202112-0570-004CF RCF OMB: 4040-0013 
OMB.report  
 
 
OMB 4040-0013  
 
 
RCF 202112-0570-004CF  
 
 
 ( RCF New ) 
 
 
Array
(
    [refNbr] => 202112-0570-004CF
    [obm] => 4040-0013
    [icr] => 201810-4040-011
    [status] => Received in OIRA
    [agency] => USDA/RBS
    [title] => Disclosure of Lobbying Activities - Form SF LLL
    [typeRCF] => RCF New
    [oiraAction] => View RCF focusMethod = function getFocus() { document.getElementById("main").focus(); } .skip-main { border-color: transparent; 
    [oiraNOA] => View RCF focusMeth
    [termsOfClearance] =>  
    [previousRCF] => 
    [agencyTrackingNo] => 0570-0064
    [conclusionDate] => 1969-12-31
    [dateReceived] => 1969-12-31
)
Document
    
	View RCF
	    
		
		     - Agency Submission
		
 
    
        
            
            
        
            
                
                    RCF ID:  202112-0570-004CF 
                    Previous RCF ID:   
                 
                
                    Status:  
						Received in OIRA
                     
                    Expiration Date:  02/28/2022 
                 
                
                    Agency/Subagency:  USDA/RBS 
                    Agency Tracking No:  0570-0064 
                 
                
                    Host OMB Control No:  4040-0013 
                    Host ICR Reference No:  201810-4040-011 
                 
            
            
                
                    Title:  Disclosure of Lobbying Activities - Form SF LLL 
                 
            
            
 
    
         
             Description of Agency Usage:  
             	This form is to be completed once at the time of award.  This form is submitted by the recipient and is used by the Agency to obtain disclosure of lobbying activities on the part of the recipient. (0570-0064)
              
          
    
 
    
			
				
					Authorizing Statute(s): 
			
				None
			
			
			 
			 
        
 
        
	
    
        Annual Cost to Federal Government:  
         
     
    
        
            Agency Contact:  
            
				Robin Jones 202 772-1172 [email protected] 
					 
				
         
     
	
 
 
	Common Form Information Collections (IC) in this RCF: 
        
 
 
				
				
					
						  
						Total Request 
						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 
						470 
						0 
						0 
						470 
						0 
						0 
					 
					
						Annual Time Burden (Hours) 
						470 
						0 
						0 
						470 
						0 
						0 
					 
					
						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: 
							RBCS is requesting to utilize this common form which will add 470 hours and 470 respondents.