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<br />INSTRUCTIONS FOR COMPLETION OF SF-LLL, DISCLOSURE OF LOBBYING ACTIVITIES
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<br />This disclosure form shall be completed by the reporting entity. whether subawardeeor prime Federal recipient, at the inilialion or receipt of a covered Federal
<br />action, or a material change to a previous filing, pursuant to title 31 U.S.C. sectlon 1352. The filing of a form is required for each payment or agreementto make
<br />payment to any lobbying entity for influencing or attempting to Influence an officer or employee of any agency, a Member of Congress, an officer or employee of
<br />Congress, or an employeeof a Memberof Congress in connection with a covered Federal action. Use the SF-LlLA Continuation Sheet for additionalinformatlon if
<br />the space on the form is inadequate. Complete all items that apply for both the initial filing and material change report. Refer to the implementing guidance
<br />published by the Office of Management and Budget for additional information.
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<br />1. Identify the type of covered Federal action for which lobbying activity is and/or has been secured to Influence the outcome of a covered Federal action.
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<br />2. Identify the status of the covered Federal action.
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<br />3. Identify the approprtateclassification of this report. If this is a folkJwup report caused by a material change to the information prevkJusly reported, enter
<br />the year and quarter in whIch the change occurred. Enter the date of the last previously submitted report by this reporting entity for this covered Federal
<br />action.
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<br />4, Enter the full name, address, city, State and zip code of the reporting entity. Include Congressional District, if known. Check the appropriateclassification
<br />of the reporting entity that desIgnates if it is, or expects to be, a prime or subaward reclplenlldentify the tier of the subawardee, e.g., the first subawardee
<br />of the prime is the 1 st tier. Subawards include but are not Umlted to subcontracts, subgrants and contract awards under grants.
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<br />5. If the organization filing the report in item 4 checks "Subawardee,"then enter the full name, address. city, State and zip code of the prime Federal
<br />recipient. Include Congressional District, if known.
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<br />6. Enter the nameof the Federal agency making the award or loan commllment.lnclude at least one organizallonallevel below agency name, if known. For
<br />example, DepartmenlofTransportalion, United States Coast Guard.
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<br />7. Enter the Federal program name or description for the covered Federal action (Item 1). If known. enter the full Catalog of Federal Domestic Assistance
<br />(CFOA) number for grants, cooperative agreements, loans, and loan commitments.
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<br />8. Enter the most appropriate Federal identifying number available for the Federal action Identified in Item 1 (e.g., Request for Proposal (RFP) number;
<br />Invitation for Bid (IFB) number; grant announcement number; the contract. grant, or loan award number; the application/proposal control number
<br />assigned by the Federal agency). Include prefixes, e,g., "RFP.DE-9o-OO1."
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<br />9. For a covered Federal action where there has been an award or loan commitment by the Federal agency, enter the Federal amount of the awardlloan
<br />commitment for the prime entity identified in item 4 or 5.
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<br />10. (a) Enter the full name, address. city, State and zip code of the lobbying entity engaged by the reporting entity identified In Item 4 to influence the covered
<br />Federal action.
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<br />(b) Enter the full names of the indlvidual(s) performing selVices, and Include full address if different from 10 (a). Enter Last Name, First Name, and
<br />Middle Initial (MI).
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<br />11. Enter the amounlof compensation paid or reasonablyexpectedlo be paid by the reporting entity (item 4) to the lobbying entity (item 10). Indicate whether
<br />the payment has been made (actual) or will be 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.
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<br />12. Check the approprlatebox(es). Check all boxes that apply. If paymentis made through an in.kind conlribution, specify the nature and value of the in-klnd
<br />payment.
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<br />13. Check the appropriate box(es). Check all boxes that apply. If other, specify nature.
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<br />14. Providea specific and detailed description of the seNices that the lobbyist has performed, or will be expected to perform, and the date(s) of any services
<br />rendered. Include all preparatory and related activity, nol Just time spent In actual contact with Federal officials. Identify the Federal official(s) or
<br />employee(s) contacted or the offlcer(s), employee(s), or Member(s) of Congress that were contacled.
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<br />15. Check whether or not a SF-LLLA Continuation Sheet(s) Is attached.
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<br />16. The certifying official shall sign and date the form, print hIs/her nama, title, and telephone number.
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<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 OMS Control
<br />Number. The valid OMB control number for this Information collection Is OMS No. 0348.0046. Public reporting burden for this colklctlon of Information is
<br />estimated to average 30 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 />infonnation, indudlng suggestions for reducing this burden, to the Office of Managementand Budget, Paperwork Reduction Project (0348-0046), Washington,
<br />DC 20503.
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