|
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 redpient, at the
<br /> initiation or receipt of a covered Federal action, or a material change to a previous Alin& pursuant to title 31 U.S.C.
<br /> section 1352.The filing of a form is required for each payment or t to make payment to any lobbying entity for
<br /> influencing or attempting to influence an officer or employee oaf aangency, a Member of Congress, an officer or
<br /> employee of Congress, or an emplooyyeeee 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 foram 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 ac Aty is and/or has been secured to Influence the
<br /> outcome of a covered Federal action.
<br /> 2. identify the status of the cowered Federal action.
<br /> 3. Identify the appropriate classification of this report. If this is a foikwioup report caused by r material thane to the
<br /> Information previously reported,enter the yew 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 aip code of the reporting ntity.lnducle Congressional District, if
<br /> known.Check the appropriate ckui ,-*tea w of the reporting entity that�gnates if it is, or expects to be. a prime
<br /> or subaward redpfent. Identify the tier of the sub wodm e, e.g„ the fast subowmdee of the prime is the 1st tier.
<br /> Subawards include but are not limited to subcontracts,sullgrants and contract awards under grants.
<br /> S. If the organization Ming the report In item 4 checks"Subawanlee",then enter the full name,address.city, state and
<br /> zip code of the prime Federal mdpient.Include CongresskxW District,if known.
<br /> 6. Enter the name of the Federal agency making the award or loan commitment. include at least one organisational
<br /> level below agency name,if known. For example,Department of Transportation,United States Coast Guard.
<br /> T. 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, bans, and loan
<br /> commitments.
<br /> 3. 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 (we) number, grant announcement number, the contract,
<br /> grant, or loan award number; the applicatiorvproposah control number assigned by the Federal agency). include
<br /> prefixes,e.g.,"RFP-OE-90-001."
<br /> 4. 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 awardAoan commitment for the prime entity identified In item 4 or S.
<br /> 10. (a)Enter the full name. addrew 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 Individuaks) performing services, and include hA address If different from 10 (a).
<br /> Enter List 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 /> ail 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-khhd payment,
<br /> 13. Check the appropriate boxes). Check all boxes that apply. if other,specify nature.
<br /> 14. Provide a specific and detailed description of the services that the k►bbyist has performed. or will be expected to
<br /> perform,and the dates)of arty sovkes rondere&include an tory and related activity,not�time spent in
<br /> actual contact with Fedeo ofcial& Identify the Federal o�t) or .employee(q) contacted or the off cer(s).
<br /> employee(s),or Member(s)of Congress that were contacted,
<br /> 15. Check whether or not a SF-LLL-A Condnuadm Shoes(s)is attached.
<br /> 16- The certifying official shall$ign and dare the foram,print hhisrher name,title;and telephone member.
<br /> Public reporting burden ear this collection of information Is*Wmated to average 30 eminum per,Moran, there for reviewing
<br /> insemcdom,searching exisdn6 dace sourreurs.gathering and ntaintmh* the data needed,and conViwkq and reviewing the collection of
<br /> Information.Send ean"nents regardkhg the burden es+dnheer or any other aspect of this collection of information.kucitsdkq strggettions
<br /> far reducing this burden,a the Office of mougekrmw and gadget.Papw-or k itedu cdon Project(03464046),Washington,O.C.20$03.
<br />
|