Regulatory Collection Filing

SF LLL Certification of Non-Lobbying Activities or Disclosure of Lobbying Activities

RCF 202007-0575-005CF · Host ICR 201810-4040-011 · OMB 4040-0013

RCF Summary

Request for correction metadata
Host OMB Control No.	4040-0013
Host ICR Reference No.	201810-4040-011
Agency/Subagency	USDA/RHS
Status	Active
Type of RCF	RCF New
OIRA Conclusion Action	Approved without change
Date Received in OIRA	2020-07-22
Conclusion Date	2020-07-28
Agency Tracking No.	0575-0015
Related Links	OMB 4040-0013 · ICR 201810-4040-011 · Retrieve Notice of Action (NOA)

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Title: SF LLL Certification of Non-Lobbying Activities or Disclosure of Lobbying Activities

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Type of RCF: RCF New
OIRA Conclusion Action: Approved without change	Conclusion Date: 07/28/2020
Retrieve Notice of Action (NOA)	Date Received in OIRA: 07/22/2020
Terms of Clearance:

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Description of Agency Usage: Re-lenders who are awarded loans over $100,000 and/or lobby are required to complete this form. (0575-0015)

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Authorizing Statute(s): None

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Annual Cost to Federal Government:
Agency Contact: Robin Jones 202 772-1172 [email protected]

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 (SF-LLL)		20	20	0	Form and Instruction	4040-0013	SF-LLL Disclosure of Lobbying Activities (SF-LLL)

RCF Summary of Burden:

table that charts list of burden
	Total Approved	Change Due to Adjustment in Estimate
Annual Number of Responses	20	20
Annual Time Burden (Hours)	20	20
Annual Cost Burden (Dollars)	0	0

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

Burden Increase Due to:

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

Burden Reduction Due to:

Short Statement: