Regulatory Collection Filing

SF-LLL Disclosure of Lobbying Activities

RCF 201607-0575-011CF · Host ICR 201508-4040-011 · OMB 4040-0013

RCF Summary

Request for correction metadata
Host OMB Control No.	4040-0013
Host ICR Reference No.	201508-4040-011
Agency/Subagency	USDA/RHS
Status	Historical Active
Type of RCF	RCF New
OIRA Conclusion Action	Approved without change
Date Received in OIRA	2017-01-03
Conclusion Date	2017-01-09
Agency Tracking No.	0575-0198
Related Links	OMB 4040-0013 · ICR 201508-4040-011 · Retrieve Notice of Action (NOA)

Reginfo record details
Title: SF-LLL Disclosure of Lobbying Activities

Reginfo record details
Type of RCF: RCF New
OIRA Conclusion Action: Approved without change	Conclusion Date: 01/09/2017
Retrieve Notice of Action (NOA)	Date Received in OIRA: 01/03/2017
Terms of Clearance:

Reginfo record details
Description of Agency Usage: Community Facilities Technical Asst. & Training Grant Program (0575-0198) applicants receiving grants over $100,000 must certify that no Federal appropriated funds will be paid to any person for influencing or attempting to influence an officer, employee or member of any agency or Congress.

Reginfo record details
Authorizing Statute(s): None

Reginfo record details
Annual Cost to Federal Government:
Agency Contact: Nathan Chitwood 573 876-0965

Common Form Information Collections (IC) in this RCF:

table that charts list of ICs
IC Title	Status	Responses	Hours	Dollars	Document Type	Form No.	Form Name
Disclosure of Lobbying Activities		17	17	0	Form	4040-0013	SF-LLL Disclosure of Lobbying Activities 4040-0013
Disclosure of Lobbying Activities		18	18	0	Form	4040-0013	SF-LLL Disclosure of Lobbying Activities 4040-0013

RCF Summary of Burden:

table that charts list of burden
	Total Approved	Change Due to Agency Discretion
Annual Number of Responses	35	35
Annual Time Burden (Hours)	35	35
Annual Cost Burden (Dollars)	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: Common form usage.