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<br />Disclosure of Lobbying Activities <br /> <br />Disclosure of Lobbying Activities <br />Instruotlons for Completion of SF-LLl. Dlsolosure of Lobbying Aotlvltles <br /> <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 <br />for 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. Complete <br />all items that apply for both the initial filing and material change report. Refer to the implementing guidance published <br />by the Office of Management and Budget for additional information. <br /> <br />1. Identify the type of covered federal action for which lobbying <br />activity is and/or has been secured to influence the outcome of a <br />covered federal action. <br /> <br />2. Identify the status of the covered federal aeaon. <br /> <br />3. Identify the appropriate classification of this report. If this is a <br />follow-up report caused by a material change to the information <br />previously reported, enter the year and quarter in which the change <br />occurred. Enter the date of the last previously submitted report by <br />this reporting entity for this covered federal action. <br /> <br />4. Enter the full name, address, city, state and zip code of the <br />reporting entity. Include Congressional District number, iflmown. <br />Check the appropriate classification of the reporting entity that <br />designates if it is, or expects to be, a prime or subaward recipient. <br />ldentify the tier of the subawardee, e.g., the first subawardee of the <br />prime is the 1st tier. Subawards include but are not limited to <br />subcontracts, subgrants and contract awards under grants. <br /> <br />5. If the organization filing the report in item 4 checks <br />"Subawarc1ee," then enter the full name, address, city, state and zip <br />code of the prime federal recipient. Include Congressional District, <br />iflmown. <br /> <br />6. Enter the name of the federal agency making the award or loan <br />commitment. Include at least one organizational level below agency <br />name, ifknown. For example, Department of Transportation, <br />United States Coast Guard. <br /> <br />7. Enter the federal program name or description for the covered <br />federal action (item I). Iflmown, enter the full Catalog of Federal <br />Domestic Assistance (CFDA) number for grants, cooperative <br />agreements, loans and loan commitments. <br /> <br />8. Enter the most appropriate federal identifying number available <br />for the federal action identified in item 1 (e.g., Request for Proposal <br />(RFP) number; Invitation for Bid (IFB) number; grant <br />announcement number; the contract, grant, or loan award number; <br />the application/proposal control number assigned by the federal <br />agency). Include prefixes, e.g., "RFP-DE-90-001." <br /> <br />9. For a covered federal action where there has been an award or <br />loan commitment by the federal agency, enter the federal amount of <br />the award/loan commitment for the prime entity identified in item 4 <br />or 5. <br /> <br />10. (a) Enter the full name, address, city, state and zip code of the <br />lobbying entity engaged by the reporting registrant identified in item <br />4 to influence the covered federal action. <br /> <br />(b) Enter the full name(s) of the individua1(s) perfonning services, <br />and include full address if different from 10 (a). Enter Last Name, <br />First Name, and Middle Initial (MI). <br /> <br />11. The certifying official sha1l sign and date the form, print his/her <br />name, title and telephone number. <br /> <br />Public reporting burdenfor this collection ofiriformalion is estimated to <br />average 30 minutes per response, including timefor reviewing instructions, <br />searching existing data sources, gathering and maintaining the data needed, <br />and completing and reviewing the collection of information. Send <br />comments regarding the burden estimate or any other aspect of this <br />collection of iriformation, including suggestions for reducing this burden. to <br />the Office of Management and Budget, Paperwork Reduction Project <br />(0348-0046), Washington, D.C. 20530. <br /> <br />17 <br />