SF-LLL Disclosure of Lobbying Activities 4040-0013

Forms and Documents

Document Name	Status
Form 4040-0013 Disclosure of Lobbying Activities Form	Modified
OMB comments on Grants.gov Standard forms - GrantsGov Response v2.xlsx Supplementary Document	2016-01-14
4040-0013 SF-LLL_SS_2015 v1.2.doc Supporting Statement A	2016-01-14

IC Document Collections

IC ID	Document Title	Status
785	Disclosure of Lobbying Activities Form	Modified

ICR Details

OMB Control No: 4040-0013	ICR Reference No: 201508-4040-011
Status: Historical Active	Previous ICR Reference No: 201307-4040-003
Agency/Subagency: EGOV	Agency Tracking No:
Title: SF-LLL Disclosure of Lobbying Activities 4040-0013
Type of Information Collection: Reinstatement without change of a previously approved collection	Common Form ICR:  Yes
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 01/15/2016
	Date Received in OIRA: 10/13/2015
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	01/31/2019	36 Months From Approved
Responses	8,388	0	0
Time Burden (Hours)	8,388	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: The SF-LLL is the standard disclosure form for lobbying paid for with non-Federal funds, as required by the Byrd Amendment, as amended by the Lobbying Disclosure Act of 1995.

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Authorizing Statute(s): US Code: 31 USC 1352 Name of Law: null
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	79 FR 6594	11/06/2014
30-day Notice:	Federal Register Citation:	Citation Date:
	80 FR 7604	02/11/2015
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Disclosure of Lobbying Activities	4040-0013	SF-LLL Disclosure of Lobbying Activities 4040-0013

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ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	8,388	0	0	7,388	0	1,000
Annual Time Burden (Hours)	8,388	0	0	8,221	0	167
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: This form has been categorized as a common form as it is used by all federal grant-making agencies. HHS owns the form and reports only HHS burden hours.

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Annual Cost to Federal Government: $327,132

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  Yes

OIRA authorizes any Agency to begin using a Common Form associated with this ICR automatically after 5 calendar days from the date the agency's RCF including the common form was received in OIRA.

Description/Changes for Common Form Usage:  This form has been categorized as a common form as it is used by all federal grant-making agencies. HHS owns the form and reports only HHS burden hours. Other federal grant-making agencies must request use of the form and are responsible for reporting burden hours.

Approved RCFs using this ICR

Agency/Sub Agency	RCF ID	RCF Title	RCF Status	IC Title
DOI/OSMRE	201605-1029-008CF	Request to use the SF-LLL - Disclosure for Lobbying form - State, Local, and tribal Govt. for OSMRE	Historical Active	Disclosure of Lobbying Activities
DOI/OSMRE	201605-1029-009CF	Request to use the SF-LLL - Disclosure for Lobbying - Private Sector form for OSMRE.	Historical Active	Disclosure of Lobbying Activities
DOI/BLM	201606-1004-011CF	BLM - SF-LLL - Disclosure of Lobbying Common Form Usage	Historical Active	Disclosure of Lobbying Activities, Disclosure of Lobbying Activities
USDA/RUS	201701-0572-018CF	Disclosure of Lobbying Activities SF-LLL	Historical Active	Disclosure of Lobbying Activities
USDA/RBS	201701-0570-026CF	Disclosure of Lobbying Activities SF-LLL	Historical Active	Disclosure of Lobbying Activities
USDA/RHS	201607-0575-011CF	SF-LLL Disclosure of Lobbying Activities	Historical Active	Disclosure of Lobbying Activities, Disclosure of Lobbying Activities
USDA/RBS	201612-0570-019CF	SF - LLL Disclosure of Lobbying Activities	Historical Active	Disclosure of Lobbying Activities, Disclosure of Lobbying Activities
USDA/RUS	201605-0572-005CF	SF-LLL, “Disclosure of Lobbying Activities- Household Water System Program	Historical Active	Disclosure of Lobbying Activities
USDA/RBS	201612-0570-024CF	Disclosure of Lobbying Activities - SF LLL	Historical Active	Disclosure of Lobbying Activities
USDA/APHIS	201702-0579-014CF	Disclosure of Lobbying Activities (4040-0013)	Historical Active	Disclosure of Lobbying Activities, Disclosure of Lobbying Activities
USDA/FNS	201706-0584-019CF	SF-LLL Disclosure of Lobbying Activities (FNS)	Historical Active	Disclosure of Lobbying Activities, Disclosure of Lobbying Activities
USDA/RHS	201702-0575-020CF	SF-LLL Certification of Non-Lobbying Activities or Disclosure of Lobbying Activities	Historical Active	Disclosure of Lobbying Activities
USDA/APHIS	201704-0579-026CF	Disclosure of Lobbying Activities	Historical Active	Disclosure of Lobbying Activities
USDA/RBS	201709-0570-035CF	SF-LLL, “Disclosure of Lobbying Activities	Historical Active	Disclosure of Lobbying Activities
USDA/RUS	201707-0572-029CF	SF-LLL Disclosure of Lobbying Activities	Historical Active	Disclosure of Lobbying Activities, Disclosure of Lobbying Activities
DOC/NTIA	201709-0660-012CF	Disclosure of Lobbying Activities (SF-LLL) for 911 Grant Program	Historical Active	Disclosure of Lobbying Activities
USDA/RHS	201804-0575-027CF	SF-LLL Disclosure of Lobbying Activities	Historical Active	Disclosure of Lobbying Activities
USDA/RUS	201710-0572-037CF	Disclosure of Lobbying Activities	Historical Active	Disclosure of Lobbying Activities
USDA/RBS	201708-0570-032CF	SF-LLL Disclosure of Lobbying Activities	Historical Active	Disclosure of Lobbying Activities
USDA/APHIS	201807-0579-032CF	Disclosure of Lobbying Activities	Historical Active	Disclosure of Lobbying Activities
DOT/FMCSA	201809-2126-007CF	SF-LLL Disclosure of Lobbying Activities	Historical Active	Disclosure of Lobbying Activities
USDA/FS	201802-0596-007CF	DISCLOSURE OF LOBBYING ACTIVITIES.	Historical Active	Disclosure of Lobbying Activities
USDA/RUS	201804-0572-046CF	Disclosure of Lobbying Activities (SF-LLL)	Historical Active	Disclosure of Lobbying Activities, Disclosure of Lobbying Activities
DOD/DODDEP	201802-0704-004CF	SF-LLL Disclosure of Lobbying Activities 4040-0013	Historical Active	Disclosure of Lobbying Activities
USDA/RBS	201802-0570-041CF	SF-LLL, “Disclosure of Lobbying Activities”	Historical Active	Disclosure of Lobbying Activities
USDA/RBS	201802-0570-036CF	SF-LLL, “Disclosure of Lobbying Activities”	Historical Active	Disclosure of Lobbying Activities
TREAS/DO	201811-1505-005CF	Social Impact Partnerships to Pay for Results Act (SIPPRA) grant program	Historical Active	Disclosure of Lobbying Activities
DOL/DM	201606-1225-008CF	Disclosure of Lobbying Activities	Historical Active	Disclosure of Lobbying Activities

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 10/13/2015

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