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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 or
<br />receipt of a covered Federal action, or a material change to a previous filing, pursuant to title 31 U.S.C. section 1352. T'he filing of a
<br />form is required for each payment or agreement to make payment to any lobbying entity for influencing or attempting to influence an
<br />officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of
<br />Congress in connection with a covered Federal action. Complete all items that apply for both the initial filing and material change
<br />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 outcome of
<br />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 yeaz 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. Check
<br />the appropriate classification of the reporting entity that designates if it is, or expects to be, a prime or subaward recipient.
<br />Identify the tier of the subawardee, e.g., the first subawardee of the prime is the 1 st tier. Subawards include but aze not
<br />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 zip code
<br />of the prime Federal recipient. Include Congressional District, if known.
<br />6. Enter the name of the federal agency making the awazd or loan commitment. Include at least one organizational level below
<br />agency name, if known. For example, Departrnent of Transportation, United States Coast Guard.
<br />7. Enter the Federal program name or description for the covered Federal action (item 1). If Irnown, enter the full Catalog of
<br />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 for
<br />Proposal (RFP) namber; Invitations for Bid (IFB) number; grant announcement number; the contract, grant, or loan award
<br />number; the application/proposal controi number assigned by the Federal agency). Included prefixes, e.g., "RFP-DE-90-
<br />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 Last
<br />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 collecrion of information unless it displays a valid
<br />OMB conirol Number. The valid OMB control number for this information collection is OMB No. 0348-0046. Public reporting burden for this
<br />collection of information is estimated to average ] 0 minutes per response, including time for reviewing instructions, searching existing data sources,
<br />gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding the burden
<br />estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to the Office of Managemeni and
<br />Budget, Paperwork Reduction Project (0348-0046), Washington, DC 20503
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