Information Collection

Certification Regarding Lobbying

IC 241747 under ICR 202005-3015-001CF · OMB 4040-0013.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 4040-0013 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 4040-0013 Certification Regarding Lobbying	Form
4040-0013 Certification Regarding Lobbying 4040-0013 GG Lobbying.pdf	Form

IC Title:

Certification Regarding Lobbying

Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 2 CFR 220 2 CFR 215 2 CFR 225 5 CFR 1320.5(d)(s) 2 CFR 230

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	4040-0013	Certification Regarding Lobbying	4040-0013 GG Lobbying.pdf		Yes	Yes	Fillable Fileable Signable

Line of Business: General Government

Subfunction: Central Fiscal Operations

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 240

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	240	240
Annual IC Time Burden (Hours)	120	120
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.