Information Collection

Certification Regarding Lobbying

IC 233669 under ICR 202112-4040-003 · 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⚠️ Notice: This information collection may be referencing outdated material.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

Document Name Document Type
Form 4040-0013 Certification Regarding Lobbying Form
4040-0013 Certification Regarding Lobbying 4040-0013 GG Lobbying.pdf Form
4040-0013 Certification Regarding Lobbying 4040-0013 GG Lobbying.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Certification Regarding Lobbying	Agency IC Tracking Number:

Is this a Common Form? Yes		IC Status: Unchanged

Obligation to Respond: Required to Obtain or Retain Benefits

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

Information Collection 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: 3,952	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	3,952	3,952
Annual IC Time Burden (Hours)	1,976	1,976
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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.