursuant to title 31 U.S.C. section 1352. The <br />filing of a form is required for each payment or agreement to make payment to any lobbying entity for influencing or attempting <br />to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee <br />of a Member of Congress in connection with a covered Federal action. Complete all items that apply for both the initial filing and <br />material change report. Refer to the implementing guidance published by the Office of Management and Budget for additional <br />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 follow-up 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 known. <br />Check the appropriate classification of the reporting entity that designates if it is, or expects to be, a prime or subaward <br />recipient. Identify the tier of the subawardee, e.g., the first subawardee of the prime is the 1st tier. Subawards include <br />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 <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 level <br />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 Catalog <br />of Federal Domestic Assistance (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 <br />for Proposal (RFP) number; Invitation for Bid (IFB) number; grant announcement number; the contract, grant, or <br />loan award number; the application/proposal control number assigned by the Federal agency). Include prefixes, e.g., <br />"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 <br />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 Disclosure Act of <br />1995 engaged by the reporting 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 <br />Last Name, First Name, and 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 Management and Budget, Paperwork Reduction Project (0348-0046), Washington, <br />DC 20503.