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<br /> INSTRUCTION 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
<br /> Federal 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
<br /> agreement to make payment to any 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 covered Federal action. Use the SF-
<br /> LLL-A Continuation Sheet for additional information if the space on the form is inadequate. 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 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 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
<br /> material change to the information previously reported, enter the year and quarter in which the
<br /> change occurred. Enter the date of the last previously submitted report by this reporting entity for this
<br /> covered Federal action.
<br /> 4. Enter the full name, address, city, state and zip code of the reporting entity. Include
<br /> Congressional District, if known. Check the appropriate classification of the reporting entity that
<br /> designates if it is, or expects to be, a prime or subaward recipient. Identify the tier of the
<br /> subawardee, e.g., the first subawardee of the prime is the 1st tier. Subawards include but at not
<br /> limited to subcontracts, subgrants and contract awards under grants.
<br /> 5. Of the organization filing the report in item 4 checks "Subawardee", then enter the full name,
<br /> address, 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 States
<br /> 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
<br /> agency, 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 entity engaged by
<br /> the report 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
<br /> from 10(a). Enter Last Name, First Name, and Middle Initial(MI).
<br /> 1. Enter the amount of compensation paid or reasonably expected to be paid by the reporting entity
<br /> (item 4) to the lobbying entity(item 10). Indicate whether the payment has been made (actual) or will be
<br /> made (planned). Check all boxes that apply. If this is a material change report, enter the cumulative
<br /> amount of payment made or planned to be made.
<br /> 2. Check the appropriate box(es). Check all boxes that apply. If payment is made through an
<br /> in-kind contribution, specify the nature and value of the in-kind payment.
<br /> 3. Check the appropriate box(es). Check all boxes that apply, If other, specify nature.
<br /> 4. Provide a specific and detailed description of the service 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,
<br /> not just time spent in actual contact with Federal officials. Identify the Federal official(s) or
<br /> employee(s) contacted or the officer(s), employee(s), or Member(s)of Congress that were contacted.
<br /> 5. Check whether or not a SF-LLL-A Continuation Sheet(s) is attached.
<br /> 6. 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 average 30 minutes per response,including time for reviewing instructions,
<br /> searching existing data sources,gathering and maintaining the data needed,and completing and reviewing the collection of information. Send
<br /> comments regarding the burden estimate or any other aspect of this collection of information,including suggestions for reducing this burden,to the
<br /> Office of Management and Budget,Paperwork Reduction Project(0348-0046),Washington D.C.20503.
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